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 Vol. 20 No. 3, September 2008
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AAP Grand Rounds 20:27-28 (2008)
© 2008 American Academy of Pediatrics

CARDIOLOGY/CARDIAC SURGERY

Medical Errors in Pediatric Cardiac Surgery

Source: Bognár A, Barach P, Johnson JK, et al. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. Ann Thorac Surg. 2008;85:1374–81; doi: 10.1016/j.athoracsur.2007.11.024[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.


PICO

Question: Do the perceptions and attitudes of health care professionals working in pediatric cardiovascular surgery reflect a culture of error reduction and patient safety?

Question type: Harm/Causation

Study design: Cross-sectional survey

 

To determine the perceptions and attitudes of surgical teams relative to committing errors, the impact of errors, and the culture of safety, an international group of investigators surveyed members of three pediatric cardiovascular surgical teams in urban academic medical centers between 2004 and 2005.

The survey consisted of scaled questions adapted from the validated Safety Attitudes Questionnaire (operating room version) and other validated tools, open-ended questions, and a clinical vignette. Questions explored perceptions and attitudes regarding safety, the impact of medical error on organizations and personnel, and adverse event reporting practices.

Sixty-one of 89 potential pediatric cardiovascular surgical team respondents completed the questionnaire (69% response rate). The sample consisted of 24 anesthesiologists, 15 nurses or technicians, 10 perfusionists, seven surgeons, and five respondents who did not indicate their profession.

Respondents described open channels of communication between the surgeon, anesthesiologist, and perfusionist. However, . . . [Full Text of this Article]

Geoffrey L. Rosenthal, MD, PhD, FAAP
Pediatric Cardiology, The Cleveland Clinic Foundation, Cleveland, OH