Human Factors and Outcomes in Pediatric Cardiac Surgery
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,…
The Role of Technology and Medical Devices in Enhancing Pediatric Cardiac Critical Care Outcomes
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…
Resilience and Systems Engineering
© 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,…
Quality and Safety in a Children’s Hospital
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…
Improving Clinical Outcomes in Pediatric Cardiology
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…
Leadership, Surgeon Well-Being, and Other Non-technical Aspects of Pediatric Cardiac Surgery
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…
The Pediatric Perioperative Cardiac Arrest (POCA) Registry
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…
Implementation Science—The Next Frontier
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…
Teams, Team Training, and the Role of Simulation
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…
Lessons Learned from the Public Inquiry into Children’s Heart Surgery at the Bristol Royal Infirmary and the English Safe and Sustainable Cardiac Review
© 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…
