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. 2011 Apr 12;18(3):259–266. doi: 10.1136/amiajnl-2010-000075

Figure 1.

Figure 1

A representative workflow. Processes are represented as a series of trajectories, where each opportunity for violation is indicated by a fork. A proportion of trajectories are indicated to diverge far enough away from the prescribed work practice to create the risk of an adverse event. Note that the likelihood of each trajectory is not indicated, and this is the focus of the proposed method.