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PSNet: Patient Safety Network
Journal Article

A series of anesthesia-related maternal deaths in Michigan, 1985-2003.

Mhyre JM, Riesner MN, Polley LS, et al. Anesthesiology. 2007;106:1096-104.

The researchers retrospectively analyzed cases of pregnancy-associated deaths involving anesthesia care and found that system errors, lapses in monitoring, and inadequate supervision by anesthesiologists were factors in the deaths.