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Medical Errors: Focusing More on What and Why, Less on Who

Remember, there is nothing you can do to change [the past], but you can use its lessons to improve your future.

—Rabbi Abraham J. Twerski, MD

Disclosure of medical errors and improvement in patient safety are inexorably linked, and provide one of the strongest reasons to report and disclose errors, including near misses in which no harm comes to the patient. As Rosner et al¹ notes, "The paradox of modern quality improvement is that only by admitting and forgiving error can its rate be reduced." Error reports can be valuable learning tools as well—both for those immediately involved and for . . . [Click for More]