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Commentary
Ethical duty of health care systems to address interfacility medical error discovery.
October 17, 2018
Antunez AG, Shuman AG, Jagsi R, et al. J Am Coll Surg. 2018;227(5):543-547.
Learning from other organizations' errors is a recognized opportunity to engage in safety improvement. This commentary suggests that learning from others is an ethical responsibility. The authors describe a framework to build a culture that draws from quality, holism, collaboration, and accountability to enable cross-organizational learning. A past WebM&M commentary discussed the difficulties in disclosing mistakes that originated from a different hospital.
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