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301. Technical mistakes during the acquisition of the electrocardiogram. | PSNet
     psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
     March 09, 2022 - 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 19, 2017 A team-based approach to reducing cardiac monitor alarms.

302. 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

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73229/psn-pdf
     May 26, 2021 - 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

304. Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. | PSNet
     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.

305. A simulation design for research evaluating safety innovations in anaesthesia. | PSNet
     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.

306. Using the rapid response system to provide better oversight of patient care processes. | PSNet
     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

307. Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet
     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

308. The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. | PSNet
     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.

309. The need for surgical safety checklists in neurosurgery now and in the future - a systematic review. | PSNet
     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.

310. Mortality related to anaesthesia in France: analysis of deaths related to airway complications. | PSNet
     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.

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49638/psn-pdf
     January 01, 2012 - The child suffered a cardiac arrest at 7:00 AM from low cardiac output. … similarly, the ICU attending focused on stabilizing the child's respiratory status and missed his low cardiac … At the system level, there is a push to create pediatric cardiac intensive care units (PCICUs) with … multidisciplinary teams focused on children with cardiac problems. … definition, and culture are all required to provide optimal care for the critically ill pediatric cardiac

312. Solving alarm fatigue with smartphone technology. | PSNet
     psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology
     October 04, 2023 - This commentary reviews a single-center project that used smartphone technology to enhance cardiac … Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac

313. 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

314. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy | PSNet
     psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
     September 30, 2020 - SPOTLIGHT CASE Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … Although the patient survived, she suffered another cardiac arrest with residual cognitive impairment … CT, and this cardiac arrest triggered her resuscitation and emergency laparotomy.

315. Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging settings: a mixed-methods exploration. | PSNet
     psnet.ahrq.gov/issue/team-relations-and-role-perceptions-during-anesthesia-crisis-management-magnetic-resonance
     December 13, 2023 - July 31, 2019 Safety culture in cardiac surgical teams: data from five programs and national … May 25, 2022 Patient safety in the cardiac operating room: human factors and teamwork … approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49700/psn-pdf
     February 01, 2014 - 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 Medical … Automated external defibrillators and survival after in-hospital cardiac arrest.

317. Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
     January 01, 2020 - premature closure may contribute to medical error • Interpret ECG patterns that may indicate serious non- cardiac … physician ordered: – High-dose aspirin – Unfractionated heparin drip – Echocardiogram to assess cardiac … suggesting that the clinician initially considered trauma but prematurely narrowed their focus to cardiac … consider that the ECG changes could be secondary to intracranial hemorrhage rather than primary cardiac … • ECG changes are not always ischemic and do not always indicate primary cardiac pathology.

318. Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. | PSNet
     psnet.ahrq.gov/issue/care-deficiencies-and-leaders-inadequate-reviews-patient-who-died-lt-col-luke-weathers-jr-va
     April 10, 2024 - This analysis examines a case of communication failure during cardiac telemetry processes that resulted … Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49473/psn-pdf
     March 01, 2005 - The patient remained "NPO" overnight in anticipation of the cardiac catheterization. … They assumed he was undergoing cardiac catheterization. … Cardiac catheterization and peripheral arterial bypass surgery were later completed successfully. … The patient was determined to be at significant cardiac risk, precluding surgery and requiring further … Cardiologists are frequently asked to evaluate cardiac risk for patients undergoing peripheral vascular

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838251/psn-pdf
     October 05, 2022 - Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac … Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac