Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery.

Sidney W A Dekker

Commentary

Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery.

October 3, 2007

Dekker SWA. J Law Med Ethics. 2007;35(3):463-70.

View more articles from the same authors.

The author analyzes one Swedish medication error incident that resulted in criminal charges against the nurse involved and discusses how the media contorted the assignment of blame for the failure.

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Discontinuities, Gaps, and Hand-Off Problems

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