Performing the wrong procedure. | AHRQ Patient Safety Network

Performing the wrong procedure. | AHRQ Patient Safety Network

• Commentary
 
• Published September 2016

Performing the wrong procedure.

Minnier T, Phrampus P, Waddell L. JAMA. 2016;316:1207-1208.

Describing an incorrect procedure incident which involved placement of a dialysis catheter instead of a central line, this commentary outlines the root causes of the event and how it could have been prevented. A related editorial introduces Performance Improvement, a series of case-based articles intended to support frontline performance improvement efforts.

Available atRelated editorial

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