AHRQ Patient Safety Network ► Piece of my mind. I'm sorry.

AHRQ Patient Safety Network





Piece of my mind. I'm sorry.

Kahn JS. JAMA. 2015;313:2427-2428.

Being accountable for errors and working to learn from them is key to improving patient safety. This commentary describes a physician's reactions following a medication ordering error that resulted in temporary patient harm, steps taken to report the error, how the incident was used as a teaching point for team members, and the patient's positive response to the physician's disclosure and apology.

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