Retained lumbar catheter tip. | AHRQ Patient Safety Network

Retained lumbar catheter tip. | AHRQ Patient Safety Network

• Commentary
 
• Published March 2017

Retained lumbar catheter tip.

DeLancey JO, Barnard C, Bilimoria KY. JAMA. 2017;317:1269-1270.

Retained surgical items are considered a sentinel event. Discussing an incident involving the unintended retention of a catheter tip in a patient, this commentary explains why adequate supervision, communication, and clearly articulated responsibilities are important to enhance patient safety.

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