Passion and Promise to Lead Brings Out the Best in People Authenticity Receptivity to Feedback Learning Agility Culture Fit Adaptability Conceptual Thinking Navigates Ambiguity Passion for Results The transition from…
Fig. 11.1 Growth variation in infants with single ventricle. Variation in weight for age z-score changes, by surgical site caring for the patient, measured from stage 1 discharge to presentation…
Fig. 28.1 Handover template for the operating-room-to-cardiac critical care unit handover Discharge Handover The discharge handover is also critical, particularly in the care of neonates with complex congenital heart disease….
Fig. 16.1 Figure taken from de Leval et al., 1994, demonstrates cumulative sum (CUSUM) technique charting deaths as they occurred with comparison to a predicted rate determined by the Congenital…
Fig. 8.1 Association between surgical volume and risk-adjusted mortality by Aristotle difficulty: (a) low difficulty, ≤3 (P = 0.059); (b) high difficulty,>3 (P = 0.007) (Reprinted from Welke et al. [18], copyright 2009 with…
Fig. 13.1 Threat and error model proposed by Helmreich [8]. Immediate threats are factors outside the control of the cockpit crew that act to increase the complexity of the situation…
Fig. 36.1 The foundation of this evolution in pediatric and congenital cardiac care is a solid understanding of the inter-relationships of the domains of outcomes analysis, quality improvement, and patient…
5. Department of Health. An organisation with a memory: report of an expert group on learning from adverse events in the NHS. London: HMSO; 2000. 6. McGlynn EA, Asch SM,…
Fig. 29.1 SEIPS Model of Systems in Healthcare: safety and harm are emergent properties of systems (Redrawn with permission from Carayon Qual Saf Health Care 2006) There are two important…
© 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,…
