Patient noncompliance is often a system failure in disguise

At 4:00 p.m. on a Friday, a patient walked out of a community crisis stabilization unit without his medication. On paper, the chart note was predictable: “Patient left against medical advice,” “poor impulse control,” “non-adherent with treatment regimen.” It is a familiar refrain in psychiatric care, one that quietly transfers a systemic failure onto the person in distress.

Look closer at the operational workflow, however, and a very different story emerges. …

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Patient noncompliance is often a system failure in disguise