Institutional self-protection motives are part of the system which affect diagnostic error

Danny Long dannylong at EARTHLINK.NET
Mon Dec 1 21:07:54 UTC 2014

Specifically, after a mistake, the details could be 1) publicized so others could learn, or 2) hidden, so this institution won't get sued. 

or option #3? Hospital A. makes a really obvious mistake, 

Hospital A. already agreed with ten or twenty (or more) other hospitals to "sell lessons" between each other so they will not happen again there either. 
Cost of each lesson is based on a percentage of predicted settlement.  

So Hospital B. C. D. E. F sees the overview (without details) of the mistake as being worth paying for (and agree to) pay for full details of lesson, and how to prevent it.

Hospital A. offset their expense paid in settlement.

Most importantly, hospital B. C. D. E. F. already NOW have plan in place to prevent same harm to their patient. 

Clearly re-arranging the A, B, C, D, E, F offers continuous improvement among the group.

Just a thought

Danny Long

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