• Figure 1.

    Reason’s “Swiss cheese” model of error

  • Figure 2.

    As Settings Of Care become more complex , the Importance of Creating safe systems grows.

  • 1.

    Kohn LT, Corrigan JM, Donaldson MS, Institute of Medicine. To Err is Human: Building a Safer Health System, National Academy Press, Washington D.C. 2000.

  • 2.

    Leape LL. Error in medicine. JAMA 1994; 272:18517.

  • 3.

    Gawande A. On washing hands. N Engl J Med 2004; 350:12836.

  • 4.

    Marx D. Patient Safety and the “Just Culture”: A Primer for Health Care Executives. Trustees of Columbia University, 2001.

  • 5.

    Wachter RM, Pronovost PJ. Balancing “no blame”with accountability in patient safety. N Engl J Med 2009; 361:14016.

  • 6.

    Seliger SL, Zhan M, et al.. Chronic kidney disease adversely influences patient safety. J Am Soc Nephrol 2008; 19:2414.

Patient Safety: General Principles and the Role of the Nephrologist

Henry Crevensten
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