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11 Yale J. Health Pol'y L. & Ethics 267 (2011)
No Role for Apology: Remedial Work and the Problem of Medical Injury

handle is hein.journals/yjhple11 and id is 273 raw text is: No Role for Apology: Remedial Work and the Problem of Medical Injury Steven E. Raper INTRODUCTION ................................................................................................ 269 I. THE COMPLEXITIES OF MODERN MEDICINE ............................................. 271 A. RISKS OF INJURY IN CONTEMPORARY MEDICAL CARE..... ........... 271 B. PATIENT SAFETY: THE NEED FOR PROTECTED DISCLOSURE.................... 275 1. HEALTH SYSTEM-BASED APPROACHES TO MAKING PATIENTS SAFER. 275 2. IMPROVING HUMAN PERFORMANCE .............. ............... 280 3. EXTERNAL OVERSIGHT ........................................ 283 C. MEDICAL MALPRACTICE AS DETERRENCE: A FAILED APPROACH TO PATIENT SAFETY ................................................. 286 II. APOLOGY LAW: COMMON LAW AND STATUTE........................................ 291 A. WHY APOLOGIZING WON'T WORK ............................ 291 1. APOLOGY: A DEFINITION. ............................ .......... 292 2. POINTS TO CONSIDER IN OFFERING APOLOGIES: NOT AS EASY AS ONE MIGHT THINK .......................................... ......... 294 3. MALPRACTICE INSURANCE COVERAGE AND THE PHYSICIAN AS INDEPENDENT CONTRACTOR................................. 296 B. CASE LAW .......................................................... 297 C. How EXACTLY DOES SORRY WORK?............... ............. 302 D. STATUTORY APPROACHES: THE APOLOGY LAWS ..... ............. 305 III. RATIONAL ALTERNATIVES TO AN APOLOGY .......................................... 309 A. PROMOTE ESTABLISHMENT OF A NATIONAL PATIENT SAFETY REPORTING SYSTEM ................................................. ........ 309 B. STRENGTHEN PROTECTIONS FOR REPORTING OF ADVERSE EVENTS........ 311 * Professor of Surgery, Perelman School of Medicine; Interim Chief of Surgery, Penn Presbyterian Medical Center. 267

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