［1］COOPER J, NEWBOWER R, KITZ R. An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection [J]. Anesthesiology, 1984, 60: 34-42.

［2］DAVID M. GABA, KEVIN J. FISH, STEVEN K. HOWARD. et al. Crisis Management in Anesthesiology [M].2nd ed, Philadelphia: Ersevier saunders, 2015, 3-53.

［3］LOCKLEY SW, CRONIN JW, EVANS EE, et al. Harward Work Hours H, and Safety Group: Effect of reducing interns' weekly work hours on sleep and attentional failures [J]. N Engl J Med, 2004, 351: 1829-1837.

［4］MCDONALD JS, DZWONCZYK RR. A time and motion study of the Anaesthetist's intraoperative period [J]. Br J Anaesth, 1988, 61: 738-742.

［5］WEINGER MB, HERNDON OW, GABA DM. The effect of electronic record keeping and transesophageal echocardiography on task distribution, workload, and vigilance during cardiac anesthesia [J]. Anesthesiology,1997, 87 (1): 144.

［6］PAN E, CUSACK C, HOOK J, et al. The value of provider-to-provider telehealth [J]. Telemed J E Health, 2008, 14 (5): 446-453.

［7］STEVEN FINK. Crisis management: planning for the invisible [M]. NY: American Management Association, 1986.

［8］W. TIMOTHY COOMBS. Ongoing Crisis Communication: Planning, Management and Responding [M].London: SAGE Publications, Inc., 1999, 65-73.