The Bowtie diagram: a simple tool for analysis and planning in anesthesia.

ABSTRACT:

Purpose of review

The purpose is to show the advantages of a Bowtie diagram as a versatile tool for displaying and understanding the evolvement and management of critical incidents.

Recent findings

The Bowtie diagram has been used recently in anesthesia to depict critical incidents having been used in high-risk industries for several decades. This diagram displays the progression from latent factors to potential harm in five steps.

Summary

The Bowtie diagram combines the features of a fault tree and an event tree with the adverse event, known as the Top Event separating the two sections. The fault tree is similar in concept to a Swiss Cheese diagram and the event tree similar in concept to an emergency management algorithm. Preventive barriers and escalation measures

SUBMITTER: Culwick MD 

PROVIDER: S-EPMC7752234 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature