Healthcare human reliability analysis - By heart

Conference paper (2013)

Authors

James R. Ward University of Cambridge
Yi Chun Teng Murray Edwards College
Tim Horberry University of Cambridge
P.J. Clarkson University of Cambridge
Affiliation
External organisation
More Info
expand_more

Published Date

2013

Language

English

Reuse Rights

Other than for strictly personal use, it is not permitted to download, forward or distribute the text or part of it, without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license such as Creative Commons.

Affiliation

External organisation

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.