Healthcare human reliability analysis - By heart

Conference paper (2013)

Authors

James Ward University of Cambridge
Yi Chun Teng Murray Edwards College
Tim Horberry University of Cambridge
P.J. Clarkson University of Cambridge
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Published Date

2013

Language

English

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Abstract

As part of the investigations into a surgical incident involving the accidental retention inside a patient's venous system of a guide wire for central venous catheterisation (CVC), the Human Error Assessment and Reduction Technique (HEART) was used to examine the potential for further occurrences. It was found to be time-efficient and to yield plausible probabilities of human error, although its use in healthcare has challenges, suggesting adaptation would be beneficial.

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