Evidence map›Paper›PMID 34738639›Full record

SynthesisArtificial organs2022

Human factors in ECLS - A keystone for safety and quality - A narrative review for ECLS providers.

Justyna Swol, Daniel Brodie, Anne Willers, Bishoy Zakhary, Joseph Belezzo, Zachary Shinar, Scott D Weingart, Jonathan W Haft, Roberto Lorusso, Giles J Peek

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Artificial organs, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 3 countries.

Justyna SwolDepartment of Respiratory Medicine, Allergology and Sleep Medicine, Paracelsus Medical University, Nuremberg, Germany.ORCID https://orcid.org/0000-0002-2903-092X
Daniel BrodieDepartment of Medicine and Center for Acute Respiratory Failure, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, New York, USA.
Anne WillersECLS Centrum, Cardio-Thoracic Surgery Department, Heart & Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, The Netherlands.
Bishoy ZakharyDivision of Pulmonary and Critical Care Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Joseph BelezzoEmergency Room Sharp Memorial Hospital, San Diego, California, USA.
Zachary ShinarEmergency Room Sharp Memorial Hospital, San Diego, California, USA.
Scott D WeingartDepartment of Emergency Medicine, Division of Emergency Critical Care, Resuscitation and Acute Critical Care Unit, Stony Brook Hospital, Stony Brook, New York, USA.
Jonathan W HaftDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
Roberto LorussoECLS Centrum, Cardio-Thoracic Surgery Department, Heart & Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, The Netherlands.
Giles J PeekUF Health Shands Children's Hospital, UF Health Congenital Heart Center, Gainesville, Florida, USA.
Maastricht University Medical Centre · NLSharp Memorial Hospital · USNewYork–Presbyterian Hospital · USOregon Health & Science University · USParacelsus Medizinische Privatuniversität · DEStony Brook University Hospital · USUF Health Shands Hospital · USUniversity of Michigan · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough the technology used for extracorporeal life support (ECLS) has improved greatly in recent years, the application of these devices to the patient is quite complex and requires extensive training of team members both individually and together. Human factors is an area that addresses the activities, contexts, environments, and tools which interact with human behavior in determining overall system performance. HYPOTHESIS: Analyses of the cognitive behavior of ECLS teams and individual members of these teams with respect to the occurrence of human errors may identify additional opportunities to enhance safety in delivery of ECLS.

resultsThe aim of this article is to support health-care practitioners who perform ECLS, or who are starting an ECLS program, by establishing standards for the safe and efficient use of ECLS with a focus on human factor issues. Other key concepts include the importance of ECLS team leadership and management, as well as controlling the environment and the system to optimize patient care.

conclusionExpertise from other industries is extrapolated to improve patient safety through the application of simulation training to reduce error propagation and improve outcomes.

Indexed as

ErgonomicsCritical CareExtracorporeal Membrane OxygenationHumansLeadershipMedical ErrorsPatient SafetyQuality ImprovementSimulation Trainingbehavioral skillsECLSECMOextracorporeal life supportextracorporeal membrane oxygenationhuman factorssimulationtraining

Identifiers

PMID34738639
PMCPMC9298045
OpenAlexW3210424982

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.