This JAMA Performance Improvement article uses the case of a patient with a retained lumbar catheter tip to discuss strategies for patient communication, clinician education, and reporting of procedure-related adverse events.
This JAMA Performance Improvement article explores the case of a patient with latex allergy who had a latex catheter placed and how the health care team should handle the situation both during surgery and postoperatively.
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.
This JAMA Professionalism article presents the case of a medical error and the options for handling the situation, including communicating with the patients.
This Medical News article discusses challenges in estimating the number of deaths from medical errors.
This Viewpoint discusses how policy makers might develop and implement standardized, validated metrics to track the progress of patient safety improvements.
Starmer and coauthors conducted a before-and-after intervention to determine whether a computer tool and other modifications could reduce medical errors resulting from handing off patient records at shift change. In an Editorial, Horwitz discusses the evidence that improving handoffs can reduce harm to patients.
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