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The Trust Crisis in HealthcareCauses, Consequences, and Cures$
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David A. Shore

Print publication date: 2006

Print ISBN-13: 9780195176360

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780195176360.001.0001

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Medical Errors and Patient Safety

Medical Errors and Patient Safety

(p.60) 5 Medical Errors and Patient Safety
The Trust Crisis in Healthcare

Lucian L. Leape

Oxford University Press

Several studies have touted healthcare as hazardous to health. The Institute of Medicine report on medical errors in 1999 publicized the prevalence of medical errors in the United States. While poor quality can undermine trust, the response of providers to poor results is another facet of declining trust in the US. The healthcare system fails to come to grips with problem doctors, and increased professional accountability is the recommended solution. This chapter explores the principles and practices that must be present in order to create a safety culture. In such a culture, providers are able to confront medical errors comfortably and confidently, and provide proper medical error disclosure. As a result, trust will be rebuilt and patient safety enhanced.

Keywords:   medical errors, safety culture, problem doctors, medical error disclosure

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