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121. Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. | PSNet
     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

122. A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system. | PSNet
     psnet.ahrq.gov/issue/reduction-cardiac-arrests-and-duration-clinical-instability-after-implementation-paediatric
     January 03, 2017 - Study A reduction in cardiac arrests and duration of clinical instability after implementation … A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric … This pediatric study found fewer cardiac arrests after implementing a rapid response team (RRT) consisting … A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric … 2022 View More Related Resources Diagnostic errors in paediatric cardiac

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43809/psn-pdf
     February 25, 2015 - Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures … in the pediatric cardiac operating room. … Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures … in the pediatric cardiac operating room. … - failures This observational study describes how a pediatric cardiac surgery team used the human factors

124. Doctors were alarmed: would I have my children have surgery here? | PSNet
     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

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37026/psn-pdf
     September 15, 2011 - Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: … Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: … https://psnet.ahrq.gov/issue/residents-feel-unprepared-and-unsupervised-leaders-cardiac-arrest-teams- … teaching-hospitals Housestaff traditionally lead cardiac arrest resuscitation ("code blue") teams … at academic institutions after receiving training in Advanced Cardiac Life Support (ACLS). 

126. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. | PSNet
     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

127. Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. | PSNet
     psnet.ahrq.gov/issue/identifying-and-categorising-patient-safety-hazards-cardiovascular-operating-rooms-using
     August 25, 2015 - Failure to address both operational and cultural factors in cardiac surgery has led to serious safety … This study used detailed observation of cardiac surgical procedures by a multidisciplinary team, including … approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac … May 24, 2012 Cardiac surgery errors: results from the UK National Reporting and Learning … December 29, 2014 Safety culture in cardiac surgical teams: data from five programs and

128. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. | PSNet
     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.

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49619/psn-pdf
     February 01, 2011 - The clinical examination of cardiac tamponade starts with a history. … The significance of echocardiographic-Doppler studies in cardiac tamponade. … Physiology of cardiac tamponade and pulsus paradoxus. … I: mechanisms of pulsus paradoxus in cardiac tamponade. … Pulsus paradoxus: definition and relation to the severity of cardiac tamponade.

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37568/psn-pdf
     February 03, 2011 - Survival from in-hospital cardiac arrest during nights and weekends. … Survival from in-hospital cardiac arrest during nights and weekends. … https://psnet.ahrq.gov/issue/survival-hospital-cardiac-arrest-during-nights-and-weekends This study … discovered that survival rates from in-hospital cardiac arrest are lower during nights and weekends, … /issue/delayed-time-defibrillation-after-hospital-cardiac-arrest

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45419/psn-pdf
     June 29, 2017 - Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day … Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day … https://psnet.ahrq.gov/issue/risk-adjusted-survival-adults-following-hospital-cardiac-arrest-day-week-and … This analysis of a large national database examined variations in outcomes following in-hospital cardiac … Raising concerns that patients who had in-hospital cardiac arrest on nights or weekends might have been

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37926/psn-pdf
     July 30, 2008 - Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns … Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns … https://psnet.ahrq.gov/issue/adaptive-coordination-cardiac-anaesthesia-study-situational-changes- coordination-patterns … This study used direct observation to evaluate how anesthesia teams engaged in teamwork during cardiac … https://psnet.ahrq.gov/issue/adaptive-coordination-cardiac-anaesthesia-study-situational-changes-coordination-patterns

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40174/psn-pdf
     December 21, 2014 - Physician implicit review to identify preventable errors during in-hospital cardiac arrest. … Physician implicit review to identify preventable errors during in-hospital cardiac arrest. … https://psnet.ahrq.gov/issue/physician-implicit-review-identify-preventable-errors-during-hospital-cardiac … - arrest This research letter discusses a review of cardiac arrest cases that found 25% of these cases … https://psnet.ahrq.gov/issue/physician-implicit-review-identify-preventable-errors-during-hospital-cardiac-arrest

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39240/psn-pdf
     January 20, 2010 - Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization … Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization … https://psnet.ahrq.gov/issue/importance-prevention-and-early-intervention-adverse-events-pediatric- cardiac-catheterization … This study sought to quantify the incidence and types of adverse events associated with pediatric cardiac … https://psnet.ahrq.gov/issue/importance-prevention-and-early-intervention-adverse-events-pediatric-cardiac-catheterization

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40490/psn-pdf
     June 01, 2011 - Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive … Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive … https://psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery … formal handoff system reduced technical errors and improved the quality of handoffs when transferring cardiac … https://psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive

136. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33956/psn-pdf
     March 07, 2005 - The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg … March 7, 2005 Inquest, Manitoba Pediatric Cardiac Surgery. … https://psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths- … winnipeg-health A 3-year review investigating a series of deaths from a pediatric cardiac unit revealed … https://psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths-winnipeg-health

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36906/psn-pdf
     September 01, 2011 - Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. … Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. … https://psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside- intensive-care-unit … data on the use of a rapid response team (RRT) in their hospital and found a 50% reduction in non-ICU cardiac … https://psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46677/psn-pdf
     June 25, 2018 - Diagnostic errors in paediatric cardiac intensive care. … Diagnostic errors in paediatric cardiac intensive care. … https://psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care Researchers surveyed … pediatric cardiac intensive care unit providers across three tertiary cardiac centers in the United … https://psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care https://psnet.ahrq.gov

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38541/psn-pdf
     May 21, 2009 - The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level … The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level … https://psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers … postoperative general wards—but not in the intensive care unit—was associated with reduced mortality for cardiac … https://psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers-and-educational

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43709/psn-pdf
     December 04, 2014 - A team-based approach to reducing cardiac monitor alarms. … A team-based approach to reducing cardiac monitor alarms. … https://psnet.ahrq.gov/issue/team-based-approach-reducing-cardiac-monitor-alarms Improving alarm systems … The program included standardized steps for ordering and reassessing cardiac monitor parameters. … In addition, physicians and nurses used a log to document the need for ongoing cardiac monitoring and