REDUCING MEDICATION ERRORS

Why did Tolstoy write “War and Peace”? To illustrate a point of political philosophy—that we often ascribe triumphs to one person (in this case, the Russian General Kutuzov who defeated Napoleon at Tarutino)—and, in doing so, we lose the complex welter of activities and contributing factors, including luck, that made the outcome as it was.¹

I was, perhaps curiously, reminded of this when reading the paper by Kaushal and Bates in this issue of QSHC.² The authors have provided a valuable function in giving a pragmatic …