Lean in the Cardiac Intensive Care Unit
Fig. 20.1 Process flow of mechanical ventilation (MV) support in the CICU. Duration of MV is frequently the rate-limiting process in terms of duration of stay in the CICU. The…
Design of Cardiac Surgery Operating Rooms and the Impact of the Built Environment
Fig. 34.1 OR-adjacent Induction Room: Layout illustrating OR-adjacent induction rooms (often referred to as “anaesthesia rooms” (Used with permission from Stantec Architecture, Inc. ©2013 Stantec) In contrast, in-room induction –…
Towards Effective Data Utilization in Congenital Cardiac Critical Care
Fig. 32.1 Schematic of evolving patient data. Data that is observed only intermittently (a) may not reveal critical underlying clinical trends (b). Variety Data in critical care comes from multiple…
Simulation-Based Training to Enhance Patient Safety in Pediatric Cardiovascular Care
Component Catheterization laboratory Intensive care unit/ECMO Care Cardiac operating room Personnel Catheterizer Intensivist Surgeon Catheter technician Surgeon Assistant surgeon Anesthesiologist Nurse Anesthesiologist Nurse Respiratory therapist Scrub nurse Trainees ECMO specialist/perfusionist…
Clinical Decision Making
Property Type 1 processes Type 2 processes Decision making Intuitive Analytical Heuristic Normative Associative Deductive Concrete Abstract Proportion of cognitive time High Low Awareness Low High Automaticity, reflexivity High Low…
Quality Improvement in Noninvasive Imaging: Present and Future Initiatives
1. Structure (a) Facility (b) Equipment (c) Staff 2. Process (a) Patient selection (b) Study performance (c) Study interpretation (d) Study reporting 3. Outcome (a) Death (b) Disease (c) Discomfort…
Improving Pediatric Cardiac Care with Continuous Quality Improvement Methods and Tools
Fig. 3.1 The plan-do-study-act cycle (Adapted from Langley et al. [6]) Fig. 3.2 The Model for Improvement, which incorporates the plan-do-study-act cycle (Adapted from Langley et al. [6]) 1. What…
Patients as Observers and Reporters in Support of Systems and Patient Safety
PARS is Employed by Dr. Uro’s Organization PARS was launched at Celestial Medical Center (the organization with which Dr. Uro’s Department is affiliated) only after Vanderbilt’s Center for Patient and…
The Children’s Hospital of Michigan Quality and Safety Journey: Making Safety First and Making It Last
This equation is critical because the focus has to be primarily on delivering high–quality care. If high-quality care can be delivered, the next focus is to provide it at the…
Information Management and Hospital Enterprise Information Systems
Fig. 31.1 Components of a clinical information system with the electronic medical record as the core component that communicates with internal and external systems Clinical activities or specialty areas may…
