Summary
The SRM has been used for over 20 years to analyze device-related adverse events. It ensures that surrounding factors and pertinent conditions have been considered for their roles in the adverse event. It provides a logical pathway for pursuing patient injuries or system malperformance from an event to its root causes. The SRM identifies process locations where the health care provider can evaluate components to identify obvious flaws and prevent them from entering the clinical environment. Following an investigation, the SRM can also be used as a checklist to suggest changes in the minisystem that might prevent a recurrence of the even