Local Improvement Teams
Process Never a problem Sometimes a problem A problem about ½ the time A problem most of the time Always a problem! Patients and Families have concerns Line Infection prevention…
Selection, Training and Mentoring of Cardiac Surgeons
Fig. 2.1 College grades for congenital heart surgeons who are now members of the CHSS (Congenital Heart Surgeons Society) or EACHS (European Association of Congenital Heart Surgeons) This ability to…
Quality Improvement in Pediatric Cardiology: The National Pediatric Cardiology Quality Improvement Collaborative
Fig. 4.1 NPC-QIC key driver diagram Fig. 4.2 NPC-QIC outcome measures Team Recruitment An initial group of six teams from clinical sites that perform stage 1 Norwood palliation were used…
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…
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…
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…
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…
