Free Access
Issue |
J Extra Corpor Technol
Volume 54, Number 3, September 2022
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Page(s) | 175 - 190 | |
DOI | https://doi.org/10.1051/ject/202254175 | |
Published online | 15 September 2022 |
- Green C. Perfusion safety and risk reduction. Presentation at the 6th European conference on perfusion education and training in Stockholm, Sweden. 2006. Available at: https://studyres.com/doc/8027350/quality-in-cardiovascular-perfusion. Accessed March 7, 2021. [Google Scholar]
- Jenkins OF, Morris R, Simpson JM. Australasian perfusion incident survey. Perfusion. 1997;12:279–88. [CrossRef] [PubMed] [Google Scholar]
- Mejak BL, Stammers A, Rauch E, et al. A retrospective study on perfusion incidents and safety devices. Perfusion. 2000;15:51–61. [CrossRef] [PubMed] [Google Scholar]
- Australian and New Zealand College of Perfusionists. Safety Pirs-2. Available at: https://anzcp.org/pirs-ii/. Accessed November 17, 2021. [Google Scholar]
- Safety Committee of The Society of Clinical Perfusion Scientists of Great Britain and Ireland and The College of Clinical Perfusion Scientists of Great Britain and Ireland. Safety Committee. Available at: https://www.scps.org.uk/safety/safety-committee. Accessed November 17, 2021. [Google Scholar]
- Wilcox T. Perfusion Incident Reporting System (PIRS) November 2014. The Australian and New Zealand College of Perfusionists Gazette. 2014;5–7. [Google Scholar]
- Riley JB. Are perfusion technology and perfusionists ready for quality reporting employing six-sigma performance measurement? J Extra Corpor Technol. 2003;35:168–71. [Google Scholar]
- Gum A, Sierer S, Topor P. Can voluntary incident reporting increase safety in perfusion? Acad News. 2017;6–13. [Google Scholar]
- Riley JB. Classic Pages of the journal of extracorporeal technology. J Extra Corpor Technol. 2007;39:201–9. [Google Scholar]
- Matte GS, Riley D, LaPierre R, et al. The Children’s Hospital Boston non-routine event reporting program. J Extra Corpor Technol. 2010;42:158–62. [Google Scholar]
- Creswell J. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Los Angeles: Sage; 2014:186–198. [Google Scholar]
- Picardi CA, Masick KD. Research Methods: Designing and Conducting Research with a Real-World Focus. Los Angeles: Sage; 2014:140–142. [Google Scholar]
- Agency for Healthcare Research and Quality. Learn from defects tool. December 2012. Available at: https://www.ahrq.gov/hai/cusp/toolkit/learn-defects.html. Accessed March 8, 2021. [Google Scholar]
- Australian and New Zealand College of Perfusionists. PIRS-2 Incident Report Form. Available at: https://anzcp.org/pirs-ii/pirs-ii-form/. Accessed November 18, 2021. [Google Scholar]
- Society of Clinical Perfusion Scientists of Great Britain and Ireland. SCPS Safety Report. Available at: https://www.scps.org.uk/safety/submit-a-report. Accessed November 18, 2021. [Google Scholar]
- World Health Organization. Conceptual Framework for the International Classification for Patient Safety, Version 1.1. January 2009. Available at: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwjv7uTR5KL0AhUknGoFHc6XCCAQFnoECAUQAQ&url=https%3A%2F%2Fwww.who.int%2Fpatientsafety%2Ftaxonomy%2Ficps_full_report.pdf&usg=AOvVaw3n_IUc6pdMZEYHtDBaTO_u. Accessed November 18, 2021. [Google Scholar]
- The Patient Safety Company. Quality and Risk Management Software. Houston, TX. Available at: https://www.patientsafety.com/en/. Accessed November 18, 2021. [Google Scholar]
- Risk O. One Platform for Responding to Real-World Challenges. Chicago, IL. Available at: https://www.origamirisk.com. Accessed November 18, 2021. [Google Scholar]
- RLDatix. Home Page. North America. Available at: https://www.rldatix.com/en-nam. Accessed November 18, 2021. [Google Scholar]
