Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Imparare dall'errore

LEARNING FROM ERRORS

Guido Bertolini

Laboratorio di Epidemiologia Clinica, Istituto di Ricerche Farmacologiche “Mario Negri”, Milano
Centro di Ricerche Cliniche per le Malattie Rare “Aldo e Cele Daccò”, Ranica (Bergamo)

Febbraio 2010 - pagg. 100 -102

Abstract
Physicians are trained within a cultural framework in which the main emphasis is toward the correctness and precision of what is known. The areas of uncertainty are seldom made clear and medical error is more or less implicitly considered unacceptable. Nevertheless, errors are always possible and even unavoidable. Hence, the ability to learn from errors must be developed, particularly by health professionals. To reach such a goal, a new culture that does not ban errors as markers of failures of which to be ashamed - “bad things happen to bad people” - should be promoted. This way, the problem would move from exculpating/ condemning people to understanding reasons that have led someone to err. Whilst the main concern should remain to avoid errors, the best way to obtain this is to deeply know factors that facilitate them.
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Corrispondenza: bertolini@marionegri.it