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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - The 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 … 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/node/44862/psn-pdf
March 16, 2016 - how
human error, accident causation, and high reliability can improve safety of care delivered by cardiac … managing-risks-organizational-accidents
https://psnet.ahrq.gov/primer/high-reliability
https://psnet.ahrq.gov/issue/patient-safety-cardiac-operating-room-human-factors-and-teamwork-scientific-statement
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psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions
February 06, 2014 - Checklists and cardiac exam. … July 13, 2016
A patient safety checklist for the cardiac catheterisation laboratory. … Checklists and cardiac exam.
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - and Postpartum People with Substance Use Disorder (AIM)
Perinatal Mental Health Conditions (AIM)
Cardiac … These include maternal hemorrhage, preeclampsia, sepsis, and cardiac dysfunction. … Cardiac dysfunction is a complication referring to disorders of the cardiovascular system which may impact … The AIM Cardiac
Conditions in Obstetrical Care toolkit focuses on screening for basic cardiac conditions … High-risk cardiac disease in pregnancy: Part I. J Am Coll
Cardiol. 2016;68(4):396-410.
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - immediately assess and
treat the patient with the goal of preventing intensive care unit transfer, cardiac … In contrast to standard
cardiac arrest or "code blue" teams, which are summoned only after cardiopulmonary … The best available evidence indicates that RRSs
slightly reduce unexpected cardiac arrests in ward patients
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psnet.ahrq.gov/node/43618/psn-pdf
October 22, 2014 - commentary describes lessons learned from a multidisciplinary initiative developed to enhance safety
of cardiac … focus-society-cardiovascular-anesthesiologists-initiative-improve-quality-and-safety
https://psnet.ahrq.gov/issue/patient-safety-cardiac-operating-room-human-factors-and-teamwork-scientific-statement
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psnet.ahrq.gov/node/43138/psn-pdf
April 23, 2014 - psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes
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/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - Cesarean Delivery - FINAL.pptx
Spotlight
Uterine Artery Injury during Cesarean Delivery Leads to
Cardiac … in maternal morbidity and mortality.
3
UTERINE ARTERY INJURY DURING
CESAREAN DELIVERY LEADS TO CARDIAC … • With laboratory tests and computed tomography (CT) pending, the patient
went into cardiac arrest … • In this case, the patient’s blood loss was so rapid that she went into cardiac arrest
while awaiting … CT, and this cardiac arrest triggered her resuscitation and
emergency laparotomy.
11
Overview
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psnet.ahrq.gov/node/45669/psn-pdf
January 23, 2017 - discusses how a communication gap left a patient uninformed about the risks associated with an invasive
cardiac … overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and-financially-what
https://psnet.ahrq.gov/issue/do-you-have-re-examine-reconsider-your-diagnosis-checklists-and-cardiac-exam
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psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
October 08, 2016 - December 19, 2014
Improving the quality and safety of patient care in cardiac anesthesia … December 10, 2014
Quality, patient safety, and the cardiac surgical team. … June 19, 2013
Cardiac arrest during anesthesia.
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psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
January 31, 2011 - While being evaluated by the emergency physician, he suddenly went into cardiac arrest. … He was successfully resuscitated and underwent emergent cardiac catheterization, which revealed multivessel … radiographic findings and the date of the procedure should have been properly communicated from the cardiac … Third, the cardiac care team may have been inappropriately reassured that free air on the radiograph … January 31, 2011
Residents feel unprepared and unsupervised as leaders of cardiac arrest
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psnet.ahrq.gov/node/46040/psn-pdf
April 12, 2017 - A laboratory
experiment and field study in cardiac rehabilitation. … A laboratory experiment and field study in cardiac
rehabilitation.
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psnet.ahrq.gov/node/36718/psn-pdf
July 26, 2011 - identify the rate of false-positive and false-negative diagnoses of atrial fibrillation, the
most common cardiac … study also found that
the computerized ECG interpretation frequently did not identify the correct cardiac
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psnet.ahrq.gov/issue/designing-and-implementing-comprehensive-quality-and-patient-safety-management-model-paradigm
March 01, 2011 - January 3, 2017
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 … September 27, 2017
A prospective study of paediatric cardiac surgical microsystems: assessing
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psnet.ahrq.gov/issue/using-situ-simulation-improve-hospital-cardiopulmonary-resuscitation
January 02, 2017 - Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac … Related Resources
WebM&M Cases
Management of Cardiac … September 29, 2010
A reduction in cardiac arrests and duration of clinical instability
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psnet.ahrq.gov/node/37113/psn-pdf
March 24, 2011 - also known as medical emergency team) is intended to
decrease or eliminate preventable in-hospital cardiac … conducted
at an academic hospital with a long-standing active RRS, demonstrated a low overall rate of cardiac
-
psnet.ahrq.gov/node/34829/psn-pdf
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
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psnet.ahrq.gov/node/45574/psn-pdf
November 23, 2016 - pediatric airway management prior to hospital arrival are common, particularly in cases
involving cardiac … patient-safety-events-out-hospital-paediatric-airway-management-medical-record-review-csi-ems
https://psnet.ahrq.gov/issue/safety-events-pediatric-out-hospital-cardiac-arrest
-
psnet.ahrq.gov/node/38310/psn-pdf
June 03, 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
-
psnet.ahrq.gov/issue/overdiagnosis-coronary-artery-disease-detected-coronary-computed-tomography-angiography
March 03, 2011 - discusses how a communication gap left a patient uninformed about the risks associated with an invasive cardiac … May 29, 2024
WebM&M Cases
Management of Cardiac Arrest