0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

'Treat Systems, Not Errors,' Experts Say

Rebecca Voelker
JAMA. 1996;276(19):1537-1538. doi:10.1001/jama.1996.03540190009003.
Text Size: A A A
Published online

ABSTRACT

BETSY LEHMAN did not die in vain.

The death in March 1995 of the respected Boston Globe medical reporter of a cancer chemotherapy overdose at the renowned Dana-Farber Cancer Institute in Boston, Mass, sent shock waves through the medical community.

"That such a thing could happen at such a famous and well-regarded institution seemed incredible," says Lucian Leape, MD, adjunct professor of health policy at Harvard School of Public Health in Boston and an expert in medical errors. But Lehman's death was followed by a spate of highly publicized errors, including the amputation in Tampa, Fla, of a patient's healthy leg.

Speaking last month in Rancho Mirage, Calif, before a national meeting convened to seek ways to reduce medical errors, Leape said Lehman's death, more than any other single event, has galvanized the movement toward improved error reduction. "Our meeting here is proof that she did not die in vain."

Extent 

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();