AHRQ Patient Safety Network: Surgical error at Tufts prompts widespread changes.

AHRQ Patient Safety Network





Surgical error at Tufts prompts widespread changes.

Kowalczyk L. Boston Globe. August 31, 2014.

Reporting on an incident involving administration of an inappropriate dye which led to a patient's death, this newspaper article reveals how cognitive biases may have played a role and steps the hospital took to prevent similar errors. Six Massachusetts hospitals have launched a pilot program for early apology and resolution in an effort to enhance patient satisfaction and safety.

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