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Search results for "Safety Scientists"
- Cardiothoracic Surgery
- Safety Scientists
Journal Article > Commentary
Sanchez JA, Ferdinand FD, Fann JI. Ann Thorac Surg. 2016;101:426-433.
The Society of Thoracic Surgeons National Database collects data to promote transparency and enhance technical expertise. Exploring safety sciences in cardiothoracic surgery, this commentary discusses how human error, accident causation, and high reliability can improve safety of care delivered by cardiac surgical teams.
Journal Article > Study
Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room.
Bowermaster R, Miller M, Ashcraft T, et al. J Am Coll Surg. 2015;220:149–155.e3.
This observational study describes how a pediatric cardiac surgery team used the human factors approach of recording even small deviations from ideal practice in order to better characterize safety problems. The authors describe how systematically capturing small failures led to recognition of faulty processes that could be addressed. A recent AHRQ WebM&M commentary discusses the application of human factors engineering to enhance safety of medical device design.
Journal Article > Study
Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.
Thompson DA, Marsteller JA, Pronovost PJ, et al. J Patient Saf. 2015;11:143-151.
This study describes a comprehensive approach to identifying safety hazards in a specific clinical environment, the cardiac surgery operating room, which jointly involved experts in organizational science, human factors, and clinical medicine. The authors detail the numerous methods they applied, including surveys, ethnographic direct observation, and analysis of a large database. Safety culture, teamwork and communication, infection prevention, handoffs, failure to adhere to standard practices, and environmental concerns were identified as six key hazards. This type of in-depth, multidisciplinary approach shows promise for determining and prioritizing safety approaches across various health care settings.
Sower VE, Duffy JA, Kohers G. American Society for Quality. August 2008.
This article describes the application of Formula One pit stop techniques to improving hand-off systems within a health care setting in the context of one British hospital's research on teamwork in Formula One pit crews.