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Letters |1 May 2007

Graduate Medical Education and Patient Safety

Kaveh G. Shojania, MD; Kathlyn E. Fletcher, MD, MA; Sanjay Saint, MD, MPH

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
  • From Ottawa Health Research Institute, Ottawa, K1Y 4E9 Ontario, Canada; Clement J. Zablocki Veterans Affairs Medical Center and Medical College of Wisconsin, Milwaukee, WI 53295; and University of Michigan Medical School, Ann Arbor, MI 48109.

    Potential Financial Conflicts of Interest: None disclosed.

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IN RESPONSE:
We thank Dr. Fine for his kind remarks about the Quality Grand Rounds series. Our article highlighted the importance of clear communication and the ways in which failure to explain key aspects of the care plan contributed to several errors in the case. We focused on physician trainees because of space limitations. However, we agree that poor physician–nurse communication contributed to the mistaken insertion of a feeding tube instead of a nasogastric tube, and failings in this area are an important source of medical errors.
We agree with Dr. Griner that the use of simulation promises to improve...
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Shojania KG, Fletcher KE, Saint S. Graduate Medical Education and Patient Safety. Ann Intern Med. 2007;146:686. doi: 10.7326/0003-4819-146-9-200705010-00019

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Published: Ann Intern Med. 2007;146(9):686.

DOI: 10.7326/0003-4819-146-9-200705010-00019

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2007 American College of Physicians
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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