Document Detail


When silence threatens safety: lessons from the first Canberra Hospital neurosurgical inquiry.
MedLine Citation:
PMID:  15359555     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Thomas Faunce; Kerry Mure; Catherine Cox; Brigid Maher
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of law and medicine     Volume:  12     ISSN:  1320-159X     ISO Abbreviation:  J Law Med     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-09-13     Completed Date:  2004-12-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431853     Medline TA:  J Law Med     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  112-8     Citation Subset:  IM    
Affiliation:
Law Faculty, the Australian National University, Fellows Rd, Acton, ACT 0200, Australia. Thomas.Faunce@anu.edu.au
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MeSH Terms
Descriptor/Qualifier:
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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