| When silence threatens safety: lessons from the first Canberra Hospital neurosurgical inquiry. | |
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MedLine Citation:
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PMID: 15359555 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Despite widespread institutional and professional support, the recommendations of the Bristol Royal Infirmary Inquiry may be insufficient to reduce patient risk from impaired senior medical practitioners. Using the First Inquiry into Neurosurgical Services at the Canberra Hospital as a case study, this article argues that the Bristol-type recommendations--which emphasise reformulation of clinical governance structures, including early reporting of "sentinel events" and compulsory clinical audits--will be ineffective without a reformed institutional ethos that encourages open transparency and respect for those committed to such processes. Such reformulation may need to commence in medical education and involve new strategies including the use of portable digital technology to facilitate self-assessment of performance and immediate reporting of adverse incidents. |
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Authors:
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Thomas Faunce; Kerry Mure; Catherine Cox; Brigid Maher |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of law and medicine Volume: 12 ISSN: 1320-159X ISO Abbreviation: J Law Med Publication Date: 2004 Aug |
Date Detail:
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Created Date: 2004-09-13 Completed Date: 2004-12-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9431853 Medline TA: J Law Med Country: Australia |
Other Details:
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Languages: eng Pagination: 112-8 Citation Subset: IM |
Affiliation:
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Law Faculty, the Australian National University, Fellows Rd, Acton, ACT 0200, Australia. Thomas.Faunce@anu.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Australia Cardiac Surgical Procedures / adverse effects, mortality, standards Child Decision Making Hospital Administration / standards* Humans Legislation, Hospital* Physicians / standards* Quality Assurance, Health Care / organization & administration Risk Factors Safety / legislation & jurisprudence*, standards Whistleblowing* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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