Article Text

PDF
Challenging the systems approach: why adverse event rates are not improving
  1. Philip Levitt
  1. Correspondence to Dr Philip Levitt, 10 Shannon Cir, West Palm Beach, FL 33401, USA; doclevittmd{at}aol.com

Statistics from Altmetric.com

The viewpoint by Dekker and Leveson, ‘The systems approach to medicine: controversy and misconceptions’1 is, in large part, a rebuttal to an op-ed piece I wrote in the Los Angeles Times.2 Therefore, I wish to reply.

The systems approach in medicine has come to include a multiplicity of standardisation techniques to correct defects: checklists, protocols, rules and data collection routines. In practice, the systems approach is inseparable from these. It is exclusively the systems approach that has guided the medical profession in its efforts to improve the death and injury statistics since the publication of To Err …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles