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by amypetrik8 200 days ago
I'll tell you how "dangerous errors" work in practice in a hospital

Let's say we design a "dangerous errors" system. What it's going to consist of is some "are you sure you want to do that" style popups, and some sort of error reporting system.

The error reporting system (human entered) is where it gets interesting. The real nasty errors dutifilly get reported, no choice. The nasty and/or embarrassing errors are not reported. You get some of what they call "virtue signalling" errors where a person may report themself and pat themselves on the back for it - small errors. And than finally, about 1-5% of staff, the sorts that don't belong in medicine, will use it as their personal vendetta machine, ham up, falsify, fictionalize stories written against whoever it was that crossed them that day. Every day.

There CAN be on honest fair reporting system in the absolute healthiest of work cultures, with trust i.e. if I disclose I did something wrong I am confident that I won't be in trouble (that also means nobody can character assassinate someone else who crossed them - they won't be in trouble). But medicine, it's the opposite of such a culture, viciously political, unethical interpersonal practices, obsession with preserving ones career, license, and legal exposure over the common sense best interests of the patients.

1 comments

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