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201. A Real Heartache | PSNet
     psnet.ahrq.gov/web-mm/real-heartache
     October 01, 2018 - Convinced that a cardiac etiology had been ruled out because of the atypical pain, the unremarkable ECG … Cardiac catheterization showed branch occlusion of the left circumflex coronary artery. … Two days later, the patient had a cardiac arrest and could not be resuscitated. … To reassure them regarding the absence of cardiac ischemia, the clinicians in this case seemed to rely … Missed diagnosis of acute cardiac ischemia in the emergency department.

202. Investigating the causes of adverse events. | PSNet
     psnet.ahrq.gov/issue/investigating-causes-adverse-events
     October 03, 2017 - March 16, 2016 Patient safety in the cardiac operating room: human factors and teamwork … Related Resources Crisis scenarios for simulation-based nontechnical skills training for cardiac … surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists … , and cardiac operating room nurses. … 2022 Transparency, public reporting, and a culture of change to quality and safety in cardiac

203. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
     July 01, 2007 - Cardiac Arrest Resuscitation Evaluation in Los Angeles: CARE-LA. … Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. … Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. … Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. … Cardiac resuscitation.

204. Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories. | PSNet
     psnet.ahrq.gov/issue/learning-environments-reliability-enhancing-work-practices-employee-engagement-and-safety
     August 12, 2020 - Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac … Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac … Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac … WebM&M Cases Ventricular Wall Injury during a Diagnostic Cardiac

205. Accuracy of interpretation of preparticipation screening electrocardiograms. | PSNet
     psnet.ahrq.gov/issue/accuracy-interpretation-preparticipation-screening-electrocardiograms
     May 18, 2022 - 2017 View More Related Resources Diagnostic errors in paediatric cardiac … June 25, 2018 Application of the aviation black box principle in pediatric cardiac surgery … : tracking all failures in the pediatric cardiac operating room. … 2011 Importance of prevention and early intervention of adverse events in pediatric cardiac … January 20, 2010 A reduction in cardiac arrests and duration of clinical instability

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48071/psn-pdf
     June 12, 2019 - https://psnet.ahrq.gov/issue/doctors-were-alarmed-would-i-have-my-children-have-surgery-here Pediatric cardiac … This newspaper article reports on a poorly performing pediatric cardiac surgery program, concerns raised … psnet.ahrq.gov/issue/heartbroken https://psnet.ahrq.gov/issue/application-aviation-black-box-principle-pediatric-cardiac-surgery-tracking-all-failures

207. Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery | PSNet
     psnet.ahrq.gov/issue/cognitive-engineering-improve-patient-safety-and-outcomes-cardiothoracic-surgery
     January 23, 2017 - Same Author(s) Computer-assisted process modeling to enhance intraoperative safety in cardiac … October 5, 2022 Starting elective cardiac surgery after 3 pm does not impact patient … March 16, 2016 Application of the aviation black box principle in pediatric cardiac surgery … : tracking all failures in the pediatric cardiac operating room. … February 25, 2015 Patient safety in the cardiac operating room: human factors and teamwork

208. High reliability pediatric heart centers: always working toward getting better. | PSNet
     psnet.ahrq.gov/issue/high-reliability-pediatric-heart-centers-always-working-toward-getting-better
     September 18, 2024 - This article discusses how high reliability concepts can be applied at pediatric cardiac centers to support … 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

209. Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. | PSNet
     psnet.ahrq.gov/issue/impact-critical-event-checklists-anaesthetist-performance-simulated-operating-theatre
     August 16, 2017 - This randomized simulation study examined the use of checklists during simulated pediatric cardiac … WebM&M Cases Missed Connection: A Case of Inadequate ECG Oversight in Cardiac … Checklists and cardiac exam. … Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49587/psn-pdf
     May 01, 2009 - Rather acutely, the patient became pulseless, and CPR was initiated as the patient's cardiac rhythm … However, cardiogenic shock is not infrequent, either from cardiac tamponade or direct cardiac injury … Nonetheless, patients with penetrating cardiac wounds who have some sign of life at the time of EMS … arrival (pulse, respiration, blood pressure, organized cardiac rhythm) and who can be transported to … Penetrating cardiac injuries: a historic perspective and fascinating trip through time.

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49545/psn-pdf
     September 01, 2007 - 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 … Levine, MD Associate Professor of Medicine, Baylor College of Medicine Director, Cardiac Care Unit, … Stroke as a complication of cardiac catheterization: risk factors and clinical features.

212. Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. | PSNet
     psnet.ahrq.gov/issue/interventions-reduce-medication-prescribing-errors-paediatric-cardiac-intensive-care-unit
     November 16, 2022 - Study Interventions to reduce medication prescribing errors in a paediatric cardiac … Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. … Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit.

213. Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery. | PSNet
     psnet.ahrq.gov/issue/simulation-based-training-improves-physicians-performance-patient-care-high-stakes-clinical
     October 07, 2020 - Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac … Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac … Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac … February 10, 2010 Residents feel unprepared and unsupervised as leaders of cardiac arrest

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49540/psn-pdf
     August 21, 2007 - 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.

215. Room of horrors simulation in healthcare education: a systematic review. | PSNet
     psnet.ahrq.gov/issue/room-horrors-simulation-healthcare-education-systematic-review
     September 09, 2020 - Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac … June 21, 2023 Crisis scenarios for simulation-based nontechnical skills training for cardiac … surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists … , and cardiac operating room nurses.

216. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. | PSNet
     psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
     June 24, 2020 - June 5, 2024 Fast tracking in cardiac surgery: is it safe? … December 30, 2014 Cardiac surgery errors: results from the UK National Reporting and … Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac … July 5, 2013 Quality, patient safety, and the cardiac surgical team. … November 2, 2011 Standardized multidisciplinary protocol improves handover of cardiac

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/764391/psn-pdf
     March 02, 2022 - Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac … Association between handover of anesthesiology care and 1- year mortality among adults undergoing cardiac … including over 102,000 patients in Ontario, Canada, explored this relationship among patients undergoing cardiac

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841140/psn-pdf
     December 07, 2022 - Association of measured quality and future financial performance among hospitals performing cardiac … Association of measured quality and future financial performance among hospitals performing cardiac … Compare to evaluate the relationship of financial performance and quality in hospitals performing cardiac

219. Name and shame. | PSNet
     psnet.ahrq.gov/issue/name-and-shame
     March 06, 2013 - 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 A prospective study of paediatric cardiac surgical microsystems: assessing … July 6, 2011 Standardized multidisciplinary protocol improves handover of cardiac surgery

220. Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery. | PSNet
     psnet.ahrq.gov/issue/development-and-pilot-evaluation-preoperative-briefing-protocol-cardiovascular-surgery
     September 27, 2016 - August 26, 2011 Patient safety in the cardiac operating room: human factors and teamwork … October 7, 2013 Starting elective cardiac surgery after 3 pm does not impact patient … September 19, 2016 Impact of staff turnover during cardiac surgical procedures. … January 6, 2012 A prospective study of paediatric cardiac surgical microsystems: assessing … November 26, 2008 Adaptive coordination in cardiac anaesthesia: a study of situational