A method for Measuring System Safety and Latent Errors Associated with Pediatric Procedural Sedation

A Method for Measuring System Safety and Latent Errors Associated with Pediatric Procedural Sedation.
Blike GT, Christofferen K, Cravero JP, Andeweg SK, Jensen J.
Anesth Analg 2005; 101:48-58.  PMID: 15976205