Sorry, you need to enable JavaScript to visit this website.
Skip to main content
Commentary

Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature.

Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Acta Clin Belg. 2020;75(3):193-199. doi:10.1080/17843286.2019.1592738.

Save
Print
May 15, 2019
Thonon H, Espeel F, Frederic F, et al. Acta Clin Belg. 2020;75(3):193-199.
View more articles from the same authors.

The Swiss cheese model illustrates how independent weaknesses can combine to result in failure. This commentary examines factors that contribute to central venous catheterization mistakes and applies the Fishbone diagram to show areas requiring process improvement. The authors suggest steps before, during, and after central venous catheter placement to support safe practice.

Save
Print
Cite
Citation

Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Acta Clin Belg. 2020;75(3):193-199. doi:10.1080/17843286.2019.1592738.

Related Resources From the Same Author(s)
Related Resources