Abstract
More than 2 decades have passed since the launch of the modern patient safety movement. Despite this, medical errors continue to be a serious public health threat and leading cause of death. Leaders should continually commit to the safe reporting of errors, especially in light of the criminal trial, conviction, and sentencing of a former Tennessee nurse involved in a fatal medication error. The purpose of this paper is to highlight a systematic approach addressing just culture and error reporting by revisiting Err Is Human: Building a Safer Health System, just culture principles, practice considerations, and liability potentials.
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