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dc.contributor.authorDekker, Sidneyen_US
dc.date.accessioned2017-05-03T11:19:05Z
dc.date.available2017-05-03T11:19:05Z
dc.date.issued2007en_US
dc.date.modified2011-05-30T06:54:41Z
dc.identifier.issn10731105en_US
dc.identifier.doi10.1111/j.1748-720X.2007.00168.xen_AU
dc.identifier.urihttp://hdl.handle.net/10072/38849
dc.description.abstractThis paper shows how discontinuities in the process of drug delivery enable but also underdetermine the isolation of a culprit in adverse medication events. A case example illustrates how we are forced to abandon conceptualizations of blame that assume a dichotomy (either culpable or not), and shift instead to a more nuanced version that estimates the degree to which an actor desired, generated, or could have foreseen the harmful outcome, and the extent to which constraints external to the actor altered the event. The paper concludes that meaningful safety interventions in a system as diverse, socially embedded and complex as health care delivery cannot just build on "good science" (e.g., good methods) to generate "root" causes. Rather, they need to somehow be sensitive to how and which narratives of success and failure are created, as these constrain which countermeasures are likely to be encouraged, funded, and accepted.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_AU
dc.languageEnglishen_US
dc.language.isoen_AU
dc.publisherWiley-Blackwell Publishing, Inc.en_US
dc.publisher.placeUnited Statesen_US
dc.relation.ispartofstudentpublicationNen_AU
dc.relation.ispartofpagefrom463en_US
dc.relation.ispartofpageto470en_US
dc.relation.ispartofissue3en_US
dc.relation.ispartofjournalJournal of Law Medicine and Ethicsen_US
dc.relation.ispartofvolume35en_US
dc.rights.retentionYen_AU
dc.subject.fieldofresearchEnvironmental and Occupational Health and Safetyen_US
dc.subject.fieldofresearchcode111705en_US
dc.titleDiscontinuity and Disaster: Gaps and the Negotiation of Culpability in Medication Deliveryen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.date.issued2007
gro.hasfulltextNo Full Text


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