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PSNet: Patient Safety Network
Journal Article

Ethical duty of health care systems to address interfacility medical error discovery.

Antunez AG, Shuman AG, Jagsi R, et al. Journal of the American College of Surgeons. 2018;227:543-547.

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.