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Autor:
Gary, Palmer, James H, Abernathy, Greg, Swinton, David, Allison, Joel, Greenstein, Scott, Shappell, Kevin, Juang, Scott T, Reeves
Publikováno v:
Anesthesiology. 119(5)
Human factors engineering has allowed a systematic approach to the evaluation of adverse events in a multitude of high-stake industries. This study sought to develop an initial methodology for identifying and classifying flow disruptions in the cardi