Roger Coe Eddy edited par_textbf_Institutional_Resistances_begin__.tex  over 6 years ago

Commit id: 6028e3c462dd13791150a54285481e998d7af2d9

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7b. Hindsight Bias. Often studies of medical error are based upon reviews, long after the fact, of hospital records. Looking back at the past errors may be compared against best practices. This lacks the perspective of the situation at the time of the incident. This may be particularly hard to accurately describe in complex situations such as operating rooms and emergency care. On the other hand an individual may gain a great deal looking back with time and space to reflect on what could have been done differently. Hindsight bias is often seen where there is an attempt to fix blame for the event.  7c. When and how are individual, team, and institutional resistances to dealing with realities reinforcing each other or when can they be open to change.  \end{quote}  \pagebreak