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  1. psnet.ahrq.gov/issue/design-and-reliability-specific-instrument-evaluate-patient-safety-patients-acute-myocardial
    October 18, 2023 -   adverse events among hospitalized patients are common, less is known about the safety of acute cardiac … Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac … April 19, 2017 In situ simulated cardiac arrest exercises to detect system vulnerabilities … June 10, 2015 A team-based approach to reducing cardiac monitor alarms. … 2011 Importance of prevention and early intervention of adverse events in pediatric cardiac
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60666/psn-pdf
    July 08, 2020 - Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest … Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest … //psnet.ahrq.gov/issue/maximum-emergency-department-overcrowding-correlated-occurrence- unexpected-cardiac-arrest … at a single ED found that maximum ED occupancy rates were positively correlated with in- hospital cardiac … https://psnet.ahrq.gov/issue/maximum-emergency-department-overcrowding-correlated-occurrence-unexpected-cardiac-arrest
  3. psnet.ahrq.gov/issue/heartbroken
    January 17, 2024 - Pediatric cardiac surgery is a high-risk practice . … National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac … April 22, 2015 Application of the aviation black box principle in pediatric cardiac surgery … : tracking all failures in the pediatric cardiac operating room.
  4. psnet.ahrq.gov/issue/surgeons-and-systems-working-together-drive-safety-and-quality
    February 02, 2022 - surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists … , and cardiac operating room nurses. … : tracking all failures in the pediatric cardiac operating room. … February 25, 2015 Cardiac surgical ICU care: eliminating "preventable" complications. … September 11, 2013 Quality, patient safety, and the cardiac surgical team.
  5. psnet.ahrq.gov/issue/theoretical-model-flow-disruptions-anesthesia-team-during-cardiovascular-surgery
    July 21, 2021 - March 10, 2021 A handoff protocol from the cardiovascular operating room to cardiac ICU … surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists … , and cardiac operating room nurses. … October 6, 2015 Application of the aviation black box principle in pediatric cardiac … surgery: tracking all failures in the pediatric cardiac operating room.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60880/psn-pdf
    September 02, 2020 - Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality … Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality … https://psnet.ahrq.gov/issue/cold-debriefings-after-hospital-cardiac-arrest-international-pediatric- … This article describes the use of “cold” debriefings performed more than one day after in-hospital cardiac … https://psnet.ahrq.gov/issue/cold-debriefings-after-hospital-cardiac-arrest-international-pediatric-resuscitation-quality
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50885/psn-pdf
    February 12, 2020 - Impact of staff turnover during cardiac surgical procedures. … Impact of staff turnover during cardiac surgical procedures. … https://psnet.ahrq.gov/issue/impact-staff-turnover-during-cardiac-surgical-procedures This study examined … Analyses of all cardiac operations performed at Massachusetts General Hospital over a 5-year period … A prior Web M&M commentary discusses adverse outcomes arising due a retained foreign object during cardiac
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837306/psn-pdf
    June 01, 2022 - Mortality due to hospital-acquired infection after cardiac surgery. … Mortality due to hospital-acquired infection after cardiac surgery. … https://psnet.ahrq.gov/issue/mortality-due-hospital-acquired-infection-after-cardiac-surgery Surgical … Among 8,853 patients undergoing cardiac surgery in one academic hospital in France, 4.2% developed an … https://psnet.ahrq.gov/issue/mortality-due-hospital-acquired-infection-after-cardiac-surgery https://
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860722/psn-pdf
    January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? … Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? … https://psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful- improvements … This study reviewed and categorized incident reports regarding in-hospital cardiac arrest (IHCA) at two … https://psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72778/psn-pdf
    February 24, 2021 - Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. … Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. … https://psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and … In this evaluation of 194 cardiac catheterization procedures at a single hospital, the authors found … https://psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837334/psn-pdf
    June 08, 2022 - Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac … Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac … psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement- efforts-cardiac … In this study, procedures in the cardiac catheterization lab were observed to assess the frequency and … psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60235/psn-pdf
    April 15, 2020 - Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust … Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust … https://psnet.ahrq.gov/issue/independent-mortality-review-cardiac-surgery-st-georges-university-hospitals … This report examines cardiac surgery patient mortality at a National Health Service Trust over a 5-year … https://psnet.ahrq.gov/issue/independent-mortality-review-cardiac-surgery-st-georges-university-hospitals-nhs-foundation
  13. psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team
    March 11, 2013 - Study Reducing in-hospital cardiac arrests and hospital mortality by introducing … Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. … demonstrated that implementation of an intensivist physician and nurse–based team led to improvements in cardiac … Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50622/psn-pdf
    November 06, 2019 - Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital … Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital … https://psnet.ahrq.gov/issue/starting-elective-cardiac-surgery-after-3-pm-does-not-impact-patient-morbidity … This retrospective cohort study examined outcomes of patients undergoing nonemergent cardiac surgery … https://psnet.ahrq.gov/issue/starting-elective-cardiac-surgery-after-3-pm-does-not-impact-patient-morbidity-mortality-or
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841477/psn-pdf
    December 14, 2022 - Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff … Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff … https://psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm- management-safety-and … This study reports on one health system’s redesign of cardiac monitoring structure to reduce alert fatigue … https://psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and
  16. psnet.ahrq.gov/issue/doctors-were-alarmed-would-i-have-my-children-have-surgery-here
    February 19, 2020 - Pediatric cardiac surgery is highly technical and risky . … This newspaper article reports on a poorly performing pediatric cardiac surgery program, concerns raised … Resources Transparency, public reporting, and a culture of change to quality and safety in cardiac … National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839813/psn-pdf
    November 09, 2022 - Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. … Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. … https://psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac … After several unexpected deaths and a drop in several rating systems, this cardiac surgery department … https://psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac-surgery
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764389/psn-pdf
    March 02, 2022 - Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter … Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter … https://psnet.ahrq.gov/issue/hospital-acquired-functional-decline-and-clinical-outcomes-older-cardiac … hospital-acquired function decline on post-discharge outcomes among older adults who had undergone cardiac … https://psnet.ahrq.gov/issue/hospital-acquired-functional-decline-and-clinical-outcomes-older-cardiac-surgical-patients
  19. psnet.ahrq.gov/issue/provencare-quality-improvement-model-designing-highly-reliable-care-cardiac-surgery
    February 09, 2011 - Study ProvenCare: quality improvement model for designing highly reliable care in cardiac … ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. … ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. … March 29, 2023 Fast tracking in cardiac surgery: is it safe? … May 11, 2022 Independent Mortality Review of Cardiac Surgery at St George’s University
  20. psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers-and-educational
    September 29, 2017 - Study The relationship between inpatient cardiac surgery mortality and nurse numbers … The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: … postoperative general wards—but not in the intensive care unit—was associated with reduced mortality for cardiac … The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level:

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