Volume 7, No. 2 • Summer 1992

Event Case Reports Sought

The Anesthesia Patient Safety Foundation is seeking reports of interesting safety-related events. If you have been involved in, or, witnessed, an event that might teach other anesthesiologists how to better avoid or manage a difficult situation, please let us know. We welcome any reports but we are particularly interested in events involving human factors issues and potentially preventable close-cause.

All reports should be ANONYMOUS. Do not include any identifiers or an inside return address. We intend to publish as many interesting reports as possible in the APSF Newsletter, along with comments when appropriate.

Remember, YOU are your colleagues’ best teacher!

Send your reports to:

David M. Gaba, M.D.

Secretary, Anesthesia Patient Safety Foundation

Anesthesiology Service, 112A

Palo Alto VAMC

3801 Miranda Avenue

Palo Alto, CA 94304

Look forward to the ‘Experience is the Best Teacher” column in upcoming APSF Newsletters.