© Springer-Verlag London 2015Paul R. Barach, Jeffery P. Jacobs, Steven E. Lipshultz and Peter C. Laussen (eds.)Pediatric and Congenital Cardiac Care10.1007/978-1-4471-6566-8_26 26. Resilience and Systems Engineering Karen Harrington1 and Peter C. Laussen3, 2 (1) Departments of Pediatrics and Critical Care,…
Fig. 15.1 Antenatal Funnel plot by UK region for the financial year 2010–2011 A funnel plot showing performance by UK regions suggests that the London region is performing better but…
Safe Avoiding preventable injuries, reducing medical errors Effective Providing services based on scientific knowledge (clinical guidelines) Patient centered Care that is respectful and responsive to individuals Efficient Avoiding wasting time…
Is the team the right size and composition? Are there adequate levels of complementary skills? Is there a shared goal for the team? Does everyone understand the goals of the…
Fig. 22.1 Translational research phases Although definitions and views about the scope of implementation science vary, a key feature is its approach to the problem of persisting quality gaps from…
Fig. 9.1 Methodological overview of POCA registry (Reproduced from BMJ Quality and Safety; Posner et al. [4], copyright 2002 with permission from BMJ Publishing Group Ltd) For each case, an…
Difficulties coordinating conflicting actions Poor communication among team members Failure of members to function as part of a team Reluctance to question the leader or more senior team members Failure…
© Springer-Verlag London 2015Paul R. Barach, Jeffery P. Jacobs, Steven E. Lipshultz and Peter C. Laussen (eds.)Pediatric and Congenital Cardiac Care10.1007/978-1-4471-6566-8_18 18. The Role of the Federal Government in the Improvement of Healthcare Quality and Reduction of…
© Springer-Verlag London 2015Paul R. Barach, Jeffery P. Jacobs, Steven E. Lipshultz and Peter C. Laussen (eds.)Pediatric and Congenital Cardiac Care10.1007/978-1-4471-6566-8_19 19. Lessons Learned from the Public Inquiry into Children’s Heart Surgery at the Bristol Royal Infirmary…
Fig. 6.1 Identify, mitigate, and escalate model illustrates which risk factors were systematically identified and how standardized communication about risk occurs throughout Cincinnati Children’s Hospital Medical Center. Reproduced with permission…
