The human factor in cardiac surgery: errors and near misses in a high technology medical domain.
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.
Carthey
J
J
Cardiothoracic Unit, Great Ormond Street Hospital for Children NHS Trust, London, England. jcarthey_gosh@yahoo.com
de Leval
M R
MR
Reason
J T
JT
D006801:Humans; D007049:Iatrogenic Disease / Q000517:prevention & control; D007231:Infant, Newborn; D007431:Intraoperative Complications / Q000209:etiology*; D012307:Risk Factors; D014188:Transposition of Great Vessels / Q000601:surgery*; D017211:Treatment Failure