National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths.
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BOOK/REPORT![](https://lh3.googleusercontent.com/blogger_img_proxy/AEn0k_usy7EmWd6d0fgHs49W5Du-Ig7mqPisj4t86NUguptNqP1D51Fs0NJhoMSZfgdBjXRyYH_9QqPMSR9y_gm0HpSFvfIQsEcWJjcXeQ08XX_f=s0-d)
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London, England: The Stationery Office; July 2001.
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