NASA Model of “Threat and Error” in Pediatric Cardiac Surgery: Patterns of Error Chains

Author:

Hickey Edward,Pham-Hung Eric,Nosikova Yaroslavna,Halvorsen Fredrik,Gritti Michael,Schwartz Steven,Caldarone Christopher A.,Van Arsdell Glen

Publisher

Elsevier BV

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,Surgery

Reference22 articles.

1. Bristol Royal Infirmary. Learning From Bristol: The Report of the Public Inquiry Into Children's Heart Surgery at the Bristol Royal Infirmary 1984-1995. London: TSO; 2001.

2. Human error: models and management;Reason;BMJ,2000

3. Error, stress, and teamwork in medicine and aviation: cross sectional surveys;Sexton;BMJ,2000

4. Ruffell Smith HP. NASA Technical Memorandum 78482. A Simulator Study of the Interaction of Pilot Workload With Errors, Vigilance, and Decisions. 1979. Available at http://ntrs.nasa.gov/archive/nasa/casi.ntrs.nasa.gov/19790006598.pdf. Accessed January 21, 2016.

5. Line operation safety audits (LOSA): definition and operating characteristics;Klinect,2003

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