This JAMA Performance Improvement uses the case of a patient given the wrong catheter to discuss appropriate clinician and health system responses to procedure errors.
Section Editors: Edward H. Livingston, MD, Deputy Editor, JAMA, and David W. Baker, MD, MPH, Executive Vice President for Healthcare Quality Evaluation at The Joint Commission.
Article InformationCorresponding Author: Tami Minnier, RN, MSN, 200 Lothrop St, 11086 Forbes Tower, Pittsburgh, PA 15213 (firstname.lastname@example.org).
Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.
Related Audio and CME: In some instances the answers to CME questions are in the audio and not the written article. Take the quiz at http://jamanetwork.com/cme.aspx.
Additional Information:JAMA thanks The Joint Commission for ongoing assistance with the JAMA Performance Improvement series, including identifying important learning goals for the series, soliciting cases to consider as articles, reviewing proposed cases, and helping select those with the highest learning value.