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Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model.
Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification of Missing Safety Barriers Using the Bow-Tie Prospective Risk Analysis Model. J Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e318288a476.
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October 2, 2013
Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. J Patient Saf. 2013;9(3).
Conceptually analogous to failure mode and effect analysis, the Bow-Tie method is used to prospectively detect safety hazards. In this study, the Bow-Tie method was used to identify latent safety hazards in intrahospital transport, risk factors for unintentional extubation, and contributors to poor interdisciplinary communication.
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