Taking one for the team: a reiteration on the role of self-blame after medical error

Daniel W Tigard1

  • 1Human Technology Center, Applied Ethics, RWTH Aachen University, Aachen, Germany daniel.tigard@rwth-aachen.de.

Journal of Medical Ethics
|October 31, 2019
PubMed

Insights

This response clarifies the role of self-blame after medical errors, addressing critiques that misunderstood the author's position on individual responsibility and blame in team-based medical settings.

Area of Science:

  • Medical Ethics
  • Patient Safety
  • Psychology of Healthcare Professionals

Background:

  • Critiques have challenged the author's work on 'taking the blame' following medical errors.
  • The concept of medicine as a 'team sport' has been raised, highlighting potential harms of practitioner self-blame.

Purpose of the Study:

  • To clarify the author's original position on individual responsibility and blame after medical errors.
  • To reiterate the nuanced role of self-blame in the context of medical error response.

Main Methods:

  • Critical analysis of existing literature on medical error and blame.
  • Philosophical argumentation and clarification of the author's previous work.

Main Results:

  • Critics appear to have misunderstood the intended audience and scope of the author's arguments.
  • The author's account emphasizes specific conditions under which self-blame may or may not be appropriate.

Conclusions:

  • Clarification of the author's stance on individual responsibility in medical error is necessary.
  • A more precise understanding of self-blame's role can improve responses to medical errors and support healthcare professionals.

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