The analysis of event reports related to cardiopulmonary bypass in West China Hospital
Zhou Rong-hua
Liu Bin
Abstract：[ Abstract]:Objective To summarize and analyze the none-routine event reporting of cardiopulmonary bypass ( CPB) in West China Hospital, and to get informations to improve the quality of perfusion practice. Methods A retrospective study was conducted to summarize and analyze the CPB related incidents and accidents from 2007 to 2013 in West China Hospital. Results There were 12 937 cases of cardiac surgeries under CPB during the last 7 years. The total reporting none-routine events were 38 cases, and the general incidence rate was 1/340. The accidents, those incidents which had caused adverse outcome or damage to patients, happened at the rate of 1/2 156. There were 2 sequelae cases and 2 fatal cases. The most common category of incidents was perfusionist related (39.47%), which caused 50% CPB related adverse outcome. The second category of incidents was related to disposable materials ( 31.58%) , however, without any adverse outcome. Conclusion Most CPB incidents are related to perfusionists, followed by disposa?bles. Therefore, the clinical training of the perfusionists and the development of clinical protocols could effectively reduce the incidence of adverse events peri-CPB.
Keywords：CPBRelated none-routine eventsCardiac surgery
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 198-200,209 )