title: Shorter catheters--a simple solution to a rare but deadly complication.
abstract: After two fatal cases of catheter overinsertion, a pilot study showed that a shorter catheter seemed to provide a safer alternative.
authors.affiliation: Quality Improvement Program, Los Angeles County Department of Health Services, Los Angeles, USA. sstein@dhs.co.la.ca.us
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Stein
authors.forename: Laura
authors.initials: L
authors.lastname: Sarff
authors.forename: Robin
authors.initials: R
authors.lastname: Tyler
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation*; D004867:Equipment Design; D019544:Equipment Failure Analysis; D004869:Equipment Safety; D006766:Hospitals, County / Q000592:standards*; D006801:Humans; D007591:Joint Commission on Accreditation of Healthcare Organizations; D015141:Los Angeles; D009096:Multi-Institutional Systems / Q000592:standards; D010865:Pilot Projects; D011358:Product Surveillance, Postmarketing; D011785:Quality Assurance, Health Care; D014481:United States