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Margaret McCartney: Clinical errors need a systemic response | The BMJ

27 Feb

fear that the pressures in the NHS have led us to accept poor standards as normal, with waits of six months for some referrals, other referrals being refused, and no beds to which to admit high risk teenagers with anorexia. We roll our eyes and see it as business as usual, rather than being furious that this is the state that we and our patients are in. And all the while we waste time and money on politically motivated initiatives that have no evidence base to support their introduction. As Peter Wilmshurst has pointed out, the GMC has often taken no action against doctors who are on the sex offenders register or those who have dispensed fraudulent treatments for personal gain.2 Yet those are of a different nature entirely from clinical errors made by staff who never intended, either by omission or commission, to do harm. Manslaughter charges against healthcare professionals in the past few years have focused on individual clinical errors, not on the professionals who are in charge of making decisions about how systems are run or funded.3 Pinning blame on one person allows us to believe that the bad apple has been removed from the barrel and that all is now well. But this is a s

Sorgente: Margaret McCartney: Clinical errors need a systemic response | The BMJ

 

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