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But there is hope. A systems analysis approach to error in medicine  and other similar industries like aviation and nuclear power has made great strides in error reduction and improved safety    . Unfortunately, this highly successful approach is thwarted by a common theme in current legal and traditional medical perspectives-individual shame and blame. A new medical and legal paradigm must be embraced that allows what works-systems analysisto be encouraged and widely used indoi:10.1001/virtualmentor.2004.6.3.oped1-0403 pmid:23260411 fatcat:uwuq3ydx4neixfcol7lwdfdfmm