RT Journal A1 Kuehn BM T1 UNsafe injection practices plague us outpatient facilities, harm patients JF JAMA JO JAMA YR 2012 FD December 26 VO 308 IS 24 SP 2551 OP 2552 DO 10.1001/jama.2012.114239 UL http://dx.doi.org/10.1001/jama.2012.114239 AB When an astute staff member at a county public health department in New York noticed that 2 patients who had been newly diagnosed with hepatitis C virus (HCV) had recently received epidural injections from the same pain management clinic, it sparked a visit by state public health officials to the clinic. During the visit, they observed the physician who treated both patients withdrawing medication from a multiple-dose vial with a previously used syringe topped with a new needle, a breach of safe injection practices that may have contaminated the vial and exposed subsequent patients to potential blood-borne infections.