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Selected Works of Scott Shappell
Article
Human Factors Analysis of a Near-Miss Event: Oxygen Supply Failure During Cardiopulmonary Bypass
Journal of Cardiothoracic and Vascular Anesthesia (2015)
  • Bruce D. Spiess
  • John Rotruck
  • Harry McCarthy
  • Olga Suarez-Wincosci
  • Vigneshwar Kasirajan
  • Joyce Wahr
  • Scott Shappell, Embry-Riddle Aeronautical University
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Abstract
Reducing preventable medical injuries is a compelling urgent goal of the healthcare industry and government alike. Near-miss events should be analyzed as early warnings to teams so that they reduce the possibility than an individual error will go unchecked.
Keywords
  • human factors,
  • patient safety,
  • cardiopulmonary bypass,
  • oxygen failure,
  • hypoxemia,
  • cerebral oximetry,
  • near miss
Disciplines
Publication Date
February, 2015
DOI
https://doi.org/10.1053/j.jvca.2014.08.011
Citation Information
Bruce D. Spiess, John Rotruck, Harry McCarthy, Olga Suarez-Wincosci, et al.. "Human Factors Analysis of a Near-Miss Event: Oxygen Supply Failure During Cardiopulmonary Bypass" Journal of Cardiothoracic and Vascular Anesthesia Vol. 29 Iss. 1 (2015) p. 204 - 209 ISSN: 1053-0770
Available at: http://works.bepress.com/scott-shappell/12/