Ward, JR and Chatzimichailidou, MM and Horberry, T and Teng, Y-C and Clarkson, PJ (2016) Guidewire Retention after Central Venous Catheterisation: Prevention and Mitigation using Bow-Tie Analysis. In: Contemporary Ergonomics and Human Factors 2016, 2016-4-19 to 2016-4-21, Daventry, UK pp. 95-99..
Full text not available from this repository.Abstract
Never events are typically rare but serious incidents in healthcare. They are perceived to be preventable, and include the retention of a surgical instrument in a patient's body. One such instrument is a "guidewire", which is used to help introduce a catheter tube into the venous system of a patient. Following a number of guidewire retentions, these authors investigated contributing factors and examined mechanisms to reduce the risk of further occurrences. This paper presents the results in the form of a bow-tie analysis, which was found to provide an effective way to graphically display and examine the issue.
| Item Type: | Conference or Workshop Item (UNSPECIFIED) |
|---|---|
| Uncontrolled Keywords: | Bow-tie analysis Guidewire Patient Safety retained foreign object |
| Subjects: | UNSPECIFIED |
| Divisions: | Div C > Engineering Design |
| Depositing User: | Cron Job |
| Date Deposited: | 17 Jul 2017 19:58 |
| Last Modified: | 22 May 2018 07:05 |
| DOI: |
