Using system analysis to build a safety culture: improving the reliability of epidural analgesia.

P. Garnerin; A. Huchet-Belouard; M. Diby; F. Clergue

Study

Using system analysis to build a safety culture: improving the reliability of epidural analgesia.

October 11, 2006

Garnerin P, Huchet-Belouard A, Diby M, et al. Acta Anaesthesiol Scand. 2006;50(9):1114-9.

View more articles from the same authors.

The authors describe the systematic analysis of an incident involving inappropriate use of a medical device and discuss how their process for understanding and resolving the problem supported the safety culture in their organization.

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