6Haimen. Roots analysis for injury prevention and control [ J ]. America Navy,1987,34(7) :431 -445.
7Leape Ⅱ. Error in medicine[J]. JAMA,1994,272(23) :1851 -1857.
8Eagle C J, Davies JM, Reason J. Accident analysis of large - scale technological disasters applied to an anaesthetic complication [ J ]. Can J Anaesth, 1992,39 (2) : 118 - 122.
9Notan TW. System changes to improve patient safety [ J ]. BMJ,2000, 320(7) :771 -773.
10Hu CY,Raymond DJ. Lessons learned from hazardous chemical inci- dents--Louisiana Hazardous Substances Emergency Events Surveillance (HSEES) system[J]. J Hazard Mater,2004,115(l-3):33-38.