On attributing critical incidents to factors in the environment.
Cook
R I
RI
Woods
D D
DD
McDonald
J S
JS
D000056:Accident Prevention; D000758:Anesthesia / Q000009:adverse effects*; D004784:Environmental Monitoring / Q000592:standards; D006801:Humans; D007432:Intraoperative Period; D012015:Reference Standards; D012449:Safety