@article{733ed5c6fbe2451e9b8025c3637e1dbc,
title = "Human factors analysis of a near-miss event: Oxygen supply failure during cardiopulmonary bypass",
keywords = "cardiopulmonary bypass, cerebral oximetry, human factors, hypoxemia, near miss, oxygen failure, patient safety",
author = "Spiess, \{Bruce D.\} and John Rotruck and Harry McCarthy and Olga Suarez-Wincosci and Vigneshwar Kasirajan and Joyce Wahr and Scott Shappell",
year = "2015",
month = feb,
day = "1",
doi = "10.1053/j.jvca.2014.08.011",
language = "English (US)",
volume = "29",
pages = "204--209",
journal = "Journal of Cardiothoracic and Vascular Anesthesia",
issn = "1053-0770",
publisher = "W.B. Saunders",
number = "1",
}