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321. Misdiagnosis of heart failure: a systematic review of the literature. | PSNet
     psnet.ahrq.gov/issue/misdiagnosis-heart-failure-systematic-review-literature
     October 06, 2021 - J Cardiac Failure. 2021;27(9):925-933. doi:10.1016/j.cardfail.2021.05.014. … J Cardiac Failure . 2021; 27 (9) :925-933 . View more articles from the same authors. … J Cardiac Failure. 2021;27(9):925-933. doi:10.1016/j.cardfail.2021.05.014.

322. Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients. | PSNet
     psnet.ahrq.gov/issue/balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-benzodiazepine
     November 09, 2022 - Author(s) Transparency, public reporting, and a culture of change to quality and safety in cardiac … April 13, 2022 Hospital-wide cardiac arrest in situ simulation to identify and mitigate … February 17, 2021 Health system redesign of cardiac monitoring oversight to optimize

323. Applying decision science to the prioritization of healthcare-associated infection initiatives. | PSNet
     psnet.ahrq.gov/issue/applying-decision-science-prioritization-healthcare-associated-infection-initiatives
     October 20, 2021 - May 25, 2022 A handoff protocol from the cardiovascular operating room to cardiac ICU … More Related Resources Mortality due to hospital-acquired infection after cardiac … April 22, 2020 Reducing three infections across cardiac surgery programs: a multisite

324. Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. | PSNet
     psnet.ahrq.gov/issue/multi-team-shared-expectations-tool-mt-set-exercise-improve-teamwork-across-health-care-teams
     May 22, 2019 - Related Resources From the Same Author(s) Reducing three infections across cardiac … May 22, 2019 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

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865411/psn-pdf
     March 27, 2024 - 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. … https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and … Although the patient survived, she suffered another cardiac arrest with residual cognitive impairment … In this case, the patient’s blood loss was so rapid that she went into cardiac arrest while awaiting

326. Air on the Side of Caution | PSNet
     psnet.ahrq.gov/web-mm/air-side-caution
     April 21, 2015 - The Case A young woman with morbid obesity was scheduled for cardiac catheterization to evaluate shortness … It became clear that, because of the procedure's difficulty, the cardiac technician controlling the syringe … The team working in the cardiac catheterization laboratory described in this case could consider using … Utility of preprocedure checklists in the congenital cardiac catheterization laboratory. … March 15, 2023 WebM&M Cases Management of Cardiac

327. Psn-Pdf (pdf file)
     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

328. Psn-Pdf (pdf file)
     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

329. Psn-Pdf (pdf file)
     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

330. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.45_slideshow.ppt
     January 01, 2004 - Cardiac enzymes were drawn. … .): Crushing Chest Pain The patient was admitted to the cardiac care unit. … The first set of cardiac enzymes was equivocal, and a CPK-MB was minimally elevated. … Multiple decision models available Algorithms improve sensitivity and specificity of diagnosing cardiac … Decision-Making Using Algorithmic Approach Use of a formula based on 7 clinical variables to predict cardiac

331. Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995. | PSNet
     psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-childrens-heart-surgery-bristol-royal-infirmary-1984
     October 20, 2021 - Section one of the report outlines pediatric cardiac surgical services in Bristol while section two focuses … National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac

332. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. | PSNet
     psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
     May 01, 2005 - wave changes, and the presence of Q waves could all indicate prior ischemic events and should raise cardiac … stress testing does not rely on functional capacity and is a more suitable method of assessing for cardiac … Patients with elevated HEART scores of 4 or greater have markedly increased of a major adverse cardiac … Clinical Presentations and Outcomes in Patients Presenting With Acute Cardiac Events and Right Bundle … Evidence-based algorithms using high-sensitivity cardiac troponin in the emergency department.

333. Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures in a day: a retrospective comparative cohort study. | PSNet
     psnet.ahrq.gov/issue/outcome-differences-between-surgeons-performing-first-and-subsequent-coronary-artery-bypass
     May 25, 2022 - August 3, 2022 View More Related Resources Fast tracking in cardiac … December 30, 2014 Cardiac surgery errors: results from the UK National Reporting and … is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac

334. Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the course of a learning collaborative: a prospective, multisite, mixed-methods evaluation. | PSNet
     psnet.ahrq.gov/issue/changes-perceptions-antibiotic-stewardship-among-neonatal-intensive-care-unit-providers-over
     September 29, 2021 - February 4, 2015 Delayed time to defibrillation after in-hospital cardiac arrest. … April 14, 2010 Nurses' perceptions of subspecialization in pediatric cardiac intensive … May 13, 2009 Interventions to reduce medication prescribing errors in a paediatric cardiac

335. Psn-Pdf (pdf file)
     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

336. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50949/psn-pdf
     February 26, 2020 - Case #2: A 59-year-old man was treated for a suspected myocardial infarction due to erroneous cardiac … Initial cardiac troponin I concentrations were 4400 ng/L (99th percentile of the upper reference limit … A repeat cardiac troponin I specimen was drawn, and the result was <10 ng/L. … Cardiac troponin I measurements were re-run and reported the same discrepancy. … Follow-up investigation by the ED ultimately revealed the initial sample with the high cardiac troponin

337. Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital. | PSNet
     psnet.ahrq.gov/issue/retrospective-review-emergency-response-activations-during-13-year-period-tertiary-care
     August 26, 2020 - occurred in children younger than age 1 year, with the most common admission diagnosis related to cardiac … February 1, 2011 A reduction in cardiac arrests and duration of clinical instability

338. Intraoperative deaths: who, why, and can we prevent them? | PSNet
     psnet.ahrq.gov/issue/intraoperative-deaths-who-why-and-can-we-prevent-them
     November 04, 2020 - non-trauma-related emergency surgery, and patients who die during an elective procedure from medical cardiac … Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac

339. Geisinger Health System's plan to fix America's health care. | PSNet
     psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care
     October 18, 2017 - Association of measured quality and future financial performance among hospitals performing cardiac … Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac … June 9, 2011 Standardized multidisciplinary protocol improves handover of cardiac surgery

340. Psn-Pdf (pdf file)
     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