BMJ 1995;310:1671 (24 June)

Letters

Doctors may make mistakes that are less obvious than lawyers' mistakes

EDITOR,--The sentiments expressed by Jean Ritchie and Sally Davies are laudable but raise two important matters which were not addressed by the authors.1

The authors refer to "mistakes" and to care which has "gone wrong" as though these were invariably self evident. A lawyer's missed deadline for issuing a writ or a motorist's dented vehicle may easily be recognised as evidence of mistake. It will readily be conceded that amputation of the wrong limb or a gross overdose of a medicine through a misplaced decimal point are, similarly, easily recognisable mistakes. However, most allegations of medical negligence arise from therapeutic interventions or omissions which are not self evidently mistakes or evidence of care having gone wrong. Those whose professional judgments are to be called into question may be forgiven for failing to recognise as mistakes or evidence of care having gone wrong acts and omissions which, though criticised by some, . . . [Full text of this article]


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Relevant Article

Professional negligence: a duty of candid disclosure?
Jean H Ritchie and Sally C Davies
BMJ 1995 310: 888-889. [Extract] [Full Text]




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