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221. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet
     psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
     March 01, 2015 - The Case A 35-year-old woman with no prior cardiac history called 911 after developing severe chest … transmit the ECG to the emergency department (ED) to activate "Code STEMI" while en route so that the cardiac … She was rushed to the cardiac catheterization laboratory for emergency percutaneous coronary intervention … ultimately required placement of a device to assist her heart function and a prolonged stay in the cardiac … Code STEMI is designed to achieve timely activation of the cardiac catheterization laboratory.( 4 ) The

222. 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

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49673/psn-pdf
     December 01, 2012 - Convinced that a cardiac etiology had been ruled out because of the atypical pain, the unremarkable … 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. … biomarker test.(7) The extra time takes into account the sensitivity of the cardiac biomarker assay … Missed diagnosis of acute cardiac ischemia in the emergency department.

224. Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. | PSNet
     psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness
     May 26, 2021 - April 19, 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. … Say So: Taking a Syringe at Face Value in the Operating Room June 1, 2019 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. 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.

228. 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.

229. When my father died. | PSNet
     psnet.ahrq.gov/issue/when-my-father-died
     July 01, 2011 - Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac … June 8, 2022 WebM&M Cases Management of Cardiac Arrest … April 5, 2017 In situ simulated cardiac arrest exercises to detect system vulnerabilities … June 10, 2015 A patient safety checklist for the cardiac catheterisation laboratory. … March 17, 2015 A team-based approach to reducing cardiac monitor alarms.

230. 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

231. 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.

232. 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.

233. Failure to Rescue | PSNet
     psnet.ahrq.gov/taxonomy/term/3521
     deterioration, such as death or permanent disability) from a complication of an underlying illness (e.g., cardiac … the degree to which providers responded to adverse occurrences (e.g., hospital-acquired infections, cardiac

234. Management of anesthesia equipment failure: a simulation-based resident skill assessment. | PSNet
     psnet.ahrq.gov/issue/management-anesthesia-equipment-failure-simulation-based-resident-skill-assessment
     December 20, 2017 - 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. … Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac

235. A conceptual framework to reduce inpatient preventable deaths. | PSNet
     psnet.ahrq.gov/issue/conceptual-framework-reduce-inpatient-preventable-deaths
     April 24, 2018 - Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac … June 8, 2022 WebM&M Cases Management of Cardiac Arrest … April 5, 2017 In situ simulated cardiac arrest exercises to detect system vulnerabilities … June 10, 2015 A patient safety checklist for the cardiac catheterisation laboratory. … March 17, 2015 A team-based approach to reducing cardiac monitor alarms.

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39990/psn-pdf
     June 08, 2011 - crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac … crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac … wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation- alarming-patterns Anesthesia equipment alarms went off approximately once per minute during cardiac

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40470/psn-pdf
     December 21, 2014 - Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac … Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac … prospective-evaluation-consultant-surgeon-sleep-deprivation-and-outcomes- more-4000 This prospective study found no additional risk of complications or mortality in cardiac

238. 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.

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43981/psn-pdf
     April 22, 2015 - National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac … National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac … Administration's error detection model was used to analyze the incidence and types of error in pediatric cardiac

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44730/psn-pdf
     December 08, 2015 - video analysis of teams in critical situations informed adjustments to training to reduce risks in cardiac … associations-between-perceived-crisis-mode-work-climate-and-poor-information-exchange-within https://psnet.ahrq.gov/primer/teamwork-training https://psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain … https://psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain