A human factors analysis of cardiopulmonary bypass machines

Journal of Extra-Corporeal Technology

Volumn 41, Issue 2, 2009, Pages 57-63

  Wiegmann, Douglas ^a   Suther, Thomas ^b   Neal, James ^b   Parker, Sarah Henrickson ^c   Sundt, Thoralf M ^b  

^a UNIVERSITY OF WISCONSIN MADISON   (United States)

^b MAYO CLINIC   (United States)

^c UNIVERSITY OF ABERDEEN   (United Kingdom)

Author keywords

Cardiopulmonary bypass; Equipment; Patient safety; Perfusion

Indexed keywords

ALARM MONITORING; ANESTHESIST; ANTICOAGULATION; ARTICLE; BIOCOMPATIBILITY; CARBON DIOXIDE TENSION; CARDIOPULMONARY BYPASS; CLINICAL PRACTICE; ERGONOMICS; HEART LUNG MACHINE; HEART PERFUSION; HUMAN; INTERPERSONAL COMMUNICATION; MEAN ARTERIAL PRESSURE; NURSE; OPERATING ROOM; OPERATING ROOM PERSONNEL; OXYGEN SATURATION; OXYGEN TENSION; PATIENT CARE; PATIENT SAFETY; SURGEON; ADULT; CHILD; EQUIPMENT; EQUIPMENT DESIGN; INSTRUMENTATION; OBSERVATION;

ADULT; CARDIOPULMONARY BYPASS; CHILD; EQUIPMENT DESIGN; EQUIPMENT FAILURE ANALYSIS; EQUIPMENT SAFETY; HUMANS; OBSERVATION;

EID: 70349567211     PISSN: 00221058     EISSN: 29698960     Source Type: Journal    
DOI: None     Document Type: Article

References (19)

1. Gibbon JH Jr. Artificial maintenance of circulation during experimental occlusion of the pulmonary artery. Arch Surg. 1937;34: 1105-31.
2. Gibbon JH Jr. Application of a mechanical heart and lung apparatus to cardiac surgery. Minn Med. 1954;37:171-85.
3. Kirklin JW, DuShane JW, Patrick RT, et al. Intracardiac surgery with the aid of a mechanical pump-oxygenator system (Gibbon type): Report of eight cases. Proc Staff Meet Mayo Clin. 1955;30: 201-6.
4. Miller BJ, Gibbon JH, Fineburg C. An improved mechanical heart and lung apparatus: Its use during open cardiotomy in experimental animals. Med Clin North Am. 1953;1:1603-24.
5. Cross ES, Berne RM, Hirose Y. Evaluation of a rotating disc type oxygenator. Proc Soc Exp Biol Med. 1956;93:210-4.
6. DeWall RA, Gott VL, Lillehei CW, et al. A simple, expendable, artificial oxygenator for open heart surgery. Surg Clin North Am. 1956;36:1025-34.
7. Burns N. Production of a silicone rubber film for the membrane lung. Biomed Eng. 1969;4:356-9.
8. Wiklund ME. Eleven keys to designing error-resistant medical devices. Medical Device and Diagnostic Industry . 2002:86-88.
9. Kaye R, Crowley J. Medical Device Use Safety: Incorporating Human Factors Engineering into Risk Management. Guidance for Industry and FDA Premarked and Design Control Reviewers. Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health, Division of Device User Programs and Systems Analysis, Office of Health Industry Programs; 2000.
10. Palanzo D. Perfusion safety: Defining the problem. Perfusion. 2005;20:195-203.
11. Mejak BL, Stammers AH, Rauch E, Vang S, Viessman T. A retrospective study on perfusion incidents and safety devices. Perfusion. 2000;15:51-61.
12. Stammers AH, Mejak BL. An update on perfusion safety: Does the type of perfusion practice affect the rate of incidents related to cardiopulmonary bypass? Perfusion. 2001;16:189-98.
13. Nielsen J. Heuristic evaluation. In: Nielsen J, Mack RL, eds. Usability Inspection Methods . New York: John Wiley & Sons; 1994:25-61.
14. Nielsen J, Molich R. Heuristic evaluation of user interfaces. Proceedings of the ACM CHI'90 Conference, Seattle, WA, April 1-5, 1990.
15. Strauch B. Investigating Human Error: Incidents, Accidents, and Complex Systems, Burlington, VT: Ashgate Publishing; 2004.
16. Wickens C, Hollands J. Attention in perception and display space. In: Wickens C, Hollands J, eds. Engineering Psychology and Human Performance. 3rd ed. Upper Saddle River, NJ: Prentice-Hall; 2000: 97-100.
17. CTSnet Cardiothoracic Surgery Safety Reporting System. Society of Thoracic Surgeons. Available with password at: http://ctsrs.ctsnet.org/ sections/anecdotes/anecdotes.cfm . Accessed June 27, 2007.
18. Edworthg J, Hellier E. Fewer but better auditory alarms will improve patient safety. Qual Saf Health Care. 2005;14:212-5.
19. Organizations National Patient Safety Goals , The Joint Commission. Oakbrook Terrace, IL, 2003.