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  1. psnet.ahrq.gov/issue/validating-patient-safety-endoscopy-unit-using-joint-commission-standards
    March 02, 2011 - July 19, 2023 Safety culture in cardiac surgical teams: data from five programs and national … approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac … January 15, 2014 Cardiac surgery errors: results from the UK National Reporting and Learning … August 21, 2024 Reducing three infections across cardiac surgery programs: a multisite
  2. 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
  3. Psn-Pdf (pdf file)

    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.?
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836860/psn-pdf
    April 06, 2022 - environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac … environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836987/psn-pdf
    April 27, 2022 - longitudinal-evaluation-pediatric-rapid-response-system-realist-evaluation-framework https://psnet.ahrq.gov/primer/rapid-response-systems https://psnet.ahrq.gov/issue/reduction-cardiac-arrests-and-duration-clinical-instability-after-implementation-paediatric … https://psnet.ahrq.gov/issue/reduction-cardiac-arrests-and-duration-clinical-instability-after-implementation-paediatric
  6. 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
  7. psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
    April 01, 2008 - Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac … Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac … Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac … Before the child could be transfused, she suddenly collapsed and developed cardiac arrest accompanied … Prospective analysis of percutaneous central venous catheterization in infants <4.0 kg undergoing cardiac
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73471/psn-pdf
    July 07, 2021 - are intended to quickly identify clinical deterioration and prevent intensive care unit transfer, cardiac … does support that RRTs are associated with reduced secondary outcomes, such as ICU transfer rate and cardiac
  9. 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.
  10. psnet.ahrq.gov/issue/ferraris-formula-one-handovers-and-handovers-surgery-intensive-care
    December 23, 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.
  11. psnet.ahrq.gov/issue/need-surgical-safety-checklists-neurosurgery-now-and-future-systematic-review
    March 18, 2011 - 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.
  12. psnet.ahrq.gov/issue/impact-trained-assistance-error-rates-anaesthesia-simulation-based-randomised-controlled
    January 28, 2009 - 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.
  13. psnet.ahrq.gov/issue/simulation-design-research-evaluating-safety-innovations-anaesthesia
    February 25, 2009 - 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.
  14. psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
    June 23, 2009 - September 28, 2010 Safety culture in cardiac surgical teams: data from five programs … approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac … May 24, 2012 Cardiac surgery errors: results from the UK National Reporting and Learning … Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac
  15. psnet.ahrq.gov/issue/prospective-validation-classification-intraoperative-adverse-events-classintra-international
    November 20, 2015 - 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.
  16. psnet.ahrq.gov/issue/mortality-related-anaesthesia-france-analysis-deaths-related-airway-complications
    June 20, 2011 - 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.
  17. psnet.ahrq.gov/issue/using-rapid-response-system-provide-better-oversight-patient-care-processes
    January 07, 2015 - Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac … February 7, 2024 Use of an emergency manual during an intraoperative cardiac arrest by … February 18, 2011 Adaptive coordination in cardiac anaesthesia: a study of situational … Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac
  18. 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.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836984/psn-pdf
    April 27, 2022 - A research team in one large UK tertiary hospital reviewed cardiac arrest calls and cardiopulmonary … learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system https://psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database
  20. psnet.ahrq.gov/issue/clinically-missed-cancer-how-effectively-can-radiologists-use-computer-aided-detection
    October 04, 2023 - October 13, 2018 Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes … Related Resources Decision support tools, systems, and artificial intelligence in cardiac … May 23, 2012 Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT

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