- Puis L, Milojevic M, Boer C, et al. 2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery. Interact Cardiovasc Thorac Surg. 2020;30:161–202. [Google Scholar]
- Svenmarker S, Haggmark S, Jansson E, et al. Quality assurance in clinical perfusion. Eur J Cardiothorac Surg. 1998;14:409–14. [CrossRef] [PubMed] [Google Scholar]
- de Leval MR, Carthey J, Wright DJ, et al. Human factors and cardiac surgery: A multicenter study. J Thorac Cardiovasc Surg. 2000;119:661–72. [CrossRef] [Google Scholar]
- Wilcox TW, Baker RA. Incident reporting in perfusion: Current perceptions on PIRS-2. J Extra Corpor Technol. 2020;52:7–12. [Google Scholar]
- Simmons D, Mick JA, Graves K, et al. 26,000 close call reports: Lessons from the University of Texas close call reporting system. In: Henriksen K, Battles JB, Keyes MA, et al. , eds. Advances in Patient Safety: New Directions and Alternative Approaches, Vol. 1 Assessment. Rockville, MD: Agency for Healthcare Research and Quality; August 2008. [Google Scholar]
- Svenmarker S, Appelblad M. Reporting of perfusion-related incidents: Pitfalls and limitations. Perfusion. 2005;20:243–8.[CrossRef][10.1191/0267659105pf824oa] [CrossRef] [PubMed] [Google Scholar]
- Aberg T, Svenmarker S, Hohner P, et al. Routine registration of deviations from the norm in cardiac surgery: A potent clinical research tool and quality assurance measure. Eur J Cardiothorac Surg. 1997;11:10–6.[CrossRef][10.1016/S1010-7940(96)01000-7] [CrossRef] [Google Scholar]
- Wilcox TW. D?ou’ Venons-nous/Que Somes Nous/Ou’ Allons Nous? Accidents Are Inevitable. J Extra Corpor Technol. 2012;44:2–5. [Google Scholar]
- Alwardt C, Wilson DS, Pajaro OE. Unexplained obstruction of an integrated cardiotomy filter during cardiopulmonary bypass. J Extra Corpor Technol. 2017;49:59–63. [Google Scholar]
- Institute of Medicine. Patient safety: Achieving a new standard for care. November 2003. Available at: https://ncvhs.hhs.gov/wp-content/uploads/2014/05/040305p1.pdf. Accessed March 8, 2021. [Google Scholar]
- Gong Y, Kang H, Wu X, et al. Enhancing patient safety event reporting: A systematic review of system design features. Appl Clin Inform. 2017;8:893–909. [CrossRef] [Google Scholar]
- Agency for Healthcare Research and Quality. System-focused event investigation and analysis guide. 2017. Available at: https://www.ahrq.gov/patient-safety/capacity/candor/modules/guide4.html. Accessed March 11, 2021. [Google Scholar]
- Wahr JA, Prager RL, Abernathy JH, et al. Patient safety in the cardiac operating room: Human factors and teamwork. Circulation. 2013;128:1139–69. [CrossRef] [PubMed] [Google Scholar]
- Gritten M. The Gritten report: The independent root cause analysis report into the adverse incident that led to the death of a paediatric cardiac surgery patient at United Bristol Healthcase NHS Trust on 27th May 2005. 2007. Available at: https://assets.websitefiles.com/5da4ad68b9d5374c5a54c71d/5da4ad68b9d537a0a854ca48_SCPS%20-%20Gritten%20Report.pdf. Accessed March 12, 2021. [Google Scholar]
- Agency for Healthcare Research and Quality. Patient Safety Organization (PSO) program. No date. Available at: https://pso.ahrq.gov/. Accessed March 12, 2021. [Google Scholar]
- U.S. Department of Health and Human Services. Patient Safety and Quality Improvement Act of 2005 Statute and Rule. June 16, 2017. Available at: https://www.hhs.gov/hipaa/for-professionals/patient-safety/statute-and-rule/index.html. Accessed November 19, 2021. [Google Scholar]
- Hayn C. FISMA assessment and authorization guidance. February 2020. Available at: https://wiki.nci.nih.gov/pages/viewpage.action?pageId=384206461. Accessed May 22, 2022. [Google Scholar]
