Error, blame, and the law in health care - An Antipodean Perspective

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Show simple item record Runciman, WB en Merry, Alan en Tito, F en 2015-07-27T02:25:28Z en 2003 en
dc.identifier.citation Annals of Internal Medicine, 2003, 138 (12), pp. 974 - 979 en
dc.identifier.issn 0003-4819 en
dc.identifier.uri en
dc.description.abstract Patients are frequently harmed by problems arising from the health care process itself. Addressing these problems requires understanding the role of errors, violations, and system failures in their genesis. Problem-solving is inhibited by a tendency to blame those involved, often inappropriately. This has been aggravated by the need to attribute blame before compensation can be obtained through tort and the human failing of attributing blame simply because there has been a serious outcome. Blaming and punishing for errors that are made by well-intentioned people working in the health care system drives the problem of iatrogenic harm underground and alienates people who are best placed to prevent such problems from recurring. On the other hand, failure to assign blame when it is due is also undesirable and erodes trust in the medical profession. Understanding the distinction between blameworthy behavior and inevitable human errors and appreciating the systemic factors that underlie most failures in complex systems are essential for the response to a harmed patient to be informed, fair, and effective in improving safety. It is important to meet society's needs to blame and exact retribution when appropriate. However, this should not be a prerequisite for compensation, which should be appropriately structured, fair, timely, and, ideally, properly funded as an intrinsic part of health care and social security systems. en
dc.relation.ispartofseries Annals of Internal Medicine en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from en
dc.rights.uri en
dc.title Error, blame, and the law in health care - An Antipodean Perspective en
dc.type Journal Article en
dc.identifier.doi 10.7326/0003-4819-138-12-200306170-00009 en
pubs.issue 12 en
pubs.begin-page 974 en
pubs.volume 138 en
dc.identifier.pmid 12809454 en
pubs.end-page 979 en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 6051 en
dc.identifier.eissn 1539-3704 en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 12809454 en

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