Retained guidewires in central venous catheterisation: An analysis of omission errors

Yi Chun Teng, James Ward, Tim Horberry, Vishal Patil, John Clarkson

Research output: Contribution to conferencePaperpeer-review

2 Citations (Scopus)

Abstract

Complete intravascular loss of guidewires in patients is an on-going medical concern. This research investigates the guidewire insertion and removal procedure by using a common omission error model by James Reason to identify procedural disposition to omission errors. The research builds on a previous Hierarchical Task Analysis for central venous catheterisation and identifies two crucial points that need further examination with regard to guidewire loss. Suggestions for improved equipment, procedural and system design at these two task steps are given.

Original languageEnglish
Pages211-214
Number of pages4
Publication statusPublished - 2014
Externally publishedYes
EventContemporary Ergonomics and Human Factors 2014 - Southampton, United Kingdom
Duration: 7 Apr 201410 Apr 2014

Conference

ConferenceContemporary Ergonomics and Human Factors 2014
Country/TerritoryUnited Kingdom
CitySouthampton
Period7/04/1410/04/14

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