High reliability pediatric heart centers: Always working toward getting better.

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Current Opinion in Cardiology Pub Date : 2024-07-01 Epub Date: 2024-03-26 DOI:10.1097/HCO.0000000000001143
Andrea Torzone, Alexandra Birely
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Abstract

Purpose of review: The purpose of this review is to examine high reliability through the lens of a contemporary pediatric heart center, noting that continuous improvement, rather than perfection, should be embraced. Aiming to elevate topics with lesser attention, this review elaborates on key concepts and proposed considerations for maintaining a high reliability heart center.

Recent findings: As provision of care reaches a new complexity, programs are called upon to evaluate how they can bring their teams into the future of pediatric cardiac care. Although much has been written about high reliability in healthcare, it has not been explored within pediatric heart centers. Practical application of high reliability enables a shared mental model and aligns teams toward eliminating patient harm. Suggested facilitators of high reliability within heart center teams include interprofessional collaboration, recognition of nursing expertise, psychological safety, and structural empowerment void of hierarchy.

Summary: As the pediatric cardiac population evolves, care becomes more complex with a narrow margin of error. High reliability can guide continuous improvement. Acknowledging culture as the underpinning of all structure and processes allows teams to rebound from failure and supports the mission of rising to exceptional patient challenges.

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高度可靠的儿科心脏中心:不断进步
回顾的目的:本综述的目的是通过当代儿科心脏中心的视角来审视高可靠性,同时指出应坚持不断改进,而不是追求完美。本综述旨在提升关注度较低的话题,详细阐述了维持高可靠性心脏中心的关键概念和建议注意事项:随着医疗服务达到一个新的复杂程度,医疗项目需要评估如何将其团队带入儿科心脏护理的未来。尽管有关医疗保健领域高可靠性的论述已经很多,但在儿科心脏中心还没有进行过探讨。高可靠性的实际应用可以建立一个共同的心理模型,并使团队朝着消除对患者伤害的方向发展。建议在心脏中心团队中促进高可靠性的因素包括专业间合作、对护理专业知识的认可、心理安全以及无等级制度的结构授权。高可靠性可以指导持续改进。承认文化是所有结构和流程的基础,可以让团队从失败中反弹,并支持迎接特殊病人挑战的使命。
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来源期刊
Current Opinion in Cardiology
Current Opinion in Cardiology 医学-心血管系统
CiteScore
4.20
自引率
4.30%
发文量
78
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Current Opinion in Cardiology is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With fourteen disciplines published across the year – including arrhythmias, molecular genetics, HDL cholesterol and clinical trials – every issue also contains annotated reference detailing the merits of the most important papers.
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