This document describes the clinical and physical environment in which the pediatric patient with heart disease can undergo accurate and safe diagnostic and therapeutic procedures. Effective utilization of facilities, development of new technologies, and deployment of personnel capable of providing care for the fetus, infant, child, and young adult with heart disease are outlined. Guidelines in this statement update a previous document published in 19781; these current guidelines are in concert with those developed by the Joint Commission on Accreditation of Health Care Organizations2 and are intended for use by health planning agencies and health service organizations to evaluate existing pediatric cardiac centers and to establish the need for new centers.2-5 Young patients with heart disease have unique medical problems that can be met best by a team with training and expertise in the management of such pediatric patients. The primary purpose of this document is to recommend guidelines by which evaluation and treatment can be accomplished safely and effectively and to offer mechanisms to assist in assuring excellence in the quality of pediatric cardiology care.
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