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Bow-tie diagrams for risk management in anaesthesia

MD. Culwick, AF. Merry, DM. Clarke, KJ. Taraporewalla, NM. Gibbs
Department of Anaesthesia, Royal Brisbane and Women’s Hospital, The University of Queensland, Brisbane, Queensland, Department of Anaesthesia, Sir Charles Gairdner Hospital, Perth, Western Australia, Department of Anaesthesia, Auckland City Hospital, University of Auckland, New Zealand
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