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Journal Article > Commentary
Dankelman J, Grimbergen CA. Surg Endosc. 2005;19:1017-1021.
The authors outline the systems approach to minimizing surgical error.
Journal Article > Review
van der Sijs H, Aarts J, Vulto A, Berg M. J Am Med Inform Assoc. 2006;13:138-147.
The authors review the literature on physician response to electronic medication safety alerts and interpret the results through Reason's model of accident causation. They also suggest potential improvements to the alerting process.
Journal Article > Study
van Beuzekom M, Akerboom SP, Boer F. Qual Saf Health Care. 2007;16:45-50.
The authors describe an instrument for identifying failures in the intensive care unit (ICU) and operating room to help organizations gain insight into system failures in those high-risk environments.