title: We made a mistake.
abstract: When Annals of Internal Medicine published a paper about the risk-management program at Veterans Affairs Medical Center, Lexington, Ky., readers were surprised at the facility's open policy regarding medication errors. Here's how health care leaders there put their liability on the line for better patient care.
authors.affiliation: Department of Veterans Affairs Medical Center, Lexington, Ky., USA.
authors.forename: C
authors.initials: C
authors.lastname: Johnson
mesh_terms: D001291:Attitude of Health Personnel; D006787:Hospitals, Veterans / Q000458:organization & administration*; D006801:Humans; D007629:Kentucky; D016365:Liability, Legal; D019300:Medical Errors / Q000331:legislation & jurisprudence / Q000517:prevention & control / Q000523:psychology / Q000706:statistics & numerical data; D015279:Organizational Culture; D010564:Personnel, Hospital / Q000193:education / Q000523:psychology; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D012308:Risk Management / Q000458:organization & administration*; D014342:Truth Disclosure; D014481:United States; D014493:United States Department of Veterans Affairs