Human Factors Analysis of a Near-Miss Event: Oxygen Supply Failure During Cardiopulmonary Bypass

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA

卷 29, 期 1, 页码 204-209

W B SAUNDERS CO-ELSEVIER INC

human factors; patient safety; cardiopulmonary bypass; oxygen failure; hypoxemia; cerebral oximetry; near miss

Anesthesiology Cardiac & Cardiovascular Systems Respiratory System Peripheral Vascular Disease