2Joint Commission International. Joint Commission International Accreditation Standards for Hospital[M]. 2nd Edition. Ⅱ. USA: Department of Publications of Joint Commission Resources, 2002: 97-107.
3Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care[J]. Lancet, 1997,349(9048) : 309-313.
4The Joint Commission. Sentinel event statistics as of: December 31, 2008. http://www. jointcommission. org/SentinelEvents/Statistics/;2009 : 1.
5张晓秋.麻醉中二例误吸氮气致死分析.临床麻醉学杂志,1997,13(1):58-58.
6James R. Human error: models and management[J]. BMJ, 2000,320 : 768-770.
7Haynes AB,Weiser TG,Berry WR,etal.A Surgical Safety Checklist to Reduce Morbidity and Mortality in A Global Population[J].The New England Journal of Medicine,2009,360(5):491-499.
8WHO.手术安全核对表实施手册[S].2009.
9Fonnneger M. JCAHO othcials provide guidance oll nw patien safetygoale. Biomed lnmnm Teehnol,2005,39( 1 ) :39-40.