Mossman Douglas
Glenn M. Weaver Institute of Law and Psychiatry, University of Cincinnati College of Law, Cincinnati, OH 45221-0040, USA.
J Am Acad Psychiatry Law. 2009;37(1):25-7.
Doctors typically think about medical errors as potential causes of malpractice litigation, as failures by individuals, and as evidence of personal incompetence that may deserve sanctions. Other professions take a different view: designing of safer systems, rather than criticism and punishment, is the way to prevent unintentional mishaps. In his article, Jeffrey Janofsky shows how psychiatrists can think about making care systems safer for patients. He also provides a splendid example of how forensic psychiatrists should conceptualize legal and medical problems encountered in clinical practice.
医生通常将医疗差错视为医疗事故诉讼的潜在原因、个人的失误以及可能应受制裁的个人无能的证据。其他行业则持有不同观点：设计更安全的系统，而非批评和惩罚，才是预防意外事故的方法。杰弗里·贾诺夫斯基在其文章中展示了精神科医生应如何思考让医疗系统对患者更安全。他还提供了一个精彩的例子，说明法医精神科医生应如何将临床实践中遇到的法律和医学问题概念化。
