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ANALYSIS AND COMMENTARY |
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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D. Mossman Commentary: Let's Think About Human Factors, Not Human Failings J Am Acad Psychiatry Law, March 1, 2009; 37(1): 25 - 27. [Abstract] [Full Text] [PDF] |
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