{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:44:25Z","timestamp":1787013865287,"version":"build-2736575974"},"reference-count":71,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,11,5]],"date-time":"2021-11-05T00:00:00Z","timestamp":1636070400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Although the technology used for extracorporeal life support (ECLS) has improved greatly in recent years, the application of these devices to the patient is quite complex and requires extensive training of team members both individually and together. Human factors is an area that addresses the activities, contexts, environments, and tools which interact with human behavior in determining overall system performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis<\/jats:title>\n                    <jats:p>Analyses of the cognitive behavior of ECLS teams and individual members of these teams with respect to the occurrence of human errors may identify additional opportunities to enhance safety in delivery of ECLS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The aim of this article is to support health\u2010care practitioners who perform ECLS, or who are starting an ECLS program, by establishing standards for the safe and efficient use of ECLS with a focus on human factor issues. Other key concepts include the importance of ECLS team leadership and management, as well as controlling the environment and the system to optimize patient care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Expertise from other industries is extrapolated to improve patient safety through the application of simulation training to reduce error propagation and improve outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aor.14095","type":"journal-article","created":{"date-parts":[[2021,11,5]],"date-time":"2021-11-05T11:02:15Z","timestamp":1636110135000},"page":"40-49","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Human factors in ECLS \u2013 A keystone for safety and quality \u2013 A narrative review for ECLS providers"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2903-092X","authenticated-orcid":false,"given":"Justyna","family":"Swol","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine Allergology and Sleep Medicine Paracelsus Medical University  Nuremberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Brodie","sequence":"additional","affiliation":[{"name":"Department of Medicine and Center for Acute Respiratory Failure Columbia University College of Physicians and Surgeons\/New York\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Willers","sequence":"additional","affiliation":[{"name":"ECLS Centrum Cardio\u2010Thoracic Surgery Department, Heart &amp; Vascular Centre Maastricht University Medical Centre Cardiovascular Research Institute Maastricht  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bishoy","family":"Zakhary","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine Oregon Health and Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Belezzo","sequence":"additional","affiliation":[{"name":"Emergency Room Sharp Memorial Hospital  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary","family":"Shinar","sequence":"additional","affiliation":[{"name":"Emergency Room Sharp Memorial Hospital  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott D.","family":"Weingart","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Division of Emergency Critical Care, Resuscitation and Acute Critical Care Unit Stony Brook Hospital  Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan W.","family":"Haft","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Michigan Health System  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Lorusso","sequence":"additional","affiliation":[{"name":"ECLS Centrum Cardio\u2010Thoracic Surgery Department, Heart &amp; Vascular Centre Maastricht University Medical Centre Cardiovascular Research Institute Maastricht  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giles J.","family":"Peek","sequence":"additional","affiliation":[{"name":"UF Health Shands Children's Hospital UF Health Congenital Heart Center  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,11,5]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-018-5064-5"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-019-2334-8"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201404-0630CP"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201710-2130CP"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2018.10.014"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0267659115591622"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2018.09.015"},{"key":"e_1_2_14_9_1","unstructured":"What is human factors and why is it important to patient safety?[cited 2021 Jun 1].https:\/\/www.who.int\/patientsafety\/education\/curriculum\/who_mc_topic\u20102.pdf"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000004158"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0267659120909001"},{"key":"e_1_2_14_12_1","unstructured":"EuroELSO survey on ECLS use in adult COVID\u201019 patients in Europe[cited 2021 Mar]. 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