911biomed Simple Things Go Wrong Best -

: Details a respiratory patient’s decline when oxygen delivery systems are mismanaged.

The Fragility of Complexity: Why "Simple Things Go Wrong" in Biomedical Systems Target Audience: Biomedical Engineers, Clinical Staff, Hospital Administration, Quality Assurance Teams. 911biomed simple things go wrong best

Similarly, "user error" is often a design failure. If a user can insert a cassette backward, they eventually will. If a cable can be plugged into the wrong port, it will be. : Details a respiratory patient’s decline when oxygen