deletions | additions       diff --git a/abstract.tex b/abstract.tex  index bee9acb..3a8be93 100644  --- a/abstract.tex  +++ b/abstract.tex 
...
\abstract \begin{abstract}  This is a preliminary report of an small interdisciplinary study of application of self-directed reflective thinking to reduction of medical error. Medical error produces significant mortality, morbidity and disability. Extensive and expensive administrative, clinical, and research effort have been applied to efforts to reduce prevalence and incidence. Thee efforts have been applied to hospitals, clinics and large medical groups. Overall reduction of error has been disappointing probably due to increasing technical complexity and many changes in medical practice and administration.  The focus of this report is on efforts to deal with these problems at an individual and small group level. Personally and in our circles of friends and acquaintances many errors and near misses occurred. Emotional immediacy was a strong motivator to pursue causes and remedies. We wrote case reports. We reviewed and searched medical, organizational, anthropological, psychiatric and psychoanalytic and philosophy of science literature.We sought ideas for developing relatively simple, grounded, solutions at the level of practice localized in the trenches of medical care. We developed three open source tools to support reflective thinking, personal resilience, advancement of knowledge and increased personal and organizational awareness. We welcome comment and suggestions for further development. Our goal is to improve simple, easily applied methods of reduction of clinical error for the practicing health care individual or team.  \end{abstract}  \pagebreak