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In this issue:

Articles
Narrowing the Focus for Patient Safety
Diagnosis-related Risks
Case Example: Missed Opportunities
Audio: Lack of Information Hinders Care
Medication-related Risks
Case Example: Inattention to Allergy
Best Practice: Phone Requests for Drug Refills
Obstetrics-related Risks
Case Example: Dysfunctional Teamwork
Closed Claim Abstract: Vague Talk Between OB and RN Caused Delay
Surgery-related Risks
Case Example: Blindness Following Spine Surgery
Closed Claim Abstract: Reliance on Memory Harms Patient
Patient-centered Risk Management Analysis
Video: Emotion When Things Go Wrong
Guiding Questions
Interactive Learning
Polling Exercise: Safe Prescribing Practices
Exercise: The Telephone in Clinical Practice
RMF Strategies

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