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Chapter Activity: Responding to Error

Institute for Healthcare Improvement

What Would You Do After a Wrong-Site Surgery?

 

In July 2008, a wrong-site surgery took place at Beth Israel Deaconess Medical Center in Boston, MA.

 

In this exercise, you'll assume a role — whether it's patient, surgeon, payer, or CEO — and tell the hospital's CEO, Paul Levy, what he should do next.

 

Learning Objectives

After completing this activity, participants will be able to do the following:

  • Describe the events leading up to a wrong-site surgery at a prominent Boston hospital
  • Evaluate different responses to a serious medical error

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