Journal of Law, Medicine and Ethics 35 (3):463-470 (2007)

This 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 , 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” 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
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DOI 10.1111/j.1748-720X.2007.00168.x
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Thinking the Event with Hannah Arendt.Rolando Vázquez - 2006 - European Journal of Social Theory 9 (1):43-57.

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