To the Editors:

Your editorial “On Notebooks and Trust” (March 2002:96–100) did an incredible job of addressing an extremely important issue in critical care. It is devastating to think that we are losing the trust of our patients and their families. However, reading your editorial reminded me that many of the problems we are facing are the result of systems that we have created, meaning that we have the power to change those systems and positively affect patient and family outcomes. Thank you for asking for suggestions from your readers for other strategies to help patients and their families trust us again. Recently, I was in the unenviable position of being the family member at the bedside and, as a result, have new insight into why those notebooks may be appearing more frequently. Here are a few more suggestions to add to your terrific list.

My first suggestion is that...

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