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Volumn 20, Issue 1, 2005, Pages 13-20

A human factors approach to understanding patient safety during pediatric cardiac surgery

Author keywords

Adverse events; Adverse outcomes; Human factors; Near misses; No harm events; Pediatric cardiac surgery; Safety culture

Indexed keywords

ANESTHESIA; BYPASS SURGERY; HEART SURGERY; HUMAN; INTRAOPERATIVE PERIOD; OPERATING ROOM; PATIENT CARE; PEDIATRIC SURGERY; PEDIATRICS; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RETROSPECTIVE STUDY; REVIEW; RISK ASSESSMENT; SAFETY; TREATMENT OUTCOME; VIDEORECORDING;

EID: 16844365473     PISSN: 10589813     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ppedcard.2004.12.001     Document Type: Article
Times cited : (44)

References (40)
  • 2
    • 0034718145 scopus 로고    scopus 로고
    • Is US health really the best in the world?
    • B. Starfield Is US health really the best in the world? JAMA 284 4 2000 483 485
    • (2000) JAMA , vol.284 , Issue.4 , pp. 483-485
    • Starfield, B.1
  • 3
    • 0025924692 scopus 로고
    • Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I
    • T.A. Brennan, L.L. Leape, and N.M. Laird Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I N Engl J Med 324 1991 37 376
    • (1991) N Engl J Med , vol.324 , pp. 37-376
    • Brennan, T.A.1    Leape, L.L.2    Laird, N.M.3
  • 5
    • 0026022279 scopus 로고
    • The nature of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study II
    • L.L. Leape, T.A. Brennan, and N.M. Laird The nature of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study II N Engl J Med 324 1991 377 384
    • (1991) N Engl J Med , vol.324 , pp. 377-384
    • Leape, L.L.1    Brennan, T.A.2    Laird, N.M.3
  • 6
    • 0004223940 scopus 로고
    • Cambridge University Press
    • J.T. Reason Human error 1990 Cambridge University Press
    • (1990) Human Error
    • Reason, J.T.1
  • 7
    • 0037600690 scopus 로고    scopus 로고
    • Analysis of errors by surgeons at three teaching hospitals
    • A.A. Gawande, M.J. Zinner, D.M. Studdert, and T.A. Brennan Analysis of errors by surgeons at three teaching hospitals Surgery 133 6 2003 614 621
    • (2003) Surgery , vol.133 , Issue.6 , pp. 614-621
    • Gawande, A.A.1    Zinner, M.J.2    Studdert, D.M.3    Brennan, T.A.4
  • 8
    • 0028292975 scopus 로고
    • Analysis of a cluster of surgical failures: Application to a series of neonatal arterial switch operations
    • M.R. de Leval, K. Francois, C. Bull, W. Brawn, and D. Spiegelhalter Analysis of a cluster of surgical failures: application to a series of neonatal arterial switch operations J Thorac Cardiovasc Surg 107 1994 914 924
    • (1994) J Thorac Cardiovasc Surg , vol.107 , pp. 914-924
    • De Leval, M.R.1    Francois, K.2    Bull, C.3    Brawn, W.4    Spiegelhalter, D.5
  • 10
    • 0035151838 scopus 로고    scopus 로고
    • Early identification of divergent performance in congenital cardiac surgery
    • S. Gallivan, K.B. Davis, and J.F. Stark Early identification of divergent performance in congenital cardiac surgery Eur J Cardio-Thorac Surg 20 2001 1214 1219
    • (2001) Eur J Cardio-Thorac Surg , vol.20 , pp. 1214-1219
    • Gallivan, S.1    Davis, K.B.2    Stark, J.F.3
  • 11
    • 0033932402 scopus 로고    scopus 로고
    • Likely variations in peri-operative mortality associated with cardiac surgery: When does high mortality reflect bad practice?
    • C. Sherlaw-Johnson, J. Lovegrove, T. Treasure, and S. Gallivan Likely variations in peri-operative mortality associated with cardiac surgery: when does high mortality reflect bad practice? Heart 84 2000 79 82
