RT Book, Section
A1 Wachter, Robert M.
SR Print(0)
ID 56251978
T1 Chapter 19. Accountability
T2 Understanding Patient Safety, 2e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176578-7
LK accessmedicine.mhmedical.com/content.aspx?aid=56251978
RD 2024/04/23
AB As  I  have  emphasized  throughout  this  book,  the  fundamental  underpinning  of  the  modern  patient  safety  field  is  “systems  thinking”—the  notion  that  most  errors  are  made  by  competent,  caring  people,  and  that  safe  care  therefore  depends  on  embedding  providers  in  systems  that  anticipate  errors  and  block  them  from  causing  harm.  That  is  an  attractive  viewpoint,  and  undoubtedly  correct  in  the  main.  But  it  risks  causing  us  to  avert  our  eyes  from  those  providers  or  institutions  who,  for  a  variety  of  reasons,  are  not  competent,  or  worse.