On the Cover: Mary
Lambert�s Patterns of Accident illustrates the �Swiss
cheese� model, which helps explain how small failures in health care can result
in misdiagnosis and even death. The health care industry, represented by the
caduceus, strives to prevent a breakdown in the precariously balanced string of
events that is a fundamental element of all patient care situations. An Albuquerque-based artist, Ms Lambert has worked as an editorial illustrator and graphic designer for the past 20 years. [Table of Contents]
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