    • (2000) Heart , vol.84 , pp. 79-82
    • Sherlaw-Johnson, C.1    Lovegrove, J.2    Treasure, T.3    Gallivan, S.4
  • 12
    • 0034935030 scopus 로고    scopus 로고
    • Assessment of mortality rates for congenital heart defects and surgeon's performance
    • J.F. Stark, S. Gallivan, and K. Davies Assessment of mortality rates for congenital heart defects and surgeon's performance Ann Thorac Surg 72 2001 169 175
    • (2001) Ann Thorac Surg , vol.72 , pp. 169-175
    • Stark, J.F.1    Gallivan, S.2    Davies, K.3
  • 15
    • 0035056835 scopus 로고    scopus 로고
    • Surgery for coarctation of the aorta in infants weighing less than 2 kg
    • E.A. Bacha, M. Almodovar, and D.L. Wessel Surgery for coarctation of the aorta in infants weighing less than 2 kg Ann Thorac Surg 71 2001 1260 1264
    • (2001) Ann Thorac Surg , vol.71 , pp. 1260-1264
    • Bacha, E.A.1    Almodovar, M.2    Wessel, D.L.3
  • 16
    • 0032937673 scopus 로고    scopus 로고
    • Results of 102 cases of complete repair of congenital heart defects in patients weighing 700 to 2500 grams
    • V.M. Reddy, D.B. McElhinney, T. Sagrado, A.J. Parry, D.F. Teitel, and F.L. Hanley Results of 102 cases of complete repair of congenital heart defects in patients weighing 700 to 2500 grams J Thorac Cardiovasc Surg 117 2 1999 324 331
    • (1999) J Thorac Cardiovasc Surg , vol.117 , Issue.2 , pp. 324-331
    • Reddy, V.M.1    McElhinney, D.B.2    Sagrado, T.3    Parry, A.J.4    Teitel, D.F.5    Hanley, F.L.6
  • 18
    • 0028925724 scopus 로고
    • In-hospital mortality for surgical repair of congenital heart defects: Preliminary observations of variation by hospital caseload
    • K.J. Jenkins, and J.W. Newburger In-hospital mortality for surgical repair of congenital heart defects: preliminary observations of variation by hospital caseload Pediatrics 95 1995 323 330
    • (1995) Pediatrics , vol.95 , pp. 323-330
    • Jenkins, K.J.1    Newburger, J.W.2
  • 19
    • 0031810778 scopus 로고    scopus 로고
    • Pediatric cardiac surgery: The effect of hospital and surgeon volume on in-hospital mortality
    • E.L. Hannan, M. Racz, R. Kavey, J.M. Quaegebeur, and R. Williams Pediatric cardiac surgery: the effect of hospital and surgeon volume on in-hospital mortality Pediatrics 101 1998 963 969
    • (1998) Pediatrics , vol.101 , pp. 963-969
    • Hannan, E.L.1    Racz, M.2    Kavey, R.3    Quaegebeur, J.M.4    Williams, R.5
  • 20
    • 0010917093 scopus 로고    scopus 로고
    • Mortality and volume of cases in paediatric cardiac surgery: Retrospective study based on routinely collected data
    • D.J. Spiegelhalter Mortality and volume of cases in paediatric cardiac surgery: retrospective study based on routinely collected data BMJ 323 2001 1 5
    • (2001) BMJ , vol.323 , pp. 1-5
    • Spiegelhalter, D.J.1
  • 21
    • 2442628599 scopus 로고    scopus 로고
    • The Aristotle score: A complexity-adjusted method to evaluate surgical results
    • F. Lacour-Gayet, D. Clarke, and J. Jacobs The Aristotle score: a complexity-adjusted method to evaluate surgical results Eur J Cardiothorac Surg 25 6 2004 911 924
    • (2004) Eur J Cardiothorac Surg , vol.25 , Issue.6 , pp. 911-924
    • Lacour-Gayet, F.1    Clarke, D.2    Jacobs, J.3
  • 23
    • 0347871272 scopus 로고    scopus 로고
    • A very public failure: Lessons for quality improvement in healthcare organizations from the Bristol Royal Infirmary
    • K. Walsh, and N. Offen A very public failure: lessons for quality improvement in healthcare organizations from the Bristol Royal Infirmary Qual Health Care 10 2001 250 256
    • (2001) Qual Health Care , vol.10 , pp. 250-256
