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Analysis of Human Performance Deficiencies Associated With Surgical Adverse Events

Monday, August 19, 2019

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James W. Suliburk, Quentin M. Buck, Chris J. Pirko, Nader N. Massarweh, Neal R. Barshes, Hardeep Singh, Todd K. Rosengart

In a QI study of nearly 5,400 operations, 188 adverse events were recorded.  Of these, over 56% were associated with human error.  Of all human performance deficiencies, cognitive error accounted for over half.

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