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Journal Article > Study
Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety.
Friedman AL, Lee KC, Lee GD. Am J Transplant. 2007;7:480-483.
The authors describe a six-step confirmation process for blood type labeling on donor kidneys and illustrate its use in three cases where the process caught a near miss.
Tools/Toolkit > Government Resource
Rockville, MD: Agency for Healthcare Research and Quality; January 2015.
Health care–associated infections are a known contributor to adverse events among patients on dialysis. Building on evidence and insights from clinicians, this four-part toolkit includes videos, assessment tools, and slide presentations regarding how to apply principles of teamwork, patient engagement, and safety culture to ensure dialysis centers provide safe care to patients with end-stage renal disease.