An analysis of near misses identified by anesthesia providers in the intensive care unit.
Lipshutz AKM, Caldwell JE, Robinowitz DL, Gropper MA. BMC Anesthesiol. 2015;15:93.
This analysis of near misses in intensive care unit patients that were voluntarily reported by anesthesiologists found that the majority could be ascribed to one of five contributing factors, including a poor culture of safety and insufficient communication between teams.
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