Retained Central Venous Catheter Guidewires: Interviews With Clinicians Who Have Made the Error

Whole guidewire retention occurs in 1:3167 procedures. While training and current policies prevent most whole guidewire retentions, they do not stop the error from occurring and rely on removing human error consistently across thousands of procedures to prevent a single event. A safety-engineered mechanism of error prevention is required that applies to any clinical environment, is impervious to distraction or interruption, and does not rely on clinician memory to ensure guidewire removal.

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Publication Details

Journal
Journal of Patient Safety
Published
2025-08-08
DOI
https://doi.org/10.1097/pts.0000000000001399
Citations
1
Primary Topic
Central Venous Catheters and Hemodialysis
Type
article
Field-Weighted Citation Impact
2.52
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article

Retained Central Venous Catheter Guidewires: Interviews With Clinicians Who Have Made the Error

Jane Greatorex, Peter Young, Maryanne Mariyaselvam, Ken Catchpole et al.
1 citations
Journal of Patient Safety
Central Venous Catheters and Hemodialysis
2.52
article

Retained Central Venous Catheter Guidewires: Interviews With Clinicians Who Have Made the Error

Jane Greatorex, Peter Young, Maryanne Mariyaselvam, Ken Catchpole, Alex Wright, Arun Kumar Gupta
article en
1 citations

Abstract

Whole guidewire retention occurs in 1:3167 procedures. While training and current policies prevent most whole guidewire retentions, they do not stop the error from occurring and rely on removing human error consistently across thousands of procedures to prevent a single event. A safety-engineered mechanism of error prevention is required that applies to any clinical environment, is impervious to distraction or interruption, and does not rely on clinician memory to ensure guidewire removal.

Journal of Patient Safety
Medical University of South Carolina (US), Southend University Hospital NHS Foundation Trust (GB), Cambridge University Hospitals NHS Foundation Trust (GB), Southend Hospital (GB), Bridge University (SS), Queen Elizabeth Hospital King's Lynn NHS Foundation Trust (GB)
Reduced inequalities
Openalex Percentile: Top 11%
Central Venous Catheters and Hemodialysis
2.52
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