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PSNet: Patient Safety Network
Journal Article

Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.

Kane JM, Preze E. Journal of nursing care quality. 2009;24:354-61.

Creation of a dedicated pediatric cardiac surgery unit was felt to have clinical benefits, but many nurses reported feeling unable to provide safe care due to inadequate training or experience. The Bristol Royal Infirmary pediatric cardiology unit is considered a classic case of how a dysfunctional organization can result in dire clinical consequences.