title: "Trip wires" in the trenches.
authors.forename: Neal H
authors.initials: NH
authors.lastname: Cohen
authors.forename: Gerald A
authors.initials: GA
authors.lastname: Maccioli
mesh_terms: D002404:Catheterization / Q000009:adverse effects; D004322:Drainage / Q000009:adverse effects; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration* / Q000706:statistics & numerical data; D007440:Intubation / Q000009:adverse effects; D019300:Medical Errors / Q000517:prevention & control* / Q000706:statistics & numerical data; D012308:Risk Management; D013597:Systems Analysis