{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:01:37Z","timestamp":1787022097792,"version":"build-2736575974"},"reference-count":28,"publisher":"Public Library of Science (PLoS)","issue":"1","license":[{"start":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T00:00:00Z","timestamp":1642032000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Japan Society for the Promotion of Science (JSPS) KAKENHI","award":["18KT0099"],"award-info":[{"award-number":["18KT0099"]}]},{"name":"Japan Society for the Promotion of Science (JSPS) KAKENHI","award":["19K10542"],"award-info":[{"award-number":["19K10542"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To prevent recurrence of medical accidents, the Medical Accident Investigating System was implemented in October 2015 by the Japan Medical Safety Research Organization (Medsafe Japan) to target deaths from medical care that were unforeseen by the administrator. Medsafe Japan analyzed the 10 cases of central venous catheterization-related deaths reported in the system and published recommendations in March 2017. However, the particular emphasis for the prevention of central venous catheterization-related deaths is unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study aimed to identify the recommendation points that should be emphasized to prevent recurrence of central venous catheterization-related deaths. We assessed central venous catheterization in 8530 closed-claim cases between January 2002 and December 2016 covered by the medical insurer Sompo-Japan. Moreover, we compared central venous catheterization-related death in closed-claim cases with death in reported cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The background, error type, anatomic insertion site, and fatal complication data were evaluated for 37 closed-claim cases, of which 12 (32.4%) were death cases. Of the 12 closed-claim cases and 10 reported cases, 9 (75.0%) closed-claim cases and 9 (90.0%) reported cases were related to vascular access. Among these, 5 closed-claim cases (41.7%) and 7 reported cases (77.8%) were related to internal jugular vein catheterization (p = 0.28). Coagulopathy was observed in 3 (60.0%) of 5 closed-claim cases and 6 (85.7%) of 7 reported cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The risk of internal jugular catheterization in patients with coagulopathy must be carefully considered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0261636","type":"journal-article","created":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T13:47:15Z","timestamp":1642081635000},"page":"e0261636","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":6,"title":["The risk of fatal bleeding complications in jugular catheterization in patients with coagulopathy: A retrospective analysis of death cases in closed claims and the Medical Accident Investigating System in Japan"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8617-1120","authenticated-orcid":true,"given":"Yasuhiro","family":"Otaki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6573-9613","authenticated-orcid":true,"given":"Naofumi","family":"Fujishiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuaki","family":"Oyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoko","family":"Hata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Kato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoji","family":"Kawachi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,1,13]]},"reference":[{"key":"pone.0261636.ref001","unstructured":"Ministry of Health, Labor and Welfare. About medical accident investigation system. [cited 1 August 2021]. https:\/\/www.mhlw.go.jp\/stf\/seisakunitsuite\/bunya\/0000061201.html."},{"key":"pone.0261636.ref002","unstructured":"Japan Medical Safety Research Organization. To secure medical safety \u201cMedical Accident Investigation System\u201d in Japan. [cited 1 August 2021]. https:\/\/www.medsafe.or.jp\/uploads\/uploads\/files\/leaflet_english.pdf."},{"key":"pone.0261636.ref003","unstructured":"Medical Accident Investigation and Support Center, Japan Medical Safety Research Organization. Analysis of deaths related to the complications of \u201cCentral Venous Catheterization\u201d -First Report-. 2017 March [cited 1 August 2021]. https:\/\/www.medsafe.or.jp\/uploads\/uploads\/files\/teigen_01english.pdf."},{"key":"pone.0261636.ref004","unstructured":"Japan Medical Safety Research Organization. Result of the questionnaire about recommendations for CVC insertion. [cited 1 August 2021]. https:\/\/www.medsafe.or.jp\/uploads\/uploads\/files\/teigen-01anketo.pdf."},{"key":"pone.0261636.ref005","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1097\/ALN.0b013e31823c9569","article-title":"Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Central Venous Access","volume":"116","author":"American Society of Anesthesiologists Task Force on Central Venous Access","year":"2012","journal-title":"Anesthesiology"},{"key":"pone.0261636.ref006","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1111\/aas.12295","article-title":"Clinical guidelines on central venous catheterisation. 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The role of claims analysis in patient safety","volume":"12","author":"C Vincent","year":"2006","journal-title":"J Eval Clin Pract"},{"key":"pone.0261636.ref023","doi-asserted-by":"crossref","first-page":"2024","DOI":"10.1056\/NEJMsa054479","article-title":"Claims, errors, and compensation payments in medical malpractice litigation","volume":"354","author":"DM Studdert","year":"2006","journal-title":"N Engl J Med"},{"key":"pone.0261636.ref024","doi-asserted-by":"crossref","first-page":"2030","DOI":"10.1001\/archinte.167.19.2030","article-title":"Medical errors involving trainees: a study of closed malpractice claims from 5 insurers","volume":"167","author":"H Singh","year":"2007","journal-title":"Arch Intern Med"},{"key":"pone.0261636.ref025","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1007\/s00134-012-2597-x","article-title":"International evidence-based recommendations on ultrasound-guided vascular access","volume":"38","author":"M Lamperti","year":"2012","journal-title":"Intensive Care Med"},{"key":"pone.0261636.ref026","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1093\/bja\/aeu049","article-title":"Pre-procedure ultrasound increases the success and safety of central venous catheterization","volume":"113","author":"W Schummer","year":"2014","journal-title":"Br J Anaesth"},{"key":"pone.0261636.ref027","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1213\/ANE.0b013e3182407cd8","article-title":"Special articles: guidelines for performing ultrasound guided vascular cannulation: recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists","volume":"114","author":"Councils on Intraoperative Echocardiography and Vascular Ultrasound of the American Society of Echocardiography; Society of Cardiovascular Anesthesiologists","year":"2012","journal-title":"Anesth Analg"},{"issue":"Suppl","key":"pone.0261636.ref028","first-page":"S25","article-title":"The center of central venous catheterization (CVC) for prevention of complications of CVC","volume":"60","author":"T. Miki","year":"2011","journal-title":"Masui"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0261636","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,22]],"date-time":"2023-01-22T16:54:25Z","timestamp":1674406465000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0261636"}},"subtitle":[],"editor":[{"given":"Rudolf","family":"Kirchmair","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,1,13]]},"references-count":28,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,1,13]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0261636","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,13]]}}}