Cardiac surgery: complex individual and organizational factors and their interactions. Concepts and practices

Neirotti, Rodolfo A.

doi:10.1590/s0102-76382010000100003

Cited by 4 publications

(3 citation statements)

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“…Programs can develop efficiently with a well-trained, educated, hard-working, and conscientious team that has access to modern technology that they use appropriately. (3) In a recent article, Dearani and associates (4) reviewed a systematic approach to the design and support of pediatric cardiac surgery programs in the developing world, citing basic requirements that can be universally applied (Table 1). Each one of these requirements should be properly identified and analyzed; ignoring any of them can have an additional negative impact on risk factors.…”

Section: Institutional and Human Resourcesmentioning

confidence: 99%

Neonatal Heart Surgery: Evaluation of Risk Factors

Ithuralde

Neirotti

2011

NeoReviews

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Neonatal heart surgery directed at the prompt anatomic and physiologic restoration of the patient who has congenital heart disease has largely developed in the past 2 decades. To obtain the best possible results and minimize the multiple risks involved with such surgery, various considerations must be taken into account, including the institution where the surgery occurs, the human resources available, and the particular characteristics of the newborn. An accurate statistical analysis of the surgical outcomes allows an intelligent examination of the risk factors, continuous improvement through responsiveness of the parts and the process, and valid comparisons with other institutions.

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Section: Institutional and Human Resourcesmentioning

confidence: 99%

Neonatal Heart Surgery: Evaluation of Risk Factors

Ithuralde

Neirotti

2011

NeoReviews

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“…The conventional wisdom that investing in buildings and machinery is the key to long-run development is another panacea that has not met expectations unless it is combined with human capital -attributes gained by a worker through education and experience. As I have written elsewhere, societies can grow rapidly by relying on a well-trained, educated, hardworking, and conscientious labor force that makes excellent use of modern technologies [9].…”

Section: The Challengementioning

confidence: 99%

Cardiac surgery: the infinite quest

Neirotti

2012

Revista Brasileira De Cirurgia Cardiovascular

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“…Recently, in several developing countries, strategies were proposed for correction of congenital heart diseases, such as transfer of patients to developed countries, arrangement of cardiac surgeons' trips to these countries or the creation of a local cardiovascular surgery program [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Heart defects treatment in Sergipe: propose of resources' rationalization to improve care

Leite¹,

Mendonça²,

Cipolotti³

et al. 2012

Rev Bras Cir Cardiovasc

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Objective: This study aims evaluate the treatment of congenital heart disease conducted from 2000 to 2009.Methods: The sample consisted of all patients undergoing surgical correction for congenital heart disease for ten years in Sergipe, Brazil. The patients were operated in three hospitals located in the city of Aracaju, capital of the state of Sergipe (Brazil). The study was divided into two periods defined by the start date of centralization of surgery. The variables collected were: age, sex, postoperative diagnosis, destination, type of surgery and hospital where the procedure was performed and the classification RACHS -1.Results: In the period I, the estimate deficit of surgery was 69% decrease occurring in the period II to 55.3%. The postoperative diagnosis was more frequent closure of the interventricular communication (20.5%), closure of patent ductus arteriosus (20.2%) and atrial septal defect (19%). There was a statistically significant correlation between the expected mortality RACHS-1 and observed in the sample. The evaluation of RACHS-1 as a predictor of hospital mortality by ROC curve showed area of 0.860 95% CI 0.818 to 0.902 with P <0.0001. Conclusion:The results of this study indicate that the centralization and organization of existing resources are needed to improve the performance of surgical correction of congenital heart diseases. Descriptors 225Leite DCF, et al. -Heart defects treatment in Sergipe: propose of resources' rationalization to improve careRev Bras Cir Cardiovasc 2012;27(2):224-30

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Cardiac surgery: complex individual and organizational factors and their interactions. Concepts and practices

Abstract: EditorialCardiac surgery: complex individual and organizational factors and their interactions. Concepts and practices.

Cited by 4 publications

References 0 publications

Neonatal Heart Surgery: Evaluation of Risk Factors

Neonatal Heart Surgery: Evaluation of Risk Factors

Cardiac surgery: the infinite quest

Heart defects treatment in Sergipe: propose of resources' rationalization to improve care

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