tag:blogger.com,1999:blog-14743001.post1123249207722215145..comments2024-01-02T02:45:17.328-06:00Comments on Notes from Dr. RW: Patient safety and blame: from the literatureRobert W Donnellhttp://www.blogger.com/profile/16944231400440786271noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-14743001.post-73104708343919980882009-12-06T21:29:57.312-06:002009-12-06T21:29:57.312-06:00Yes, it is a non-starter, as is any hope for the t...Yes, it is a non-starter, as is any hope for the type of blame free culture necessary for the transparency needed to address patient safety head on (without all the defensiveness, administrative posturing, creative charting, etc). In my opinion this was an unintended consequence of the IOM report. Now the defensive culture is all the more entrenched---defined administratively and embedded in Robert W Donnellhttps://www.blogger.com/profile/16944231400440786271noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-1978046996029864152009-12-06T09:04:21.087-06:002009-12-06T09:04:21.087-06:00RW, your no-fault idea, which has merit, is a poli...RW, your no-fault idea, which has merit, is a political non-starter. The status quo of the medical malpractice system is entrenched and supported by important stakeholders. Of course, the system does not serve the public interest. Beyond torturing the medical professions, it incinerates tens of billions of dollars in legal costs and in defensive medicine. Most patients who are injured Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.com