TY  - JOUR
T1  - HEalth care service quality—reply
AU  - Kenagy JW
Y1  - 1999/10/13
N1  - 10-1001/pubs.JAMA-ISSN-0098-7484-282-14-jbk1013
JO  - JAMA
SP  - 1330
EP  - 1331
VL  - 282
IS  - 14
N2  - 
In Reply: Dr Porter suggests that our article
describes a simple case of a single physician's "inexcusable" naiveté,
coupled with the patient's failure to prepare for the visit. This is a classic
approach to mistakes in health care: blame the individuals and move on, but
unfortunately, we get nowhere. Although my physician and I contributed to
the problem, focusing on blame distracts attention from why things went wrong
and how we might correct them. Taking Porter's cue, perhaps understanding
how we each contributed would allow us to learn about the real causes of the
problem and to work on correcting those causes.1
Otherwise, we are doomed to repeat the errors.

SN  - 0098-7484
M3  - doi: 10-1001/pubs.JAMA-ISSN-0098-7484-282-14-jbk1013
UR  - http://dx.doi.org/10-1001/pubs.JAMA-ISSN-0098-7484-282-14-jbk1013
ER  -