Human factors analysis of a near-miss event: oxygen supply failure during cardiopulmonary bypass.
作者信息
Spiess Bruce D, Rotruck John, McCarthy Harry, Suarez-Wincosci Olga, Kasirajan Vigneshwar, Wahr Joyce, Shappell Scott
机构信息
Departments of Anesthesiology, Cardiac Surgery and Perfusion, Virginia Commonwealth University Medical Center, Richmond, Virginia; Flawless Operative Cardiovascular Unified Systems (FOCUS) Initiative Team member.
Department of Anesthesiology, National Naval Medical Center, Bethesda, Maryland.
出版信息
J Cardiothorac Vasc Anesth. 2015 Feb;29(1):204-9. doi: 10.1053/j.jvca.2014.08.011. Epub 2014 Dec 4.
PMID:25481389
Abstract
摘要
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