Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003.

Richard I. Cook; John Wreathall; Alison Smith; David C. Cronin; Oswaldo Rivero; Robert C. Harland; Jai Raman; James Battles; James Reason

Study

Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003.

February 6, 2008

Cook RI, Wreathall J, Smith A, et al. Transplantation. 2007;84(12):1602-1609.

View more articles from the same authors.

This study discovered that the observed and predicted likelihoods of incompatible organ transplantation are comparable, but two-fold less likely since system changes were adopted after a widely publicized heart-lung transplant error in 2003.

PubMed citation

Free full text

Related Resources From the Same Author(s)

A systems approach to analyzing and preventing hospital adverse events.

June 24, 2020

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

The role of automation in complex system failures.

July 14, 2010

American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology.

July 13, 2010

Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study.

February 15, 2023

Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review.

January 12, 2022

The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.

June 29, 2009

“Those found responsible have been sacked”: some observations on the usefulness of error.

October 10, 2010

Simulation-based assessment of the management of critical events by board-certified anesthesiologists.

September 13, 2017

Accidental iatrogenic pneumothorax in hospitalized patients.

July 20, 2010

Related Resources

Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons.

June 5, 2024

Fast tracking in cardiac surgery: is it safe?

May 11, 2022

A systems approach to analyzing and preventing hospital adverse events.

June 24, 2020

Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study.

December 30, 2014

Cardiac surgery errors: results from the UK National Reporting and Learning System.

December 29, 2014

Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures.

December 21, 2014

A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.

July 5, 2013

Quality, patient safety, and the cardiac surgical team.

June 19, 2013

Infrequent physician use of implantable cardioverter-defibrillators risks patient safety.

November 2, 2011

Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit.

June 1, 2011

See More About The Topic

Operating Room

Health Care Providers

Risk Managers

Cardiothoracic Surgery

Surgical Complications

Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site

Submit Your Training

Continue as a Guest

Continue Logged In

Submit Your Training

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your Toolkit

Continue as a Guest

Continue Logged In

Submit Your Toolkit

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your WebM&M Case

Continue as a Guest

Continue Logged In

Submit Your WebM&M Case

Continue as a Guest

Already have a PSNet

Account?

New Users