The human factor in cardiac surgery: Errors and near misses in a high technology medical domain

被引:145
作者
Carthey, J [1 ]
de Leval, MR [1 ]
Reason, JT [1 ]
机构
[1] Great Ormond St Hosp Sick Children, Cardiothorac Unit, London WC1N 3JH, England
关键词
D O I
10.1016/S0003-4975(00)02592-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In this review, we discuss human factors research in cardiac surgery and other medical domains. We describe a systems approach to understanding human factors in cardiac surgery and summarize the lessons that have been learned about critical incident and near-miss reporting in other high technology industries that are pertinent to this field. (C) 2001 by The Society of Thoracic Surgeons.
引用
收藏
页码:300 / 305
页数:6
相关论文
共 35 条
[1]   Common errors of drug administration in infants causes and avoidance [J].
Anderson B.J. .
Pediatric Drugs, 1999, 1 (2) :93-107
[2]   The Australian Incident Monitoring Study in intensive care: AIMS-ICU. An analysis of the first year of reporting [J].
Beckmann, U ;
Baldwin, I ;
Hart, GK ;
Runciman, WB .
ANAESTHESIA AND INTENSIVE CARE, 1996, 24 (03) :320-329
[3]  
BERMAN JVF, 1996, P S HELD SWINT UK OC
[4]  
Billings CE, 1998, ARCH PATHOL LAB MED, V122, P214
[5]   Adapting to new technology in the operating room [J].
Cook, RI .
HUMAN FACTORS, 1996, 38 (04) :593-613
[6]  
DAVIES JB, 1998, P CONF HUM FACT INC
[7]   Human factors and cardiac surgery: A multicenter study [J].
de Leval, MR ;
Carthey, J ;
Wright, DJ ;
Farewell, VT ;
Reason, JT .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2000, 119 (04) :661-670
[8]  
DELEVAL MR, 1994, J THORAC CARDIOV SUR, V107, P914
[9]  
DOMINGUEZ CO, 1998, P 4 C NAT DEC MAK MA, P1
[10]   A LOOK INTO THE NATURE AND CAUSES OF HUMAN ERRORS IN THE INTENSIVE-CARE UNIT [J].
DONCHIN, Y ;
GOPHER, D ;
OLIN, M ;
BADIHI, Y ;
BIESKY, M ;
SPRUNG, CL ;
PIZOV, R ;
COTEV, S .
CRITICAL CARE MEDICINE, 1995, 23 (02) :294-300