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.