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Graduate Medical Education and Patient Safety
- Kaveh G. Shojania, MD;
- Kathlyn E. Fletcher, MD, MA; and
- Sanjay Saint, MD, MPH
- 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.
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 …
