Accountability and team care

Although we normally have no difficulty with holding individuals accountable for the effects of their actions, we are still confused about holding a health care team accountable. I argue that we can hold teams accountable in the same way that we hold individuals accountable. In constructing this argument, I first examine the nature of a “team,” then look at the consequences of team decision and action, in particular, the problem of synergistic decisionmaking. Finally I relate this philosophical discussion to patient care decisions by teams.