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Revista Cubana de Anestesiología y Reanimación

versión On-line ISSN 1726-6718


VALLONGO MENENDEZ, Marina Beatriz  y  LUCAS, Cordoví de Armas. Error humano y paro cardico intraoperatorio: ¿Un problema actual?. Rev cuba anestesiol reanim [online]. 2010, vol.9, n.1, pp.3-13. ISSN 1726-6718.

Introduction: Anesthesiology is identified by care of patient's safety corresponding with a decrease of anesthesia mortality in past years; however, it is not free of accidents due to errors, since by frequency, variety and drugs potency, there is the possible risk of error and its consequences may be disastrous. Objective: To identify the major causes of intraoperative cardiac arrest related to a human error. Method: Authors reviewed the national and international bibliography related to with subject, using the medical information network and its important links. Develop: A brief classification of human error was carried our depending on its consequences or psychological origins, main causes of error in anesthesia and those that may leading to a intraoperative cardiac arrest. There was a special emphasis on causes due to error complications among the staff. Conclusions: Despite the significant decrease of mortality due to anesthesia causes in past years, the intraoperative cardiac arrest risk derived from human errors is a fact, it is mandatory that professionals of this specialty to know the major causes provoking it to decrease its incidence to the utmost. These factors influencing in appearance of these accidents is a study and experience source. In our country there aren't reports in this respect.

Palabras clave : Intraoperative cardiac arrest; human error.

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