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221. 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

222. 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

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72516/psn-pdf
     November 25, 2020 - Concerned for a cardiac etiology of syncope, the emergency physician administered aspirin, started the … patient on an unfractionated heparin drip, and ordered an echocardiogram to assess cardiac function … This led to a framing error and premature closure around isolated cardiac pathology. … Additionally, had the clinician not closed on a cardiac diagnosis prematurely, they likely would have … ECG changes are not always ischemic and do not always indicate primary cardiac pathology.

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72548/psn-pdf
     January 01, 2021 - 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

225. When I say…diagnostic error. | PSNet
     psnet.ahrq.gov/issue/when-i-saydiagnostic-error
     January 26, 2022 - , 2024 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.

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49834/psn-pdf
     July 01, 2018 - 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 … For cardiac ultrasound, emergency medicine providers can accurately make diagnoses (when compared to … Focused cardiac ultrasound: recommendations from the American Society of Echocardiography.

227. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. | PSNet
     psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database
     February 18, 2015 - Study Critical incidents related to cardiac arrests reported to the Danish Patient … Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. … Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. … May 12, 2010 A reduction in cardiac arrests and duration of clinical instability after

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60856/psn-pdf
     August 26, 2020 - Neither a cardiac anesthesiologist nor TEE was involved.  … The absence of a cardiac anesthesiologist is a minor concern, given that most anesthesiologists have … Aortic stenosis and non-cardiac surgery: A systematic review and meta-analysis. … Multifactorial index of cardiac risk in noncardiac surgical procedures. … Examining Risk: A Systematic Review of Perioperative Cardiac Risk Prediction Indices.

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49547/psn-pdf
     October 01, 2007 - A free video is available (entitled "Shock, Shock, Shock: Are You Ready for a Cardiac Arrest?" … 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. … Shock, Shock, Shock: Are You Ready for a Cardiac Arrest [videotape]? … Potential Models for Responding to Cardiac Arrests in Public Areas.

230. 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.

231. Missing Trauma | PSNet
     psnet.ahrq.gov/web-mm/missing-trauma
     March 03, 2011 - Rather acutely, the patient became pulseless, and CPR was initiated as the patient's cardiac rhythm went … However, cardiogenic shock is not infrequent, either from cardiac tamponade or direct cardiac injury. … The presence of a penetrating wound in the "cardiac box" (roughly defined as that area of the anterior … Although cardiac tamponade was described as universally fatal in the earliest medical writings (by the … Penetrating cardiac injuries: a historic perspective and fascinating trip through time.

232. Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients | PSNet
     psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
     September 20, 2011 - About 2 hours after the initial run of VT, the patient experienced a cardiac arrest secondary to sustained … led the patient to a care environment that was more vigilant and better equipped for management of cardiac … Unfortunately, large studies have failed to show improved survival following in-hospital cardiac arrest … Kristin Newby, MD, MHS Professor of Medicine Co-Director, Cardiac Care Unit Duke University … Automated external defibrillators and survival after in-hospital cardiac arrest.

233. Safety-II and the study of healthcare safety routines: two paths forward for research. | PSNet
     psnet.ahrq.gov/issue/safety-ii-and-study-healthcare-safety-routines-two-paths-forward-research
     May 25, 2022 - , 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.

234. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet
     psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
     November 27, 2019 - He then experienced sudden cardiac arrest and was emergently taken to the cardiac catheterization laboratory … Following a percutaneous cardiac procedure, the patient experienced bradycardia and cardiac arrest within … Young, PharmD Vasopressors are commonly used in the treatment of shock to support blood pressure, cardiac … serious adverse effects including ischemia (e.g. stroke, myocardial infarction, soft tissue necrosis), cardiac … Within 9 hours of admission the patient’s hemodynamic lability progressed to cardiac arrest and death

235. Too Many Cooks Spotlight Pdf (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
     January 01, 2020 - alerts in postoperative care, and identify several factors that might trigger such alerts based on cardiac … risk after non-cardiac surgery 3 TOO MANY COOKS IN THE KITCHEN A case describing deviations in the … Aortic stenosis and non-cardiac surgery: A systematic review and meta-analysis. … Multifactorial index of cardiac risk in noncardiac surgical procedures. … Examining Risk: A Systematic Review of Perioperative Cardiac Risk Prediction Indices.

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865984/psn-pdf
     May 29, 2024 - wave changes, and the presence of Q waves could all indicate prior ischemic events and should raise cardiac … stress testing does not rely on functional capacity and is a more suitable method of assessing for cardiac … Patients with elevated HEART scores of 4 or greater have markedly increased of a major adverse cardiac … Clinical Presentations and Outcomes in Patients Presenting With Acute Cardiac Events and Right Bundle … Evidence-based algorithms using high-sensitivity cardiac troponin in the emergency department.

237. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? | PSNet
     psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction
     May 19, 2021 - Study Can the standard configuration of a cardiac monitor lead to medical errors … 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?

238. Premature Closure: Was It Just Syncope? | PSNet
     psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
     February 10, 2021 - Concerned for a cardiac etiology of syncope, the emergency physician administered aspirin, started the … patient on an unfractionated heparin drip, and ordered an echocardiogram to assess cardiac function. … This led to a framing error and premature closure around isolated cardiac pathology. … Additionally, had the clinician not closed on a cardiac diagnosis prematurely, they likely would have … ECG changes are not always ischemic and do not always indicate primary cardiac pathology.

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60952/psn-pdf
     September 30, 2020 - When the Lytes Go Out: A Case of Inpatient Cardiac Arrest September 30, 2020 Stripe B, Zuidema D. … When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. 2020. … https://psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest Disclosure of Relevant … a cardiac arrest due to?torsades?de pointes and ventricular fibrillation.? … He was transported to the cardiac intensive care with return of spontaneous circulation.

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50697/psn-pdf
     November 27, 2019 - Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation November 27, 2019 Kulig CE, Ebong IA … Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet]. 2019. … https://psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation The Case A 36-year-old … She was resuscitated according to the advanced cardiac life support protocol and received intravenous … The error in this case was only recognized after the patient suffered a cardiac arrest.