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J Am Acad Psychiatry Law 34:1:101-102 (2006)
Copyright © 2006 by the American Academy of Psychiatry and the Law.
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ANALYSIS AND COMMENTARY

Commentary: Systems, Sensitivity, and "Sorry"

Thomas G. Gutheil, MD

Dr. Gutheil is Professor of Psychiatry and Co-Founder of the Program in Psychiatry and the Law, Massachusetts Mental Health Center, Harvard Medical School, Boston, MA. Address correspondence to: Thomas G. Gutheil, MD, 6 Wellman Street, Brookline, MA 02446. E-mail: gutheiltg{at}cs.com

This commentary first addresses the moral atmosphere necessary for a systems view of adverse outcomes and discusses the theory of accidents. Patients suffering adverse outcomes are described as needing acknowledgment, remorse, and remedy. Apologizing and informing patients or families about what actually happened are important risk management approaches.






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Copyright © 2006 by the American Academy of Psychiatry and the Law.