Human factors and cardiac surgery: A multicenter study

Objective: To study the role of human factors on surgical outcomes, with a series of 243 arterial switch operations performed by 21 surgeons taken as a model. Methods: The following data were collected: patient-specific and procedural variables, self-assessment questionnaires, and a written report from a hum an factors researcher who observed the operation. The relationship of patie nt specific variables to outcomes (death and death and/or near miss) was us ed to develop a multivariable baseline model to analyze the role of human f actors after adjustment for these variables. Results: The overall mortality was 6.6% with 24.3% of cases resulting in de ath and death and/or near misses. The self-assessment questionnaires were f ound to be unhelpful. Major and minor human failures were extracted from th e written report. Major negative events were potentially life-threatening f ailures, whereas minor events were failures that, in isolation, were not ex pected to have serious consequences. Major events were closely related to d eath (P < .001) and death and/or near misses (P < .001), Appropriate compen sation, however, sharply reduced the risk of death (P = .003), The total nu mber of minor events was also closely related to both death and death and/o r near misses (P <.001), Conclusion: The study highlights the role of human factors in negative surg ical outcomes. Even in the most eventful circumstances, however, appropriat e human factors defense mechanisms can lead to a successful outcome.