[kangman]

Why should litigation be the first option for relief? This would have a chilling effect on practitioners coming forward. Taking from devops, having a blameless review would be in order to see what kind of assumptions/biases caused the poor decision and improve going forward not sue them out of practice. Sidney Dekker speaks about in the context of the aviation industry and how humane practices leads to safer flights for everyone.

[msla]

It would be very psychologically difficult for someone whose relative just died to accept a "blameless review", and if that review lead to a decision that a lawsuit was unwarranted, well, that might make the relative angry enough to do something regrettable.

I agree that it's the right answer in a cold-blooded "improving the practice of medicine" sense, but laws have to take human behavior into account.

[pdpi]

> It would be very psychologically difficult for someone whose relative just died to accept a "blameless review",

Yet that's precisely what the aeronautic industry does.