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Jean L. Holley, MD ; October 2010
A man with end-stage renal disease on hemodialysis was dialyzed with equipment that had been inappropriately reused, exposing the patient to another patient's blood numerous times.
Renal Physicians Association.
This Web site provides toolkits, educational modules, and an annotated bibliography to support quality improvement efforts for nephrology providers, and identifies best practice strategies for avoiding the Five Adverse Patient Safety Events in renal care.
Journal Article > Study
Seliger SL, Zhan M, Hsu VD, Walker LD, Fink JC. J Am Soc Nephrol. 2008;19:2414-2419.