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  1. Repentance as Rebuke: Betrayal and Moral Injury in Safety Engineering.David D. Woods, Mark D. Layson & Sidney W. A. Dekker - 2022 - Science and Engineering Ethics 28 (6):1-13.
    Following other contributions about the MAX accidents to this journal, this paper explores the role of betrayal and moral injury in safety engineering related to the U.S. federal regulator’s role in approving the Boeing 737MAX—a plane involved in two crashes that together killed 346 people. It discusses the tension between humility and hubris when engineers are faced with complex systems that create ambiguity, uncertain judgements, and equivocal test results from unstructured situations. It considers the relationship between moral injury, principled outrage (...)
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  • Taking the blame: appropriate responses to medical error.Daniel W. Tigard - 2019 - Journal of Medical Ethics 45 (2):101-105.
    Medical errors are all too common. Ever since a report issued by the Institute of Medicine raised awareness of this unfortunate reality, an emerging theme has gained prominence in the literature on medical error. Fears of blame and punishment, it is often claimed, allow errors to remain undisclosed. Accordingly, modern healthcare must shift away from blame towards a culture of safety in order to effectively reduce the occurrence of error. Against this shift, I argue that it would serve the medical (...)
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  • Error Reduction, Patient Safety and Institutional Ethics Committees.Mark E. Meaney - 2004 - Journal of Law, Medicine and Ethics 32 (2):358-364.
    Institutional ethics committees remain largely absent from the literature on error reduction and patient safety. This paper attempts to fill the gap. Healthcare professionals are on the front lines in the defense against medical error, but the changes that are needed to reduce medical errors and enhance patient safety are cultural and systemic in nature. As noted in the Hastings Centers recent report, Promoting Patient Safety, the occurrence of medical error involves a complex web of multiple factors. Human misstep is (...)
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  • Error Reduction, Patient Safety and Institutional Ethics Committees.Mark E. Meaney - 2004 - Journal of Law, Medicine and Ethics 32 (2):358-364.
    Institutional ethics committees remain largely absent from the literature on error reduction and patient safety. This paper attempts to fill the gap. Healthcare professionals are on the front lines in the defense against medical error, but the changes that are needed to reduce medical errors and enhance patient safety are cultural and systemic in nature. As noted in the Hastings Centers recent report, Promoting Patient Safety, the occurrence of medical error involves a complex web of multiple factors. Human misstep is (...)
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