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After heart disease and cancer, the third leading cause of death in
the United States is iatrogenic injury (avoidable injury or
infection caused by a healer). Research suggests that avoidable
errors claim several hundred thousand lives every year. The
principal economic counterforce to such errors, malpractice
litigation, has never been a particularly effective deterrent for a
host of reasons, with fewer than 3% of negligently injured patients
(or their families) receiving any compensation from a doctor or
hospital's insurer. Closing Death's Door brings the psychology of
decision making together with the law to explore ways to improve
patient safety and reduce iatrogenic injury, when neither the
healthcare industry itself nor the legal system has made a
substantial dent in the problem. Beginning with an unflinching
introduction to the problem of patient safety, the authors go on to
define iatrogenic injury and its scope, shedding light on the
culture and structure of a healthcare industry that has failed to
effectively address the problem-and indeed that has influenced
legislation to weaken existing legal protections and impede the
adoption of potentially promising reforms. Examining the weak
points in existing systems with an eye to using law to more
effectively bring about improvement, the authors conclude by
offering a set of ideas intended to start a conversation that will
lead to new legal policies that lower the risk of harm to patients.
Closing Death's Door is brought to vivid life by the stories of
individuals and groups that have played leading roles in the
nation's struggle with iatrogenic injury, and is essential reading
for medical and legal professionals, as well as lawmakers and
laypeople with an interest in healthcare policy.
Identifies and evaluates the psychological choices implicit in the
rules of evidence Evidence law is meant to facilitate trials that
are fair, accurate, and efficient, and that encourage and protect
important societal values and relationships. In pursuit of these
often-conflicting goals, common law judges and modern drafting
committees have had to perform as amateur applied psychologists.
Their task has required them to employ what they think they know
about the ability and motivations of witnesses to perceive, store,
and retrieve information; about the effects of the litigation
process on testimony and other evidence; and about our capacity to
comprehend and evaluate evidence. These are the same phenomena that
cognitive and social psychologists systematically study. The rules
of evidence have evolved to restrain lawyers from using the most
robust weapons of influence, and to direct judges to exclude
certain categories of information, limit it, or instruct juries on
how to think about it. Evidence law regulates the form of questions
lawyers may ask, filters expert testimony, requires witnesses to
take oaths, and aims to give lawyers and factfinders the tools they
need to assess witnesses' reliability. But without a thorough
grounding in psychology, is the "common sense" of the rulemakers as
they create these rules always, or even usually, correct? And when
it is not, how can the rules be fixed? Addressed to those in both
law and psychology, The Psychological Foundations of Evidence Law
draws on the best current psychological research-based knowledge to
identify and evaluate the choices implicit in the rules of
evidence, and to suggest alternatives that psychology reveals as
better for accomplishing the law's goals.
Identifies and evaluates the psychological choices implicit in the
rules of evidence Evidence law is meant to facilitate trials that
are fair, accurate, and efficient, and that encourage and protect
important societal values and relationships. In pursuit of these
often-conflicting goals, common law judges and modern drafting
committees have had to perform as amateur applied psychologists.
Their task has required them to employ what they think they know
about the ability and motivations of witnesses to perceive, store,
and retrieve information; about the effects of the litigation
process on testimony and other evidence; and about our capacity to
comprehend and evaluate evidence. These are the same phenomena that
cognitive and social psychologists systematically study. The rules
of evidence have evolved to restrain lawyers from using the most
robust weapons of influence, and to direct judges to exclude
certain categories of information, limit it, or instruct juries on
how to think about it. Evidence law regulates the form of questions
lawyers may ask, filters expert testimony, requires witnesses to
take oaths, and aims to give lawyers and factfinders the tools they
need to assess witnesses' reliability. But without a thorough
grounding in psychology, is the "common sense" of the rulemakers as
they create these rules always, or even usually, correct? And when
it is not, how can the rules be fixed? Addressed to those in both
law and psychology, The Psychological Foundations of Evidence Law
draws on the best current psychological research-based knowledge to
identify and evaluate the choices implicit in the rules of
evidence, and to suggest alternatives that psychology reveals as
better for accomplishing the law's goals.
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