Journal Article
Study

Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system.

Schulz CM; Krautheim V; Hackemann A; Kreuzer M; Kochs EF; Wagner KJ.

This retrospective review of anesthesia and critical care cases in the German incident reporting system found that errors in situational awareness contributed to 81.5% of events. This study includes detailed examples and analyses of these errors, providing useful insights into lapses in situational awareness.