‘Sometimes in health care, using its accompanying stresses, there is a propensity to work around procedures in order to be more efficient. Rules and procedures is there for a reason and so are designed to increase patient safety,’ she added. ‘Individuals have a personal responsibility when they take part in those workarounds. As the organization needs to explain that they are in charge of reckless behavior also, it also must identify internal practices that might be encouraging those function arounds to be utilized,’ Sims said. Hospitals can advantage by supporting employees who report methods that can lead to serious errors and using those reviews to improve procedures.The commission stated prison management must present leadership in stopping such misuse. Inmates in jails reported fewer instances of rape than in prisons. Inmates who were short, young, gay or female were more likely to end up being victimized than additional inmates. To battle the nagging problem, the commission says prison authorities should adopt more internal monitoring and exterior oversight. They also say prison officials have to improve investigation of promises of sexual rape and assault, because presently many victims cannot safely and easily come forwards. After the prison rape survey is delivered to Congress, the lawyer general is certainly to create brand-new national requirements for detecting and avoiding rape and sexual assault in prisons, jails and detention facilities.