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Accidents are not unpredictable
| The first 150 words of the full text of this article appear below. |
For many years safety officials and public health
authorities have discouraged use of the word "accident" when it
refers to injuries or the events that produce them. An accident is
often understood to be unpredictable
a chance occurrence or an "act of God"
and therefore unavoidable. However, most injuries and their
precipitating events are predictable and preventable.1-3 That is why the BMJ has decided to ban the word accident.
In an editorial in the BMJ in 1993 Evans explained why
"motor vehicle crash" is an appropriate expression but "motor
vehicle accident" is not: "The word crash indicates in a simple
factual way what is observed, while accident seems to suggest in
addition a general explanation of why it occurred without any evidence to support such an explanation."4 Evans also argued that
"accident" is inappropriate in reference to medical errors (as in
medical accidents) and that "its use in medical settings continues
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