Word: ared
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Dates: during 1990-1999
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But the question of blame sometimes makes people reluctant to report or take responsibility for such errors. Berwick says that most errors, in fact, are not directly caused by human mistakes but by breakdowns in administrative or communications systems.
"The most important thing is to understand that most errors are not caused by bad people," Berwick said.
Since then, Mass. General Hospital has begun to implement a similar system, and as a result of this month's report, Leape said, other hospitals both in the Boston area and nationwide are heading in the same direction.
According to UHS Director David S. Rosenthal '59, most medical errors are not caused by human error, but rather by breakdowns in communication.
Especially hard to keep track of are patients' medications. This ignorance is dangerous because the wrong mixture of drugs can lead to violent reactions in patients.