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To Err Is Human 5 Years LaterReply
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In Reply: Dr Surbone and colleagues appropriately highlight the differences in safety challenges among medical specialties and the important role that specialty societies can play in addressing them. Fortunately, more and more societies are taking up the cause. We applaud the recent American Society of Clinical Oncology program on attitudinal, emotional, communication, and cultural issues that affect safety. We equally applaud the authors commitment to truthful communication with patients. This is consistent with the IOM call for transparency and honesty in all communications with patients,1 which we endorse.
We also agree wholeheartedly with Drs Halbach and Sullivan about the centrality of medical education in improving patient safety, and we erred by not including it in our discussion. Practicing safely and effectively as members of the health care team requires that caregivers master specific types of knowledge (eg, error science, safe practices), skills (eg, implementing practices, root cause analysis, teamwork, communication), . . . [Full Text of this Article]
Lucian L. Leape, MD
leape@hsph.harvard.edu Department of Health Policy and Management Harvard School of Public Health Boston, Mass
Donald M. Berwick, MD
Institute for Healthcare Improvement Cambridge, Mass
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