Five System Barriers to Achieving Ultrasafe Health Care

Figure 1. The size of the box represents the range of risk in which a given barrier is active. Reduction of risk beyond the
maximum range of a barrier presupposes crossing this barrier. Shaded boxes represent the 5 system barriers. ASA = American
Society of Anesthesiologists.
Average rate per exposure of catastrophes and associated deaths in various industries and human activities.
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Ann Intern Med
May 3, 2005
vol. 142
no. 9
756-764