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Accountability: Patient Safety and Policy Reform
(Hastings Center Studies in Ethics.) Edited by Virginia A. Sharpe. 276 pp. Washington, D.C., Georgetown University Press, 2004. $49.95. ISBN 1-58901-023-X.
The belief that systems, more than individuals, are responsible for medical errors permeates current efforts to improve the quality of medical care and patient safety. Error reduction thus requires that systems be reformed, which necessitates far more information than is currently available. Patient Safety: Achieving a New Standard for Care articulates a vision of "a new health care delivery system . . . that both prevents errors and learns from them when they occur," to be achieved through a national infrastructure of health information. The technical complexity alone that would be required
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