title: Intolerance of error and culture of blame drive medical excess.
abstract: Jerome R Hoffman: and Hemal K Kanzaria: argue that efforts to reduce overdiagnosis and overtreatment should focus on changing professional and public attitudes towards medical error and uncertainty.
authors.affiliation: University of California Los Angeles, USA jrh@ucla.edu.
authors.forename: Jerome R
authors.initials: JR
authors.lastname: Hoffman
authors.affiliation: Robert Wood Johnson Foundation Clinical Scholars Program, US Department of Veterans Affairs, Emergency Medicine Center, University of California Los Angeles.
authors.forename: Hemal K
authors.initials: HK
authors.lastname: Kanzaria
mesh_terms: D001291:Attitude of Health Personnel; D003675:Defensive Medicine; D006801:Humans; D019300:Medical Errors / Q000706:statistics & numerical data*; D015279:Organizational Culture; D010818:Practice Patterns, Physicians' / Q000458:organization & administration*; D011787:Quality of Health Care; D019564:Unnecessary Procedures