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	<title>Comments on: Fixing Medical Err-ERs</title>
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	<description>Sharing the ideas, opinions and experiences of emergency physicians</description>
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		<title>By: Chris McCoy</title>
		<link>http://thecentralline.org/?p=423&#038;cpage=1#comment-37</link>
		<dc:creator>Chris McCoy</dc:creator>
		<pubDate>Fri, 31 Jul 2009 02:37:31 +0000</pubDate>
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		<description>Great points, Graham. We certainly can learn from the aviation and transportation safety arena, but as long as humans are not mass produced in assembly lines, we&#039;ll be working with incredibly complex biological system with more variables and inter-individual differences than we can mentally grasp.
 Plus, we&#039;re morally obligated to work with everyone who comes for our help ... and we&#039;re can&#039;t write them off as a total loss if they are broken beyond repair, or send them back to the factory for a replacement, etc. We should always strive to do better, but we should also recognize when working to prevent one problem (like in-hospital falls) will worsen another (delirium from sedation).</description>
		<content:encoded><![CDATA[<p>Great points, Graham. We certainly can learn from the aviation and transportation safety arena, but as long as humans are not mass produced in assembly lines, we&#8217;ll be working with incredibly complex biological system with more variables and inter-individual differences than we can mentally grasp.<br />
 Plus, we&#8217;re morally obligated to work with everyone who comes for our help &#8230; and we&#8217;re can&#8217;t write them off as a total loss if they are broken beyond repair, or send them back to the factory for a replacement, etc. We should always strive to do better, but we should also recognize when working to prevent one problem (like in-hospital falls) will worsen another (delirium from sedation).</p>
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