Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 table.MsoNormalTable{mso-style-name:"Table Normal";mso-tstyle-rowband-size:0;mso-tstyle-colband-size:0;mso-style-noshow:yes;mso-style-priority:99;mso-style-qformat:yes;mso-style-parent:"";mso-padding-alt:0 5.4pt 0 5.4pt;mso-para-margin:0;mso-para-margin-bottom:.0001pt;mso-pagination:widow-orphan;font-size:11.0;font-family:"Calibri","sans-serif";mso-ascii-font-family:Calibri;mso-ascii-theme-font:minor-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman";mso-bidi-theme-font:minor-bidi} Traditionally, an unexpected adverse event was equated with an error. In turn, an error was equated with incompetence or even negligence.

Consequently, punishing the guilty was considered to be the only method to…