battered child

Robert Bell rmsbell200 at YAHOO.COM
Wed Nov 16 15:47:00 UTC 2016


"A system's willingness to become aware of problems is associated with its ability to act on them."   Sounds like that could be a a banner statement for the whole medical error movement, where to date so little seems to have been achieved.

Rob Bell, M.D.

Sent from my iPad

On Nov 15, 2016, at 12:44 PM, Edita Falco <edita.falco at GMAIL.COM> wrote:

> Dear members of the list
> you must remember that  Battered Child Syndrome was misdiagnosed for years,doctors talk about Fragile Bones Syndrome as no one could think that parents may be so mad...
> It was Henry Kempe  who enrolled social services that discovered the truth. 
> Some years later Karl Weit choose this case as an example of what he called sensemaking -otherwise attributted to Westrum- "A system’s willingness to become aware of problems is associated with its ability to act on them’ (Westrum, 1993, p. 340). How can I know what I face until I see what my limited actions uncover. Limited actions lead to limited seeing leads to limited awareness. Limited awareness is a big liability in times of impermanence. "
> Another way of missing a diagnosis..how many others may be?
> 
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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