Thursday, 06 August 2009
Bring in the engineers, redux
His brother’s (successful) surgery prompted Steven Den Beste to medidate on an engineering solution to a fatal operating-room error, and the ever-present danger of Murphy’s law.
About two years ago, I wrote about fatal post-op cross-connection mistakes, and how at the time the Food & Drug Administration was pushing for more “education†as a solution, instead of working to make them mechanically impossible.
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His brother’s (successful) surgery prompted Steven Den Beste to medidate on an engineering solution to a fatal operating-room error, and the ever-present danger of Murphy’s law.
About two years ago, I wrote about fatal post-op cross-connection mistakes, and how at the time the Food & Drug Administration was pushing for more “education†as a solution, instead of working to make them mechanically impossible.
Posted by: Old Grouch in
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