RT Journal Article SR Electronic T1 Commentary: Systems, Sensitivity, and “Sorry” JF Journal of the American Academy of Psychiatry and the Law Online JO J Am Acad Psychiatry Law FD American Academy of Psychiatry and the Law SP 101 OP 102 VO 34 IS 1 A1 Gutheil, Thomas G. YR 2006 UL http://jaapl.org/content/34/1/101.abstract AB This commentary first addresses the moral atmosphere necessary for a systems view of adverse outcomes and discusses the theory of accidents. Patients suffering adverse outcomes are described as needing acknowledgment, remorse, and remedy. Apologizing and informing patients or families about what actually happened are important risk management approaches.