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41. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
    July 01, 2022 - events such as those associated with hip joint or knee joint replacement surgeries or postoperative cardiac

42. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
    May 30, 2013 - Somnolence 10–12 Respiratory difficulty/depression 12–16 Muscular paralysis 15–17 Altered cardiac … conduction >18 Cardiac arrest 30–35 Adapted from Simpson, 2004.10 Standing orders for nurse response … Somnolence 10-12 Respiratory difficulty/depression 12-16 Muscular paralysis 15-17 Altered cardiac … conduction >18 Cardiac arrest 30-35 Adapted from Simpson, 200410 · Standing orders for suspected

43. Selected Best Practices and Suggestions for Improvement (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
    May 17, 2016 - sepsis resuscitation at central venous oxygen saturation (ScvO2) greater than or equal to 70% and a cardiac … If low cardiac output and elevated systemic vascular resistance with normal blood pressure present,

44. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
    pbrn.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
    February 01, 2015 - Part-task trainers exist for vascular access, paracentesis, cardiac assessment, lumbar puncture, and … medical education.18 More recently, multi-year demonstration grants expanded into new areas, including cardiac … The retention of advanced cardiac life support knowledge among registered nurses. … A longitudinal study of internal medicine residents’ retention of advanced cardiac life support skills

45. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
    December 01, 2016 - Complications Associated With Central Venous Catheters 120,000 3.6 MPSMS (2014) Postoperative Cardiac … Events for Cardiac and Non- cardiac Surgeries 34,000 1.0 MPSMS (2014) Postoperative Pneumonia

46. TeamSTEPPS Specialty Scenarios: Med-Surg (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/medsurg.pdf
    March 19, 2014 - patient, a 77-year-old woman with a similar name—Jane Morrison—also is admitted to the same unit for a cardiac … that he has been having episodic chest pain since his release, so the physician decides to repeat his cardiac

47. Health Care Simulation to Advance Safety | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
    August 01, 2018 - Part-task trainers exist for vascular access, paracentesis, cardiac assessment, lumbar puncture, and … medical education. 18 More recently, multi-year demonstration grants expanded into new areas, including cardiac … The retention of advanced cardiac life support knowledge among registered nurses. … A longitudinal study of internal medicine residents' retention of advanced cardiac life support skills

48. Fact Sheet on Inpatient Quality Indicators (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1a_combo_iqifactsheet.pdf
    October 01, 2015 - Laparoscopic cholecystectomy 866.45 IQI 24 Incidental appendectomy in the elderly 10.81 IQI 25 Bilateral cardiac

49. Section 2: Explanation of Key Team Leadership Concepts and Tools | Agency for Healthcare Research and Quality
    pbrn.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

50. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
    January 01, 2016 - (VRE) MPSMS Mechanical Complications Associated With Central Venous Catheters MPSMS Postoperative Cardiac … Events for Cardiac and Noncardiac Surgeries MPSMS Postoperative Pneumonia PSI Iatrogenic Pneumothorax … Mechanical Complications Catheters Associated With Central Venous 58,876 1.98 MPSMS Postoperative Cardiac … Surgeries Events for Cardiac and Noncardiac 32,592 1.10 MPSMS Postoperative Pneumonia 88,015 2.96 … Events for Cardiac and Noncardiac Surgeries 32,592 1.10 28,593 0.96 22,057 0.74 MPSMS Postoperative

51. Rapidresponse Facguide (doc file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
    May 01, 2017 - supports 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

52. TeamSTEPPS Fundamentals Course: Module 5. Situation Monitoring | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module5/slsitmonitor.html
    July 01, 2018 - Contents   Slide 18: Practical Exercise Room # Patient Orders VS 1 Jackson EKG, O 2 , Cardiac

53. New Data Resource Provides Insights on Factors Related to Falls | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsletters/e-newsletter/886.html
    October 01, 2023 - antibiotic prophylaxis in Veterans Affairs and non-Veterans Affairs dental settings among those with cardiac

54. AHRQ-Funded Studies Highlight Dental Antibiotic Prescribing Trends | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsletters/e-newsletter/877.html
    August 01, 2023 - , a  comparison of guideline-concordant prescribing for antibiotic prophylaxis among patients with cardiac

55. AHRQ Views Blog: At AcademyHealth’s Annual Meeting, Exchanging Ideas on Transforming Healthcare Delivery | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsletters/e-newsletter/869.html
    June 01, 2023 - Geographic variation in access to cardiac rehabilitation. Duncan MS, Robbins NN, Wernke SA, et al.

56. TeamSTEPPS Fundamentals Course: Module 2. Team Structure | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module2/igteamstruct.html
    March 01, 2014 - Inpatient (Tertiary Care Facility) : The Core Team may be composed of the physician, nurse, and cardiac … Inpatient (Tertiary Care Facility) : The Contingency Team may be composed of the cardiac surgeon, anesthesia

57. Appendix I. Checklist Observation Tool and FAQs - Implementation Guide | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-i.html
    May 01, 2017 - |___| Type of anesthesia |___| Anticipated airway and aspiration risk |___| Changes in patient's cardiac

58. Rapid Response for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
    July 01, 2023 - supports 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

59. New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsletters/e-newsletter/870.html
    June 01, 2023 - Resuscitation of traumatic maternal cardiac arrest: a case report and summary of recommendations from

60. Introduction to the Quality Indicators Best Practices Tool (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
    June 05, 2016 - the following complications: pneumonia, pulmonary embolism/deep vein thrombosis (VTE), sepsis, shock/cardiac