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psnet.ahrq.gov/issue/six-year-audit-cardiac-arrests-and-medical-emergency-team-calls-australian-outer-metropolitan
October 29, 2008 - Study
Six year audit of cardiac arrests and medical emergency team calls in an Australian … Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan … hospital with a long-standing medical emergency team has had a significant and sustained decline in cardiac … Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan
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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
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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
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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
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psnet.ahrq.gov/issue/handover-after-pediatric-heart-surgery-simple-tool-improves-information-exchange
July 03, 2016 - Use of a structured tool improved the quality of handoffs for postoperative pediatric cardiac surgery … Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac … Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac … December 21, 2014
A handoff protocol from the cardiovascular operating room to cardiac … June 9, 2011
Standardized multidisciplinary protocol improves handover of cardiac surgery
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psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - The patient was ultimately stabilized and transferred to the cardiac intensive care unit. … Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. … Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. … Cardiac resuscitation. N Engl J Med. 2001;344:1304-1313. [go to PubMed] 12. … Simulated cardiac arrests for monitoring quality of in-hospital resuscitation.
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psnet.ahrq.gov/node/836885/psn-pdf
May 16, 2022 - Management of Cardiac Arrest in Unconventional
Locations.
May 16, 2022
Agrawal G, Molla M. … Management of Cardiac Arrest in Unconventional Locations. PSNet [internet]. 2022. … https://psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
The Case
Case #1: … Advanced Cardiac Life Support Provider Manual, 16th Edition. … Code blue pit crew model: A novel approach to in-hospital
cardiac arrest resuscitation.
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - Spotlight
Spotlight
Missed Connection: A Case of Inadequate ECG
Oversight in Cardiac Surgery
Source … using defibrillators successfully.
3
MISSED CONNECTION: A CASE OF
INADEQUATE ECG OVERSIGHT IN CARDIAC … • He underwent cardiac catheterization, which showed 3-vessel coronary artery
disease and severe … catheterization laboratory; therefore, transfer to another facility that
provides cardiac surgical … Pacing induced recurrent ventricular fibrillation following cardiac surgery.
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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
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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.
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psnet.ahrq.gov/issue/impact-relocation-new-critical-care-building-pediatric-safety-events
May 27, 2020 - category of safety events submitted in the 90 days before and after relocation of the pediatric, cardiac … October 28, 2020
Diagnostic errors in paediatric cardiac intensive care. … May 25, 2011
A reduction in cardiac arrests and duration of clinical instability after … December 16, 2009
Nurses' perceptions of subspecialization in pediatric cardiac intensive
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psnet.ahrq.gov/issue/quality-improvement-initiative-improve-pediatric-discharge-medication-safety-and-efficiency
May 20, 2020 - June 18, 2019
Cold debriefings after in-hospital cardiac arrest in an international pediatric … 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. … January 29, 2015
Cardiac surgery errors: results from the UK National Reporting and Learning
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psnet.ahrq.gov/node/46839/psn-pdf
December 03, 2018 - Trends in survival after in-hospital cardiac arrest during
nights and weekends. … Trends in Survival After In-Hospital Cardiac Arrest During Nights and
Weekends. … https://psnet.ahrq.gov/issue/trends-survival-after-hospital-cardiac-arrest-during-nights-and-weekends … A patient who has an in-hospital cardiac
arrest at night or during the weekend is less likely to be … In this large retrospective cohort study,
researchers examined trends in in-hospital cardiac arrests
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psnet.ahrq.gov/node/48016/psn-pdf
January 01, 2020 - Reducing three infections across cardiac surgery
programs: a multisite cross-unit collaboration. … Reducing Three Infections Across Cardiac Surgery Programs: A
Multisite Cross-Unit Collaboration. … https://psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross … https://psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration … https://psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration
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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).
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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
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - Case Objectives
Understand the scope of a point-of-care cardiac ultrasound examination. … Understand the difference between a limited and a complete cardiac ultrasound examination. … There were no cardiac murmurs or extra heart sounds, and he had no lower extremity edema. … The physician in the emergency department (ED) performed a bedside point-of-care cardiac ultrasound and … Focused cardiac ultrasound: recommendations from the American Society of Echocardiography.
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psnet.ahrq.gov/issue/application-human-factors-analysis-and-classification-system-methodology-cardiovascular
January 06, 2012 - December 7, 2022
Impact of staff turnover during cardiac surgical procedures. … February 12, 2020
Starting elective cardiac surgery after 3 pm does not impact patient … September 27, 2016
Application of the aviation black box principle in pediatric cardiac … surgery: tracking all failures in the pediatric cardiac operating room. … July 5, 2013
A prospective study of paediatric cardiac surgical microsystems: assessing
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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
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psnet.ahrq.gov/issue/adapting-new-technologies-operating-room
January 16, 2017 - human performance by studying the implementation of a new physiological monitoring system for use in cardiac … Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac … September 22, 2021
Human factor in cardiac surgery: errors and near misses in a high … is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac … June 8, 2011
Adaptive coordination in cardiac anaesthesia: a study of situational changes