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Patient safety and the reliability of health care systems
Barach P, Berwick D. Patient Safety and the reliability of health care systems. Annals of Internal Medicine. 2003;138(12):997-998.

In this editorial that launches a series on patient safety in Annals of Internal Medicine, the authors reflect on the "ecologic metaphors" as a framework for understanding patient safety, and the educational implications of this new understanding of the problem.

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