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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/development-and-preliminary-testing-coordination-process-error-reporting-tool-cpert
May 25, 2016 - Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac … Reporting Tool (CPERT), a Prospective Clinical Surveillance Mechanism for Teamwork Errors in the Pediatric Cardiac … Reporting Tool (CPERT), a Prospective Clinical Surveillance Mechanism for Teamwork Errors in the Pediatric Cardiac
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psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
January 12, 2022 - March 14, 2022
Safety culture in cardiac surgical teams: data from five programs and … Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac … Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac
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psnet.ahrq.gov/issue/developing-action-plan-patient-radiation-safety-adult-cardiovascular-medicine
August 04, 2021 - Related Resources
WebM&M Cases
Management of Cardiac … April 19, 2017
A patient safety checklist for the cardiac catheterisation laboratory. … March 17, 2015
A team-based approach to reducing cardiac monitor alarms.
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psnet.ahrq.gov/issue/patient-safety-teams-recognised-bmj-awards
October 19, 2022 - 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 … August 25, 2015
Patient safety in the cardiac operating room: human factors and teamwork
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psnet.ahrq.gov/issue/impact-intervention-reduce-prescribing-errors-pediatric-intensive-care-unit
March 09, 2022 - March 9, 2022
Safety culture in cardiac surgical teams: data from five programs and national … January 22, 2016
Patient safety in the cardiac operating room: human factors and teamwork … January 22, 2016
Computerized physician order entry in the cardiac intensive care unit
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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.
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psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-disease
September 09, 2020 - Diagnostic Safety and Quality
April 26, 2023
Diagnostic errors in paediatric cardiac … August 15, 2017
Application of the aviation black box principle in pediatric cardiac … surgery: tracking all failures in the pediatric cardiac operating room.
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psnet.ahrq.gov/periodic-issue/periodic-issue-386
April 26, 2023 - Commentary
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. … Cardiac surgeons, cardiac anesthesiologists, cardiac perfusionists, and cardiac operating room nurses … from all surgical cardiac centers in the Netherlands participated in the development of 13 crisis scenarios
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psnet.ahrq.gov/node/41613/psn-pdf
August 22, 2012 - Transitions of care in the pediatric cardiac intensive care unit*. … standardized handoff tool was associated with a decrease in postoperative adverse events in
pediatric cardiac
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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
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - 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.
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psnet.ahrq.gov/issue/attitudes-and-barriers-medical-emergency-team-system-tertiary-paediatric-hospital
April 11, 2011 - Rapid response systems (RRS) have been shown to reduce cardiac arrests in pediatric patients (though … July 13, 2010
Changing cardiac arrest and hospital mortality rates through a medical … February 3, 2010
A reduction in cardiac arrests and duration of clinical instability
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psnet.ahrq.gov/node/40912/psn-pdf
March 02, 2012 - 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/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
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psnet.ahrq.gov/node/73698/psn-pdf
September 15, 2021 - the impact of a mobile app in reducing medication errors during simulated
pediatric out-of-hospital cardiac … Advanced paramedics were exposed to a standardized
video simulation of an 18-month of child with cardiac
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psnet.ahrq.gov/node/74230/psn-pdf
January 12, 2022 - the emergency department (ED) can result in increased frequency of medication errors,
in-hospital cardiac … https://psnet.ahrq.gov/issue/maximum-emergency-department-overcrowding-correlated-occurrence-unexpected-cardiac-arrest
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psnet.ahrq.gov/node/44240/psn-pdf
June 23, 2015 - relationship-between-patient-safety-and-hospital-surgical-volume
https://psnet.ahrq.gov/issue/patient-safety-cardiac-operating-room-human-factors-and-teamwork-scientific-statement … https://psnet.ahrq.gov/issue/patient-safety-cardiac-operating-room-human-factors-and-teamwork-scientific-statement
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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
-
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.