This document summarizes a large study on workplace accountability involving over 40,000 participants. The study found that there is widespread confusion around organizational priorities and lack of personal accountability. Accountability is seen as something that happens when things go wrong, rather than a proactive practice. As a result, organizations struggle with goal alignment, engagement, execution, trust, collaboration and morale. The study suggests accountability is a major opportunity for improving organizational performance if implemented correctly. Leaders play a key role in setting expectations but many are not clearly communicating priorities or holding others accountable.