- U.S Department of Commerce, National Institute of Standards and Technology. SP 800-53A Rev. 5, Assessing Security and Privacy Controls in Information Systems and Organizations. January, 2022. Available at: https://csrc.nist.gov/publications/detail/sp/800-53a/rev-5/final. Accessed May 22, 2022. [Google Scholar]
- U.S. Department of Commerce. Privacy Shield Framework. Self-Certification Information. No date. Available at: https://www.privacyshield.gov/article?id=Self-Certification-Information. Accessed May 22, 2022. [Google Scholar]
- American Institute of Certified Public Accountants (AICPA). 2017 Trust services criteria for security, availability, processing integrity, confidentiality, and privacy. March, 2020. Available at: https://us.aicpa.org/content/dam/aicpa/interestareas/frc/assuranceadvisoryservices/downloadabledocuments/trust-services-criteria.pdf. Accessed May 22, 2022. [Google Scholar]
- Agency for Healthcare Research and Quality. Common Formats Overview. April 2021. Available at: https://pso.ahrq.gov/common-formats/overview. Accessed November 19, 2021. [Google Scholar]
- Agency for Healthcare Research and Quality. Become a Patient Safety Organization. August 2021. Available at: https://pso.ahrq.gov/become. Accessed November 19, 2021. [Google Scholar]
- Agency for Healthcare Research and Quality. Assess Eligibility to Become a PSO. August 2021. Available at: https://pso.ahrq.gov/become/assess-eligibility. Accessed November 19, 2021. [Google Scholar]
- Agency for Healthcare Research and Quality. Select the Prospective PSO Authorized Official (AO). August 2021. Available at: https://pso.ahrq.gov/become/select-authorized-official. Accessed November 19, 2021. [Google Scholar]
- Agency for Healthcare Research and Quality. Establish Policies and Procedures for Conducting Patient Safety Activities. August 2021. Available at: https://pso.ahrq.gov/become/establish-policies. Accessed November 19, 2021. [Google Scholar]
- Agency for Healthcare Research and Quality. Guides: Guides for PSOs and Providers for Determining Parent Organization and Affiliated Providers. July 2021. Available at: https://pso.ahrq.gov/resources/guides. Accessed November 19, 2021. [Google Scholar]
- Agency for Healthcare Research and Quality. Certification for Initial Listing Form. March 2021. Available at: https://pso.ahrq.gov/forms/initial-listing. Accessed November 19, 2021. [Google Scholar]
- Agency for Healthcare Research and Quality. Prepare to Submit the Certification for Initial Listing Form. August 2021. Available at: https://pso.ahrq.gov/become/submit-certification. Accessed November 19, 2021. [Google Scholar]
- Agency for Healthcare Research and Quality. Listed PSOs. No date. Available at: https://www.pso.ahrq.gov/pso/listed. Accessed April 15, 2021. [Google Scholar]
- Agency for Healthcare Research and Quality. Disclosure Statement Form. August 2021. Available at: https://pso.ahrq.gov/forms#disclosure. Accessed November 22, 2021. [Google Scholar]
- Agency for Healthcare Research and Quality. The Orrum PSO. April 1, 2021. Available at: https://pso.ahrq.gov/pso/orrum-pso. Accessed November 22, 2021. [Google Scholar]
- Pronovost PJ, Morlock LL, Sexton JB, et al. Improving the value of patient safety reporting systems. In: Advances in Patient Safety: New Directions and Alternative Approaches, Vol. 1: Assessment. Rockville, MD: Agency for Healthcare Research and Quality; August 2000. [Google Scholar]
- Anderson J. Patient Safety Organizations: Improving Safety Through Reporting. Presented at the HCCA Quality of Care Conference. Oct. 11-13, 2009. Available at: file:///C:/Users/CCSFIE∼1/AppData/Local/Temp/GSTues_Anderson-1.pdf. Accessed November 19, 2021. [Google Scholar]
- Grist G. Prevent perfusion incidents: An AmSECT risk register. AmSECT Today. 2021;24:16–9. [Google Scholar]
