The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 2 , Pages 312-319 , February 2010

Is the “sterile cockpit” concept applicable to cardiovascular surgery critical intervals or critical events? The impact of protocol-driven communication during cardiopulmonary bypass

Read at the Thirty-fifth Annual Meeting of The Western Thoracic Surgical Association, Banff Springs, Alberta, Canada, June 24–27, 2009.

Received 29 June 2009 ,Revised 4 October 2009 ,Accepted 25 October 2009.

References 

  1. Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Thorac Surg. 2001;72:300–305
  2. de Leval MR, Carthey J, Wright DJ, Farewell VT, Reason JT. Human factors and cardiac surgery: a multicenter study. J Thorac Cardiovasc Surg. 2000;119:661–672
  3. Gawande AA, Zinner MJ, Studdert DM, Brennan TA. Analysis of errors reported by surgeons at three teaching hospitals. Surgery. 2003;133:614–621
  4. Greenberg CC, Regenbogen SE, Studdert DM, Lipsitz SR, Rogers SO, Zinner MJ, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204:533–540
  5. Lingard L, Espin S, Whyte S, Regehr G, Baker GR, Reznick R, et al. Communication failures in the operating room: an observational classification of recurrent types and effects. Qual Saf Health Care. 2004;13:330–334
  6. Tucker AL, Edmonson AC. Why hospitals don't learn from failures: organizational and psychological dynamics that inhibit system change. Calif Manage Rev. 2003;45:55–72
  7. Wiegmann DA, ElBardissi AW, Dearani JA, Daly RC, Sundt TM. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007;1142:658–665
  8. ElBardissi AW, Wiegmann DA, Dearani JA, Daly RC, Sundt TM. Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. Ann Thorac Surg. 2009;83:1412–1415
  9. Flin R, Yule S, McKenzie L, Paterson-Brown S, Maran N. Attitudes to teamwork and safety in the operating theatre. Surgeon. 2006;4:145–151
  10. Wiegmann DA, Suther T, Neal J, Parker SH, Sundt TM. A human factors analysis of cardiopulmonary bypass machines. J Extra Corpor Tech. 2009;41:57–63
  11. ElBardissi AW, Wiegmann DA, Dearani JA, Daly RC, Sundt TM. Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. Ann Thorac Surg. 2007;83:1412–1419
  12. Sumwalt RL. The sterile cockpit. ASRS Directline [Internet] 1993 Jun [cited 2009 Dec 19];4:[about 1 p.] Available from: http://asrs.arc.nasa.gov/publications/directline/dl4_sterile.htm
  13. ICAO Standard Phraseology Manual. [cited 2009 Dec 18] Available from: http://www.skybrary.aero/bookshelf.books/115.pdf
  14. Hart SG, Staveland LE. Development of NASA-TLX (task load index)a multi-dimensional workload rating scale: results of empirical and theoretical research. In:  Hancock PA,  Meshkati N editor. Advances in psychology 52: human mental workload. Amsterdam: Elsevier Science; 1988;p. 139–183
  15. Henrickson SE, Wadhera RK, Elbardissi AW, Wiegmann DA, Sundt TM. Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery. J Am Coll Surg. 2009;208:1115–1123
  16. Salas E, Wilson KA, Murphy CE, King H, Salisbury M. Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork. Jt Comm J Qual Patient Saf. 2008;34:333–341
  17. Weick KE, Sutcliffe KM. Managing the unexpected: resilient performance in an age of uncertainty. Hoboken (NJ): Wiley; 2001;

 Disclosures: None.

PII: S0022-5223(09)01415-9

doi: 10.1016/j.jtcvs.2009.10.048

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 2 , Pages 312-319 , February 2010

Article Tools

* Image Usage & Resolution