Why the study?
What is the contribution of system error versus human error to adverse perioperative outcomes?
Population
13,389 anesthetics
Design
Other
Authors
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System redesign should be prioritized for perioperative safety; supports systems-based approaches but leaves causal inference open pending higher-level evidence.
What is the contribution of system error versus human error to adverse perioperative outcomes?
The major determinant of perioperative patient care quality is the system through which services are delivered, rather than individual anesthesia care providers.
Lagasse et al. (1995) studied this question.
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