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101. 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

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46891/psn-pdf
     December 21, 2018 - Day of discharge does not impact hospital readmission after major cardiac surgery. … Day of Discharge Does Not Impact Hospital Readmission After Major Cardiac Surgery. … https://psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac- … This retrospective study found that patients undergoing elective cardiac surgery who were discharged … https://psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery

103. 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

104. Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests. | PSNet
     psnet.ahrq.gov/issue/introduction-rapid-response-system-united-states-veterans-affairs-hospital-reduced-cardiac
     January 02, 2017 - Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac … Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac … This study demonstrated a 57% reduction in cardiac arrests following implementation of a physician-led … Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac … May 25, 2010 A reduction in cardiac arrests and duration of clinical instability after

105. 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

106. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47276/psn-pdf
     November 16, 2018 - Use of an emergency manual during an intraoperative cardiac arrest by an interprofessional team: a positive … Use of an Emergency Manual During an Intraoperative Cardiac Arrest by an Interprofessional Team: A Positive-Exemplar … https://psnet.ahrq.gov/issue/use-emergency-manual-during-intraoperative-cardiac-arrest-interprofessional … Investigators interviewed emergency manual users after an intraoperative cardiac arrest and conceptualized … https://psnet.ahrq.gov/issue/use-emergency-manual-during-intraoperative-cardiac-arrest-interprofessional-team-positive

107. 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

108. Surgeons and systems working together to drive safety and quality. | PSNet
     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.

109. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. | PSNet
     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.

110. 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

111. How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. | PSNet
     psnet.ahrq.gov/issue/how-does-audit-and-feedback-influence-intentions-health-professionals-improve-practice
     February 14, 2024 - A laboratory experiment and field study in cardiac rehabilitation. … A laboratory experiment and field study in cardiac rehabilitation. … A laboratory experiment and field study in cardiac rehabilitation. … January 3, 2017 In situ simulated cardiac arrest exercises to detect system vulnerabilities … 2011 Importance of prevention and early intervention of adverse events in pediatric cardiac

112. 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

113. More than half a million heart surgery patients at risk of a dangerous infection. | PSNet
     psnet.ahrq.gov/issue/more-half-million-heart-surgery-patients-risk-dangerous-infection
     April 22, 2015 - have been exposed to a deadly bacterial infection related to an essential piece of equipment used in cardiac … Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac … More Related Resources Mortality due to hospital-acquired infection after cardiac … September 30, 2015 Cardiac surgical ICU care: eliminating "preventable" complications … September 11, 2013 A handoff protocol from the cardiovascular operating room to cardiac

114. Heartbroken. | PSNet
     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.

115. Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. | PSNet
     psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats
     April 14, 2021 - Study Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent … Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. … Seventy-four in situ cardiac arrest simulations were conducted in one hospital, identifying 106 unique … Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats.

116. Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests. | PSNet
     psnet.ahrq.gov/issue/better-nurse-staffing-associated-survival-black-patients-and-diminishes-racial-disparities
     June 02, 2021 - associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac … associated with survival for black patients and diminishes racial disparities in survival after in-hospital cardiac … states assessed the relationship between nurse staffing and survival disparities after in-hospital cardiac … associated with survival for black patients and diminishes racial disparities in survival after in-hospital cardiac

117. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. | PSNet
     psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and
     February 15, 2023 - Study Health system redesign of cardiac monitoring oversight to optimize alarm management … Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff … This study reports on one health system’s redesign of cardiac monitoring structure to reduce alert … Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff

118. Coming Undone: Failure of Closure Device | PSNet
     psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
     April 01, 2006 - The Commentary Cardiac catheterization is a diagnostic procedure that can be used to evaluate cardiac … In the following discussion, the most common complications of cardiac catheterization and measures to … Cardiac catheterization is one of the most commonly performed procedures in medical practice and has … Coronary arteriography 1984-1987: a report of the Registry of the Society for Cardiac Angiography and … Stroke as a complication of cardiac catheterization: risk factors and clinical features.

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60004/psn-pdf
     January 01, 2021 - Association of overlapping cardiac surgery with short- term patient outcomes. … Association of overlapping cardiac surgery with short-term patient outcomes. … https://psnet.ahrq.gov/issue/association-overlapping-cardiac-surgery-short-term-patient-outcomes Surgical … This study measured the impact of overlap on patient outcomes among patients undergoing cardiac surgical … https://psnet.ahrq.gov/issue/association-overlapping-cardiac-surgery-short-term-patient-outcomes https

120. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837734/psn-pdf
     July 27, 2022 - Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? … Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? … https://psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress … https://psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction … https://psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction