title: Reflections on a tragedy in Canada.
authors.affiliation: Division of Nephrology, Humber River Regional Hospital, Toronto, Ontario, Canada.
authors.forename: David C
authors.initials: DC
authors.lastname: Mendelssohn
authors.forename: Rob
authors.initials: R
authors.lastname: Robson
mesh_terms: D000416:Alberta / Q000453:epidemiology; D015314:Dialysis Solutions / Q000009:adverse effects*; D017583:Hemodiafiltration / Q000009:adverse effects* / Q000295:instrumentation / Q000592:standards; D006801:Humans; D019300:Medical Errors / Q000401:mortality* / Q000517:prevention & control; D009398:Nephrology / Q000592:standards; D011785:Quality Assurance, Health Care; D017751:Safety Management
chemical_list: D015314:Dialysis Solutions