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181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45588/psn-pdf
     January 23, 2017 - Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. … Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. … https://psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac … https://psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery … https://psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery

182. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. | PSNet
     psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety
     August 28, 2019 - January 23, 2017 Safety culture in cardiac surgical teams: data from five programs and … January 22, 2016 Application of the aviation black box principle in pediatric cardiac … surgery: tracking all failures in the pediatric cardiac operating room. … February 25, 2015 Cardiac surgical ICU care: eliminating "preventable" complications. … July 5, 2013 Quality, patient safety, and the cardiac surgical team.

183. Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates. | PSNet
     psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all
     September 23, 2020 - October 5, 2022 Mortality due to hospital-acquired infection after cardiac surgery. … June 1, 2022 Fast tracking in cardiac surgery: is it safe? … Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac … March 19, 2019 Impact of anesthetic handover on mortality and morbidity in cardiac surgery … June 1, 2011 Standardized multidisciplinary protocol improves handover of cardiac surgery

184. A quality improvement initiative to improve pediatric discharge medication safety and efficiency. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-initiative-improve-pediatric-discharge-medication-safety-and-efficiency
     May 20, 2020 - 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 … Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39176/psn-pdf
     December 16, 2009 - A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric … A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric … https://psnet.ahrq.gov/issue/reduction-cardiac-arrests-and-duration-clinical-instability-after-implementation … This pediatric study found fewer cardiac arrests after implementing a rapid response team (RRT) consisting … https://psnet.ahrq.gov/issue/reduction-cardiac-arrests-and-duration-clinical-instability-after-implementation-paediatric

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865429/psn-pdf
     April 24, 2024 - Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery April 24, 2024 Bohringer … Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. 2024. … https://psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery Disclosure … He underwent cardiac catheterization, which showed 3-vessel coronary artery disease and severe aortic … Pacing induced recurrent ventricular fibrillation following cardiac surgery.

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46402/psn-pdf
     March 20, 2018 - Safety events in pediatric out-of-hospital cardiac arrest. … Safety events in pediatric out-of-hospital cardiac arrest. … https://psnet.ahrq.gov/issue/safety-events-pediatric-out-hospital-cardiac-arrest Adverse events in prehospital … In this retrospective study, researchers examined the medical records of 35 out-of-hospital cardiac … https://psnet.ahrq.gov/issue/safety-events-pediatric-out-hospital-cardiac-arrest https://psnet.ahrq.gov

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37309/psn-pdf
     January 05, 2012 - Adverse drug events in hospitalized cardiac patients. … Adverse drug events in hospitalized cardiac patients. Am J Cardiol. 2007;100(9):1465-9. … https://psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients This study noted two … adverse drug events (ADEs) per 100 patient admissions in hospitalized cardiac patients. … https://psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients https://psnet.ahrq.gov

189. Impact of a relocation to a new critical care building on pediatric safety events. | PSNet
     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

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866168/psn-pdf
     January 02, 2000 - Missed diagnoses of acute cardiac ischemia in the emergency department. … Missed diagnoses of acute cardiac ischemia in the emergency department. … https://psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department Missed or … This analysis examined the occurrence of missed acute cardiac ischemia among over 10,000 patients presenting … https://psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department https://psnet.ahrq.gov

191. Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. | PSNet
     psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons
     April 03, 2013 - January 23, 2017 Safety culture in cardiac surgical teams: data from five programs and … August 25, 2015 Application of the aviation black box principle in pediatric cardiac … surgery: 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.

192. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety | PSNet
     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.

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42891/psn-pdf
     May 05, 2014 - Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors … Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors … https://psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects- … https://psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects-prescription-errors … https://psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects-prescription-errors

194. Adapting to new technologies in the operating room. | PSNet
     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

195. Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance. | PSNet
     psnet.ahrq.gov/issue/development-and-evaluation-observational-tool-assessing-surgical-flow-disruptions-and-their
     June 17, 2009 - October 7, 2013 Starting elective cardiac surgery after 3 pm does not impact patient … November 6, 2019 Impact of staff turnover during cardiac surgical procedures. … surgery: tracking all failures in the pediatric cardiac operating room. … February 25, 2015 Cardiac surgery errors: results from the UK National Reporting and … October 7, 2013 Cardiac surgical ICU care: eliminating "preventable" complications.

196. Communication Failure—Who's in Charge? | PSNet
     psnet.ahrq.gov/web-mm/communication-failure-whos-charge
     April 01, 2018 - The child suffered a cardiac arrest at 7:00 AM from low cardiac output. … similarly, the ICU attending focused on stabilizing the child's respiratory status and missed his low cardiac … teams focused on children with cardiac problems. … 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

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44433/psn-pdf
     June 21, 2016 - Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality … Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality … https://psnet.ahrq.gov/issue/ambulance-diversion-associated-reduced-access-cardiac-technology-and- increased-one-year … https://psnet.ahrq.gov/issue/ambulance-diversion-associated-reduced-access-cardiac-technology-and-increased-one-year … https://psnet.ahrq.gov/issue/ambulance-diversion-associated-reduced-access-cardiac-technology-and-increased-one-year

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842923/psn-pdf
     February 01, 2023 - Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside … Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside … An investigation of Aspergillus cardiac surgical site infections in 3 pediatric patients. … Planned cardiac reexploration in the intensive care unit is a safe procedure. … Diagnosis and treatment of Aspergillus flavus sternal wound infections after cardiac surgery.

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42951/psn-pdf
     September 16, 2014 - Novel approach to cardiac alarm management on telemetry units. … Novel approach to cardiac alarm management on telemetry units. … https://psnet.ahrq.gov/issue/novel-approach-cardiac-alarm-management-telemetry-units The dangers of … https://psnet.ahrq.gov/issue/novel-approach-cardiac-alarm-management-telemetry-units https://psnet.ahrq.gov

200. Code Blue—Where To? | PSNet
     psnet.ahrq.gov/web-mm/code-blue-where
     March 30, 2020 - Cardiac arrest of nonpatients within hospital public areas. Am J Cardiol. 2005;95:1370-1371. … "Code Blue" in the hospital lobby: cardiac arrest teams vs. public access defibrillation. … Use of the Mega Code to evaluate team leader performance during advanced cardiac life support. … Shock, Shock, Shock: Are You Ready for a Cardiac Arrest [videotape]? … Potential Models for Responding to Cardiac Arrests in Public Areas.