‘Stuff happens’: patient safety incidents and 2nd victims

Bad things happen in medicine. Sometimes, as doctors or nurses, the things we do, or the things we didn't think of doing,┬ácause harm. How we respond to those incidents determines the direction our careers follow. If the response is catastrophic, and the puncture in our confidence or self-esteem proves irreparable, we may drop out entirely.... Continue Reading →

Accountability, blame and medical error after Bawa-Garba

  The reaction to the Dr Bawa-Garba case has shown that the medical community finds it hard to accept that individuals can be held personally accountable for underperformance (once we exclude malice, drunkenness or other gross examples). Rather, deficiencies in the healthcare system surrounding the individual should be identified and corrected. Don Berwick was very... Continue Reading →

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