Managing medical indemnity: must we choose between quality assurance and risk management?

Paul Nisselle
Med J Aust 2004; 181 (2): . || doi: 10.5694/j.1326-5377.2004.tb06173.x
Published online: 19 July 2004

To focus solely on reducing error may inadvertently reduce the quality of care

  • Elwood, VIC.


Competing interests:

The author was the Australasian Secretary of the Medical Protection Society, 1989–1998, and the Chief Executive of the Medical Indemnity Protection Society (MIPS), 1998–2003. Since resigning from MIPS, he has been a consultant to a range of organisations, including the Medical Defence Association of Victoria.

  • 1. Wenck BCA, Johnston PJ. Implanon and medical indemnity: a case study of risk management using the Australian Standard. Med J Aust 2004; 181: 117-119.
  • 2. Wilson RM, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust 1995; 163: 458-471.
  • 3. Kennedy I. Learning from Bristol: the report of the Public Inquiry into Children’s Heart Surgery at the Bristol Royal Infirmary 1984–1995. Command Paper 5207. Available at: (accessed May 2004).
  • 4. Kohn LJ, Corrigan JM, Donaldson MS, eds. To err is human: building a safer health system. Washington DC: Institute of Medicine, National Academy Press, 1999.
  • 5. Tito F. Compensation and professional indemnity in health care — final report. Review of professional indemnity arrangements for healthcare professionals (Australia). Canberra: AGPS, 1996.
  • 6. Medical Defence Association of Victoria. Current news. Implanon update. Posted on 2 July, 2003. Available at: (accessed May 2004).
  • 7. Allison L. MDO removes $5,000 excess for Implanon lawsuits. Med Observer 2004; 21 May: 3.
  • 8. United Medical Protection Ltd. Media release 21 May 2004. UNITED/AMIL announce category change for Implanon. Available at: (accessed 23 May 2004).
  • 9. MDA National. News February 2004. Change of category for the insertion of Implanon. Available at: (accessed May 2004).
  • 10. Saxe JG. The blind men and the elephant. Available at: (accessed May 2004).


remove_circle_outline Delete Author
add_circle_outline Add Author

Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.