Journal Article

A method for measuring system safety and latent errors associated with pediatric procedural sedation.

Blike GT, Christoffersen K, Cravero JP, et al. Anesthesia and analgesia. 2005;101:48-58, 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.