Human error in anesthetic mishaps.

@article{Gaba1989HumanEI,
  title={Human error in anesthetic mishaps.},
  author={David M. Gaba},
  journal={International anesthesiology clinics},
  year={1989},
  volume={27 3},
  pages={
          137-47
        }
}
While adverse outcomes linked to anesthesia are uncommon in healthy patients, they do occasionally happen. There is rarely a single cause. Anesthesia and surgery bring the patient into a complex world in which innumerable small failings can converge to produce an eventual catastrophe. And for all the technology involved, the anesthesiologist remains the cornerstone of safe anesthesia care, protecting the patient from harm regardless of its source. Responding to the demands of the operating room… CONTINUE READING

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