A method for measuring system safety and latent errors associated with pediatric procedural sedation.
Blike G, Christoffersen K, Cravero JP, et al. A method for measuring system safety and latent errors associated with pediatric procedural sedation. Anesth Analg. 2005;101(1):48-58, table of contents.
The authors describe a method for using a simulated scenario to identify latent failures. Reviewing videotape of the simulation revealed vulnerabilities in the system even though regulations were met.