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The Cardiac Intensive Care Unit and Operating Room Continuum: Quality and Safety in the Cardiac Intensive Care Unit

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Pediatric and Congenital Cardiac Care

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Abstract

In the past decade, there has been an increased focus on quality and safety in health care. Decreasing variation, increasing adherence to evidence based guidelines, monitoring processes, and measuring outcomes are critical for improving quality of care. This focus is further enhanced because of the high cost of health care and potential for harm. Patient safety is a discipline that applies safety science methods toward the goal of achieving reliable patient outcomes. The cardiac intensive care unit, in particular, brings cardiovascular surgery, anesthesia, cardiology, critical care physicians and nurses together in a critical microsystem to deliver care at the “sharp end”. This group must coalesce to form a team and culture of collaboration in order to provide high quality and safe care. This team must be vested in using quality improvement and safety science to advance the care of patients with critical cardiac disease.

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Author information

Authors and Affiliations

  1. The Heart Institute, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Avenue, MLC 2003, Cincinnati, OH, 45229, USA

    David S. Cooper MD, MPH

  2. Divisions of Critical Care Medicine and Cardiology, Children’s National Health System, The George Washington University Medical Center, Washington, DC, USA

    Darren Klugman

  3. Department of Patient Services, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH,, USA

    Angela J. Kinstler

  4. The Heart Institute, Cincinnati Children’s Hospital Medical Center, University of Cincinnati School of Medicine, Cincinnati, OH,, USA

    David P. Nelson

  5. The James M. Anderson Center for Health Systems Excellence, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

    Stephen Muething

Authors
  1. David S. Cooper MD, MPH
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  2. Darren Klugman
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  3. Angela J. Kinstler
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  4. David P. Nelson
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  5. Stephen Muething
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Corresponding author

Correspondence to David S. Cooper MD, MPH .

Editor information

Editors and Affiliations

  1. School of Medicine,, University of Oslo, Oslo, Norway

    Paul R. Barach

  2. Division of Cardiac Surgery, Department of Surgery,, Division of Cardiac Surgery, Department of Surgery, Johns Hopkins All Children’s Heart Institute, All Children’s Hospital and Florida Hospital for Children, Johns Hopkins University, St. Petersburg, Tampa, Orlando, FL, USA, Johns Hopkins University, Baltimore, Maryland, USA

    Jeffery P. Jacobs

  3. School of Medicine, Wayne State University, Detroit, Michigan, USA

    Steven E. Lipshultz

  4. University of Toronto, The Hospital for Sick Children, Toronto, Ontario, Canada

    Peter C. Laussen

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Cooper, D.S., Klugman, D., Kinstler, A.J., Nelson, D.P., Muething, S. (2015). The Cardiac Intensive Care Unit and Operating Room Continuum: Quality and Safety in the Cardiac Intensive Care Unit. In: Barach, P., Jacobs, J., Lipshultz, S., Laussen, P. (eds) Pediatric and Congenital Cardiac Care. Springer, London. https://doi.org/10.1007/978-1-4471-6566-8_6

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  • DOI: https://doi.org/10.1007/978-1-4471-6566-8_6

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  • Online ISBN: 978-1-4471-6566-8

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