Paul G. Thomas is Professor Emeritus of Political Studies at the University of Manitoba. From 2004 to 2007 he served as the founding board chair for the Manitoba Institute for Patient Safety.
My introduction to the complex and emotional world of adverse events in healthcare occurred in 2001 when I chaired a committee to review an inquest report into the tragic deaths of twelve infants in a paediatric surgery program in Manitoba. Justice Murray Sinclair who conducted the inquest had concluded that at least five of the deaths were preventable.
Back then there was no apology law in Manitoba. Neither the (2000) nor the Thomas report (2001) recommended . ...continue reading