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Journal Article > Study
Moskop JC, Geiderman JM, Hobgood CD, Larkin GL. Ann Emerg Med. 2006;48:523-531.
The authors discuss truthfulness as a professional responsibility, barriers to disclosure, creating a culture of safety, and guidelines for disclosure.
Journal Article > Commentary
Mello MM, Studdert DM, Kachalia AB, Brennan TA. Milbank Q. 2006;84:459-492.
This article provides an overview of "health courts," defined as a system of administrative compensation for medical injuries outside of the regular tort system; these systems are currently used in New Zealand, Denmark, and Sweden. The authors have previously argued that the current US tort system is ineffective at compensating injured patients or preventing medical errors. Health courts would use evidence-based standards to determine the preventability of medical injuries, and appropriately compensate patients based on the degree of preventability of the error(s) patients experienced. The authors describe how health courts would work in practice, and argue that such a system could improve patient safety by improving transparency and shifting the focus from determining if a physician was negligent to determining if an injury was avoidable.
Bostock L, Bairstow S, Fish S, Macleod F. London, England: Social Care Institute for Excellence; 2005. ISBN: 1904812279.
This report suggests that a systems approach to child social services in Great Britain would facilitate a fair and open culture and encourage learning from near misses.