    • Walsh, K.1    Offen, N.2
  • 25
    • 0037244466 scopus 로고    scopus 로고
    • Measuring errors and adverse events in health care
    • E.J. Thomas, and L.A. Peterson Measuring errors and adverse events in health care J Gen Intern Med 18 2003 61 67
    • (2003) J Gen Intern Med , vol.18 , pp. 61-67
    • Thomas, E.J.1    Peterson, L.A.2
  • 27
    • 0032807457 scopus 로고    scopus 로고
    • The incidence and nature of surgical adverse events in Colorado and Utah in 1992
    • A.A. Gawande, E.J. Thomas, M.J. Zinner, and T.A. Brennan The incidence and nature of surgical adverse events in Colorado and Utah in 1992 Surgery 126 1999 66 75
    • (1999) Surgery , vol.126 , pp. 66-75
    • Gawande, A.A.1    Thomas, E.J.2    Zinner, M.J.3    Brennan, T.A.4
  • 28
    • 0035799063 scopus 로고    scopus 로고
    • Adverse events in British hospitals: Preliminary retrospective record review
    • C. Vincent, G. Neale, and M. Woloshynowych Adverse events in British hospitals: preliminary retrospective record review BMJ 322 2001 517 519
    • (2001) BMJ , vol.322 , pp. 517-519
    • Vincent, C.1    Neale, G.2    Woloshynowych, M.3
  • 30
    • 0032736454 scopus 로고    scopus 로고
    • The society of thoracic surgeons national congenital heart surgery database report: Analysis of the first harvest (1994-1997)
    • C. Mavroudis, M. Gevritz, W.S. Ring, C.L. McIntosh, and M. Schwartz The society of thoracic surgeons national congenital heart surgery database report: analysis of the first harvest (1994-1997) Ann Thorac Surg 68 1999 601 624
    • (1999) Ann Thorac Surg , vol.68 , pp. 601-624
    • Mavroudis, C.1    Gevritz, M.2    Ring, W.S.3    McIntosh, C.L.4    Schwartz, M.5
  • 32
    • 0034938647 scopus 로고    scopus 로고
    • The human factor in cardiac surgery: Errors and near misses in a high technology medical domain
    • J. Carthey, M.R. de Leval, and J.T. Reason The human factor in cardiac surgery: errors and near misses in a high technology medical domain Ann Thorac Surg 72 2001 300 305
    • (2001) Ann Thorac Surg , vol.72 , pp. 300-305
    • Carthey, J.1    De Leval, M.R.2    Reason, J.T.3
  • 33
    • 0034681866 scopus 로고    scopus 로고
    • Gaps in the continuity of care and progress on patient safety
    • R.I. Cook, M. Render, and D.D. Woods Gaps in the continuity of care and progress on patient safety BMJ 320 2000 791 794
    • (2000) BMJ , vol.320 , pp. 791-794
    • Cook, R.I.1    Render, M.2    Woods, D.D.3
  • 34
    • 0036125702 scopus 로고    scopus 로고
    • Team communications in the operating room: Talk patterns, sites of tension, and implications for novices
    • L. Lingard, R. Reznick, S. Espin, G. Regehr, and I. DeVito Team communications in the operating room: talk patterns, sites of tension, and implications for novices Acad Med 77 2002 232 237
    • (2002) Acad Med , vol.77 , pp. 232-237
    • Lingard, L.1    Reznick, R.2    Espin, S.3    Regehr, G.4    Devito, I.5
  • 35
    • 0346955731 scopus 로고    scopus 로고
    • The role of structured observational research in health care
    • J. Carthey The role of structured observational research in health care Qual Saf Health Care 12 Suppl. III 2003 ii13 ii16
    • (2003) Qual Saf Health Care , vol.12 , Issue.3 SUPPL.
    • Carthey, J.1
  • 37
    • 0032507502 scopus 로고    scopus 로고
    • Framework for analysing risk and safety in clinical medicine
    • C. Vincent, S. Taylor-Adams, and N. Stanhope Framework for analysing risk and safety in clinical medicine BMJ 316 1998 1154 1157
    • (1998) BMJ , vol.316 , pp. 1154-1157
    • Vincent, C.1    Taylor-Adams, S.2    Stanhope, N.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.