A case's root cause analysis of osteofascial compartment syndrome induced by radial artery puncture and its defensive strategy
Feng-Ying Kang
Yang Yang
Yu-Ping Tong
Ya-Li Hu
Ning-Ning Xue
摘要：Objective: The objective of this study was to reduce or avoid the occurrence of the cases of osteofascial compartment syndrome induced by a radial artery puncture for arterial blood gas analysis. Methods: We analyzed an adverse event using cheese model analysis, “fish bone” analysis, root cause analysis, and other methods. Results: There are three root causes leading to an adverse event:operation technique, assessment of the disease, and informing patient families. However, there are many reasons to promote the occurrence and development of the event. Conclusions: We should analyze and manage the adverse events in patients from the point of view of a system. Developing the measures of a system defense can enhance patient safety and create a good safety culture.
机标关键词：radial arteryblood gas analysispatient safetymodel analysiscause analysisadverse eventsmeasures of
论文发表日期：2016-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：5( 66-70 )
英文信息