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Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation.
January 6, 2012
Wiegmann DA, Elbardissi AW, Dearani JA, et al. Surgery. 2007;142(5):658-65.
Using a trained observer to monitor for errors and flow disruptions in cardiac surgery operations, this study found that teamwork and communication failures were the strongest predictor of adverse outcomes.
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