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There is widespread agreement that the medical profession has much to learn about addressing adverse events in clinical practice and participating in clinical governance. In England and Wales centrally driven initiatives such as medical audit, clinical governance and the National Reporting and Learning System have failed to transform the management of iatrogenic adverse events. In this article we explore the historical and cultural background of these issues with respect to hospital medicine and suggest means of tackling the challenges ahead.

Original publication

DOI

10.1177/1466424007075458

Type

Journal article

Journal

J R Soc Promot Health

Publication Date

03/2007

Volume

127

Pages

87 - 94

Keywords

Education, Medical, Undergraduate, Governing Board, Hospitals, Public, Humans, Iatrogenic Disease, Medical Audit, Medical Errors, Medical Staff, Hospital, Physician's Role, Quality Assurance, Health Care, Risk Management, State Medicine, United Kingdom