Human factors analysis of a near-miss event: Oxygen supply failure during cardiopulmonary bypass

Bruce D. Spiess, John Rotruck, Harry McCarthy, Olga Suarez-Wincosci, Vigneshwar Kasirajan, Joyce Wahr, Scott Shappell

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations
Original languageEnglish (US)
Pages (from-to)204-209
Number of pages6
JournalJournal of Cardiothoracic and Vascular Anesthesia
Issue number1
StatePublished - Feb 1 2015


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

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