@article {Dekker7, author = {Sidney W A Dekker and Nancy G Leveson}, title = {The systems approach to medicine: controversy and misconceptions}, volume = {24}, number = {1}, pages = {7--9}, year = {2015}, doi = {10.1136/bmjqs-2014-003106}, publisher = {BMJ Publishing Group Ltd}, abstract = {The {\textquoteleft}systems approach{\textquoteright} to patient safety in healthcare has recently led to questions about its ethics and practical utility. In this viewpoint, we clarify the systems approach by examining two popular misunderstandings of it: (1) the systematisation and standardisation of practice, which reduces actor autonomy; (2) an approach that seeks explanations for success and failure outside of individual people. We argue that both giving people a procedure to follow and blaming the system when things go wrong misconstrue the systems approach.}, issn = {2044-5415}, URL = {https://qualitysafety.bmj.com/content/24/1/7}, eprint = {https://qualitysafety.bmj.com/content/24/1/7.full.pdf}, journal = {BMJ Quality \& Safety} }