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Commentary

A piece of my mind. I'm sorry.

Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507.

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September 13, 2016
Kahn JS. JAMA. 2015;313(24):2427-8.
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Being accountable for errors and working to learn from them is key to improving patient safety. This commentary describes a physician's reactions following a medication ordering error that resulted in temporary patient harm, steps taken to report the error, how the incident was used as a teaching point for team members, and the patient's positive response to the physician's disclosure and apology.

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Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507.