不修法，永遠的天方夜譚

ISMP Medication Safety Alert!? Acute Care Edition August 25, 2005 Volume 10, Issue 17
Apologies gain momentum
In Colorado, the state’s largest malpractice insurer, COPIC, has enrolled 1,800 physicians since 2000 in a disclosure program called the “3Rs” for “Recognize, Respond, and Resolve” (callcopic.com/publications/3rs/3rs_newsletter.htm). Under the program, physicians immediately express remorse, apologize to patients, and describe in detail what went wrong in the wake of an error. The insurer compensates patients for expenses related to the injury, including lost work time. Patients cannot participate in the program if they have filed a lawsuit, but they do not waive their right to sue later. Since 2000, the insurer has seen a 50% decrease in malpractice claims and a 23% drop in the cost of settling claims for these 1,800 physicians. Illinois recently passed a law allowing six hospitals to pilot a “Sorry Works!” program in which full apologies for bad outcomes from medical errors are combined with up-front compensation (www.sorryworks.net). The state is so confident that the program will reduce malpractice claims that it will provide refunds to these facilities if they experience increases in payments.

繼澳大利亞後，美國也有正式的研究支持如此的作法，刑法加持下，台灣的醫療永遠無法踏出正確的第一大步！
健保，院方，患者與自我期許的4大壓力下，有伙伴（in TMMH）breakdown，這個指標人物，代表了 any one could be the next !
人人自危。
士氣低落。
to her "sorry seem to be the hardest word" from our H.
2 週前才看到他的笑容，如今已經入院接受治療。
院方的態度如何？
仍是"寧願燒盡"的話，那就不是一個值得工人為他賣命的地方了！