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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Analysis of Human Performance Deficiencies Associated With Surgical Adverse Events
Submitted by: Mark Ferguson
Source: JAMA Network Open
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Author(s): James W. Suliburk, Quentin M. Buck, Chris J. Pirko, Nader N. Massarweh, Neal R. Barshes, Hardeep Singh, Todd K. Rosengart
