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Hospitalists are expected to engage in and lead local hospital-based patient safety initiatives and accreditation activities. This requires competence in areas such as causal analysis and sentinel event management, among others. Importantly, hospitalists should adhere to the guiding principle of primum non nocere (first do no harm): patients’ well-being is the primary factor that drives intervention decisions. This means that testing and treatments may result in harm from purposeful “not doing” as much as “doing.”

Systems improvements and personal accountability are central to developing programs to prevent or respond to medical error or patient harm. The single greatest impediment to...

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