Way back in May, I suggested that a botched kidney transplant at UPMC, for which a nurse and doctor were blamed, was "not totally a person problem," but more likely reflected systemic issues in that hospital. After more information came out, I suggested that UPMC should "attack the problem, not the people."
Well, the Pittsburgh Post-Dispatch now reports:
[A] federal agency on Tuesday put UPMC's transplant program on probation, a rarely used form of discipline handed down for some of the most serious transplant errors.
The federal Organ Procurement Transplant Network (OPTN) said it meted out the discipline not only because of the kidney transplant error, but because UPMC's transplant program was found to have problems in its communication and documentation procedures before.