Surgical never events and contributing human factors.

@article{Thiels2015SurgicalNE,
  title={Surgical never events and contributing human factors.},
  author={Cornelius A Thiels and Tarun Mohan Lal and Joseph M Nienow and Kalyan S. Pasupathy and Renaldo C. Blocker and Johnathon M Aho and Timothy I Morgenthaler and Robert R. Cima and S. Hallbeck and Juliane Bingener},
  journal={Surgery},
  year={2015},
  volume={158 2},
  pages={
          515-21
        }
}
INTRODUCTION We report the first prospective analysis of human factors elements contributing to invasive procedural never events by using a validated Human Factors Analysis and Classification System (HFACS). METHODS From August 2009 to August 2014, operative and invasive procedural "Never Events" (retained foreign object, wrong site/side procedure, wrong implant, wrong procedure) underwent systematic causation analysis promptly after the event. Contributing human factors were categorized… CONTINUE READING
Tweets
This paper has been referenced on Twitter 25 times. VIEW TWEETS

From This Paper

Figures, tables, and topics from this paper.

Citations

Publications citing this paper.
Showing 1-7 of 7 citations

References

Publications referenced by this paper.
Showing 1-10 of 22 references

The use of human factors and ergonomics to promote safety and efficiency in the operating room, with an emphasis on minimally invasive surgery

  • B Lowndes, M. Hallbeck
  • Hum Factors Ergon Manuf Serv Ind ;24:308-17
  • 2014

The SAGESManual of Quality, Outcomes, and Patient Safety

  • D Tichansky, J Morton, D. Jones
  • 2012
1 Excerpt