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Alice,
I am in the middle of my quarterly resident reviews with the Transitional Year residents. Patient safety is one of the most important items on their radar screen. I think the conversations opened up about "To Err is Human" by the IOM and the leadership by IHI and NICHQ in this arena have led to our ability to be open about patient safety and using incidents such as yours to teach important lessons. The good news is that a culture of patient safety is present with our training physicians.

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