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Previous Volume 348:2578-2579 June 19, 2003 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In his Perspective article "A Death at Duke" (March 20 issue),¹ Dr. Campion observes, "Systems do not become safer when those involved are told, `Be more careful' or `try harder.'" As an attorney who has spent 25 years representing hospitals, I respectfully disagree. It is precisely the mindset that a particular person's role in the process is not crucial that leads to errors. Whether during a call to a surgeon in the middle of the night or on a plane trip to harvest the donor's organs, questions are not asked and documentation is not reviewed because "surely . . . [Full Text of this Article]

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