- Agency for Healthcare Research and Quality. NPSD Network of Patient Safety Databases. No date. Available at: https://www.ahrq.gov/npsd/index.html. Accessed November 22, 2021. [Google Scholar]
- U.S. Food and Drug Administration. MAUDE–Manufacturer and User Facility Device Experience. October 31, 2021. Available at: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfmaude/search.cfm. Accessed November 22, 2021. [Google Scholar]
- Agency for Healthcare Research and Quality. Patient Safety Organization (PSO) Program Frequently Asked Questions. July 2021. Available at: https://pso.ahrq.gov/faq. Accessed November 23, 2021. [Google Scholar]
- Ginther R Jr, Fillingham R, Searles B, et al. Departmental use of perfusion crisis management drills: 2002 survey results. Perfusion. 2003;18:299–302. [CrossRef] [PubMed] [Google Scholar]
- Australian and New Zealand College of Perfusionists. Safety PIRS-2. No date. Available at: https://anzcp.org/pirs-ii/. Accessed April 28, 2021. [Google Scholar]
- Agency for Healthcare Research and Quality. Stories from the field. November 2018. Available at: https://pso.ahrq.gov/with_pso/stories. Accessed April 28, 2021. [Google Scholar]
- Kuruz M. Invited commentary: RE: A retrospective survey of monitoring/safety devices and incidents of cardiopulmonary bypass for cardiac surgery in France. J Extra Corpor Technol. 2007;39:158–9. [Google Scholar]
- Colligan M. Results of the 2019 survey on perceptions of vacancy and turnover among perfusionists in the United States. J Extra Corpor Technol. 2020;52:27–42. [Google Scholar]
- Mort E, Bruckel J, Donelan K, et al. Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. Am J Med Qual. 2017;32:472–9. [CrossRef] [PubMed] [Google Scholar]
- American Society of Extracorporeal Technology. AmSECT FMEA Archives. No date. Available at: https://www.amsect.org/page/fmea-archives. Accessed May 3, 2021. [Google Scholar]
- Fitzgerald D. The “Just Culture” approach to perfusion quality and safety. Presented at: The Annual Cardiothoracic Surgery Symposium; 2018 Sept. 6-9; San Diego, CA. [Google Scholar]
- Department of Health. Guide to Good Practice in Clinical Perfusion. 2009. Available at: https://www.actacc.org/node/104. Accessed May 26, 2021. [Google Scholar]
- Australian and New Zealand College of Perfusionists. Rules of the Australian and New Zealand College of Perfusionists Incorporated. 2020. Available at: https://anzcp.org/wp-content/uploads/2020/11/ANZCP-Rules-Final-Approved-201120.pdf. Accessed March 13, 2021. [Google Scholar]
- Reagor JA. Focusing on patient and perfusionist safety: Re-visiting the development of a safety reporting system. AmSECT Today. 2020;23:4. [Google Scholar]
- van Vuuren W, Shea CE, van der Schaaf TW. The development of an incident analysis tool for the medical field. 1997. Available at: https://pure.tue.nl/ws/files/1370080/493452.pdf. Accessed March 13, 2021. [Google Scholar]
- Schabel RK, Berryessa RG, Justison GA, et al. Ten common perfusion problems: Prevention and treatment protocols. J Extra Corpor Technol. 1987;19:392–8. [Google Scholar]
- Downing D. Massive air embolism in a Fontan patient. J Extra Corpor Technol. 2011;43:169. [Google Scholar]
- Department of Health and Human Services. Electronic Code of Federal Regulations (e-CFR): Part 3–Patient Safety Organizations and Patient Safety Work Product. 2008. Available at: https://www.ecfr.gov/cgi-bin/text-idx?SID=42192f8b6c83ddc436beeab06ef0ab90&mc=true&node=pt42.1.3&rgn=div5. Accessed April 15, 2021. [Google Scholar]
- Office of Civil Rights. Patient safety and quality improvement act of 2005 statute and rule. June 2017. Available at: https://www.hhs.gov/hipaa/for-professionals/patient-safety/statute-and-rule/index.html. Accessed March 12, 2021. [Google Scholar]
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