作者: Sigurd Fasting , Sven E. Gisvold
DOI: 10.1007/BF03017379
关键词: Intensive care medicine 、 Incidence (epidemiology) 、 Anesthetic 、 Difficult intubation 、 Anesthesia 、 Epidemiology 、 Medicine 、 Anesthesiology
摘要: Purpose The low incidence of mortality and major morbidity in anesthesia makes it difficult to study the pattern potential accidents develop preventive strategies. Anesthetic ‘near-misses’, however, occur more frequently. Using data from a simple routine-based system problem reporting, we have analyzed causes serious non-fatal problems, order improve