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.
Authors
- Jane Greatorex
- Peter Young (ORCID: https://orcid.org/0009-0007-9665-1009)
- Maryanne Mariyaselvam
- Ken Catchpole (ORCID: https://orcid.org/0000-0003-4073-3025)
- Alex Wright
- Arun Kumar Gupta
Institutions
- 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)
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