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241. Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
     May 01, 2004 - used in failure to rescue definition (i.e., pneumonia, DVT/PE, sepsis, acute renal failure, shock/cardiac … with any diagnosis of trauma or any code indicating thoracic surgery or lung or pleural biopsy or cardiac … arrhythmia, cardiac arrest, shock, hemorrhage or gastrointestinal hemorrhage. … minor procedures (e.g., administering oxygen) as well as more major but nonsurgical procedures (e.g., cardiac … Incidence and characteristics of preventable iatrogenic cardiac arrests.

242. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
     May 01, 2017 - the use of rapid response systems for improving patient safety and outcomes, mainly for improving cardiac … which a medical rapid response team, or medical emergency code team, should be activated—for example, cardiac

243. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
     May 05, 2008 - children admitted per year, 25 percent of these patients have undergone surgical intervention for cardiac … Human factors and cardiac surgery: A multicenter study. … Identification of systems failures in successful paediatric cardiac surgery.

244. Improving-Facnotes (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
     May 01, 2017 - The cardiac surgery checklist was developed for use in cardiac procedures in the United States because … cardiac operating rooms have different requirements from a general operating room. … The CUS technique · Examples of checklists, including the ambulatory surgery center checklist, the cardiac

245. Selected Best Practices and Suggestions for Improvement (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4f_combo_psi09-postophemorrhage-bestpractices.pdf
     May 20, 2016 - o Diminished cardiac output and dropping central venous pressure. o Reductions in urine output.

246. AHRQ Initiatives Support Better Heart Health for All Americans | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/initiatives-support-heart-health.html
     September 01, 2021 - assistance to up to 100 hospitals to implement proven strategies to increase patient participation in cardiac

247. Tool 3K: Algorithm for Mobilizing Patients | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/algorithm.html
     January 01, 2013 - criteria, specific weight-bearing restrictions in place, acute fracture, recent arrhythmia, recent cardiac

248. Tool 3I: Medication Fall Risk Score and Evaluation Tools | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/medication-risk-score.html
     January 01, 2013 - postural disturbances, altered gait and balance, impaired cognition 2 (Medium) Antihypertensives, cardiac

249. Comparing Patient Safety in Rural Hospitals by Bed Count (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Loux.pdf
     January 01, 2004 - Relatively few rural hospitals provide cardiac services, with large hospitals being the most likely … to offer angioplasty and cardiac catheterization. … * 5.2% (154) 12.5% (64) 52.1% (48) 15.4% (266) ESWL* 4.6% (154) 7.8% (64) 31.3% (48) 10.2% (266) Cardiac … Care Angioplasty* 0.0% (154) 1.6% (64) 31.3% (48) 6.0% (266) Cardiac catheterization* 1.0% (154

250. Breakout Session: Use of Data and Measurement in Improving Diagnostic Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-breakout.pdf
     September 28, 2016 - geographic characteristics, especially payer and for respiratory and mental conditions ► Having a cardiac

251. Measures: Availability of Outpatient Maternal Fetal Medicine and Special Care for Women .... (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-1-ef.pdf
     March 01, 2015 - Importance Maternal morbidity resulting from certain diseases and chronic conditions (such as hypertension, cardiac

252. Section 2: Explanation of Key Team Leadership Concepts and Tools | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
     July 01, 2023 - Tertiary Care Facility): The Core Team may be composed of the interventional cardiologist, nurse, and cardiac … Inpatient (Tertiary Care Facility): The Contingency Team may be composed of the cardiac surgeon, anesthesia

253. Impact of Staff-Led Safety Walk Rounds (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
     March 05, 2008 - • Inadequate hand-off tool between staff of the cardiac catheterization laboratory, the post- anesthesia … Communication • Incomplete hand-off from cardiac catheterization laboratory to other areas.

254. Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar04/formative_evaluation_webinar.pptx
     July 15, 2013 - Accelerating Utilization of Comparative Effectiveness Findings in Medicaid Mental Health: Stephen Crystal, PhD Cardiac

255. Module 6 Evidence Base (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_support_evbase.pdf
     January 01, 2013 - Identifying non-technical skills and barriers for improvement of teamwork in cardiac arrest teams.

256. Measure 6: Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-2.pdf
     January 01, 2016 - Code Devices Programmable shunt V53.01 Nerve Stimulator V53.02 Cochlear or Ocular Implant V53.09 Cardiac

257. TeamSTEPPS 2.0 Evidence Base: Mutual Support (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/ebmutualsupp.pdf
     January 01, 2013 - Identifying non-technical skills and barriers for improvement of teamwork in cardiac arrest teams.

258. The Contribution of Diagnostic Error to Maternal Mortality and Severe Maternal Morbidity | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
     September 01, 2021 - protocol was not activated due to the lack of an organized standard approach. h The patient had a cardiac

259. Improving Quality of Care and Patient Safety with Evidence-based Management Practices | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-mcalearney.html
     January 01, 2022 - They focused on the hospital’s use of cardiac alarms, HAI surveillance, and secure messaging in electronic

260. Nurses' Role in Diagnosis, Through the Lens of Distributed Cognition | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses3.html
     August 01, 2022 - part of “the diagnostic safety net,” 12 because they often identify key signs and symptoms (e.g., cardiac