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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
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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
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psnet.ahrq.gov/issue/use-medical-emergency-team-responses-reduce-hospital-cardiopulmonary-arrests
April 06, 2011 - medical emergency teams (METs), also known as rapid response teams, on the incidence and outcomes of cardiac … development and dissemination of objective activation criteria, a 17% decrease occurred in the incidence of cardiac … January 28, 2010
A reduction in cardiac arrests and duration of clinical instability
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psnet.ahrq.gov/issue/role-clinical-context-residents-physical-examination-diagnostic-accuracy
April 02, 2014 - Providing a brief clinical scenario increased internal medicine residents' diagnostic accuracy for cardiac … Checklists and cardiac exam. … Checklists and cardiac exam.
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psnet.ahrq.gov/issue/relationship-between-early-emergency-team-calls-and-serious-adverse-events
June 02, 2010 - response team was not actually called to evaluate the majority of patients who subsequently suffered a cardiac … use and clinical outcomes, in that early activation of the team was associated with a reduction in cardiac … March 5, 2010
Changing cardiac arrest and hospital mortality rates through a medical
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psnet.ahrq.gov/issue/contraindicated-medication-use-dialysis-patients-undergoing-percutaneous-coronary
February 03, 2011 - Patients hospitalized for cardiac problems are vulnerable to experiencing medication errors, as they … March 12, 2025
Delayed time to defibrillation after in-hospital cardiac arrest. … 2011
Importance of prevention and early intervention of adverse events in pediatric cardiac
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
January 01, 2024 - Cardiology was consulted and recommended to transfer the patient to the cardiac intensive care unit ( … Maintenance of cardiac output in patients with acute heart failure depends in part upon sympathetic drive … Syncope has different risk stratifications depending on cardiac versus noncardiac etiologies, and ED … physicians may have more cumulative experience with vasovagal and orthostatic syncope than with cardiac … causes of syncope, such as heart failure and cardiomyopathy with decreased cardiac output.16
20
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psnet.ahrq.gov/node/843736/psn-pdf
February 01, 2023 - patient had return of spontaneous circulation (ROSC) after two cycles of CPR, but she had another
cardiac … While high quality CPR remains the gold standard for
patients who suffer cardiac arrest,4 patients with … anesthesia, cardiac surgery, pulmonology, and critical care. … Arterial and central venous lines could have been placed prior to the
epidural and the cardiac surgery … Cardiac arrest in pregnancy: a scientific statement from
the American Heart Association.?
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psnet.ahrq.gov/issue/enhancing-patient-safety-intelligent-intravenous-infusion-devices-experience-specialty
January 07, 2015 - Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac … Enhancing patient safety with intelligent intravenous infusion devices: Experience in a specialty cardiac … Enhancing patient safety with intelligent intravenous infusion devices: Experience in a specialty cardiac
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psnet.ahrq.gov/node/49725/psn-pdf
January 01, 2015 - At that point, the surgeon was informed that another patient in the cardiac intensive care
unit (ICU … The surgeon was the only cardiac surgeon available that
day, and there was also only one cardiac anesthesia … noticed that the PA catheter waveform was
dampened (the tracing was flat and did not vary with the cardiac … Echocardiographic direct observation of cardiac
valvular function, volume of blood in the heart, and … Strengthening handover communication in
pediatric cardiac intensive care.
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psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
April 17, 2024 - Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac … December 2, 2014
A prospective study of paediatric cardiac surgical microsystems: assessing … June 1, 2011
Standardized multidisciplinary protocol improves handover of cardiac
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psnet.ahrq.gov/issue/patient-safety-events-out-hospital-paediatric-airway-management-medical-record-review-csi-ems
June 25, 2018 - pediatric airway management prior to hospital arrival are common, particularly in cases involving cardiac … Adverse safety events in emergency medical services care of children with out-of-hospital cardiac … August 1, 2018
Safety events in pediatric out-of-hospital cardiac arrest.
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psnet.ahrq.gov/node/866343/psn-pdf
December 31, 2024 - Cardiology was consulted and recommended
to transfer the patient to the cardiac intensive care unit … Immediately after
intubation, the patient suffered cardiac arrest; the initial rhythm was pulseless … Maintenance of cardiac output in patients with acute heart failure depends in
part upon sympathetic … Syncope has different risk
stratifications depending on cardiac versus noncardiac etiologies, and ED … Admission to a cardiac stepdown or critical care unit would have allowed more active blood
pressure
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psnet.ahrq.gov/issue/rapid-response-teams-systematic-review-and-meta-analysis
December 21, 2014 - Although RRS usage was associated with decreased cardiac arrest rates on general wards, overall mortality … Author(s)
Physician implicit review to identify preventable errors during in-hospital cardiac … November 16, 2022
Delayed time to defibrillation after in-hospital cardiac arrest.
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psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
June 15, 2011 - March 27, 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.
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psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
February 18, 2011 - April 1, 2019
Day of discharge does not impact hospital readmission after major cardiac … July 3, 2013
Adverse drug events in hospitalized cardiac patients. … January 5, 2012
Delayed time to defibrillation after in-hospital cardiac arrest. … February 17, 2011
Survival from in-hospital cardiac arrest during nights and weekends
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psnet.ahrq.gov/node/43128/psn-pdf
August 25, 2015 - approach to peer assessment, hazard
identification, and prioritization of patient safety efforts in
cardiac … Approach to Peer Assessment, Hazard Identification, and Prioritization of Patient Safety
Efforts in Cardiac … describes a comprehensive approach to identifying safety hazards in a specific clinical
environment, the cardiac
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - 1.5%
Preoperative evaluation should consider risk of postoperative medical complications including cardiac … facilitate the anesthesiologist’s preoperative evaluation
Specific guidelines to estimate risk of cardiac … Test Indications
Renal function Age > 50 years, hypertension, cardiac disease, major surgery, medications … or pulmonary disease, symptoms or exam suggest cardiac or pulmonary disease
7. … Risk Assessment in this Case
Higher cardiac risk given age and comorbidities
Revised Cardiac Risk Index
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psnet.ahrq.gov/node/47800/psn-pdf
June 26, 2019 - radiologic-safety-events-within-pediatric-emergency-medicine-network
https://psnet.ahrq.gov/issue/decision-support-tools-systems-and-artificial-intelligence-cardiac-imaging … https://psnet.ahrq.gov/issue/decision-support-tools-systems-and-artificial-intelligence-cardiac-imaging
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psnet.ahrq.gov/node/838014/psn-pdf
September 07, 2022 - intervene at the earliest signs of clinical deterioration to
prevent intensive care unit transfer, cardiac … effect-rapid-response-team-incidence-hospital-mortality
https://psnet.ahrq.gov/primer/rapid-response-systems
https://psnet.ahrq.gov/issue/changing-cardiac-arrest-and-hospital-mortality-rates-through-medical-emergency-team-takes