Tag Archives: system analysis

The replacement of a biliary catheter and the Boeing 737 Max: An example of a  system failure?

Fishbone analysis

 

The replacement of a biliary catheter and the Boeing 737 Max:: An example of a  system failure?

Clinical Case

A 60-years-old woman had a diagnosis of colon cancer with  liver metastases. During her follow-up the bilirrubin level increased and a sonogram showed a common bile duct obstruction. At this point she Continue reading The replacement of a biliary catheter and the Boeing 737 Max: An example of a  system failure?