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