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Patient safety managers throughout the state report reluctance on the part of clinicians to be involved in RCAs for fear that they may become embroiled in Walker-style inquiries. [...]almost all the incidents complained of did not involve egregiously culpable behaviour, such as drunkenness or delibe...
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Veröffentlicht in: | BMJ 2004-11, Vol.329 (7474), p.1111-1111 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Patient safety managers throughout the state report reluctance on the part of clinicians to be involved in RCAs for fear that they may become embroiled in Walker-style inquiries. [...]almost all the incidents complained of did not involve egregiously culpable behaviour, such as drunkenness or deliberately unsafe acts, but resulted from clinical errors in which three closely related elements-the doctor's actions, the patient's illness, and the system-have yet to be unravelled before an assessment can be made about any individual culpability. |
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ISSN: | 0959-8138 0959-8146 1468-5833 1756-1833 |
DOI: | 10.1136/bmj.329.7474.1111 |