title: A systems solution for preventing incorrect intrathecal injection.
authors.affiliation: Countess of Chester Hospital Foundation NHS Trust, Chester, UK. sean.tighe@nhs.net.
authors.forename: S Q M
authors.initials: SQ
authors.lastname: Tighe
mesh_terms: D000775:Anesthesia, Spinal / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008508:Medication Errors / Q000009:adverse effects*; D011189:Potassium Chloride / Q000506:poisoning*; D007507:Therapeutic Irrigation / Q000379:methods*
chemical_list: D011189:Potassium Chloride