Poll 3: Human Factors

An anesthesiology house officer dozed off during a long case in the operating room and failed to notice that the patient experienced a period of hypotension. The episode was thought to contribute to the patient's perioperative myocardial infarction.

What measure would most likely prevent an event like this from happening again?

Your opinion:
Discipline the house office
Provide remedial, supervised training for the house officer
Restrict duty hours of anesthesiologists to no more than 8-hour shifts and include mandatory breaks
Ensure that blood presure monitors in the OR have functional alarms
Implement a perioperative beta-blocker protocol for patients with cardiac risk factors