Human factors engineering teaches us that despite our best efforts accidental gas pipeline crossovers will persist. We need to focus on putting measured in place such that when these inevitable pipeline crossovers occur they do not lead to patient harm. For information see this link: https://wordpress.com/post/patientsafe.wordpress.com/5027
Help:
We are looking for individuals to take leadership positions to drive this project to ensure the implementation of gas analysers in all areas of resuscitation.
See here: https://patientsafe.wordpress.com/2016/09/27/broader-use-of-gas-analysers-will-save-lives/