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  1. 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
  2. psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
    January 26, 2022 - 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
  3. psnet.ahrq.gov/issue/mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada
    September 23, 2020 - Presentation to a non-teaching hospital or non-cardiac emergency department increased the odds of misdiagnosis … April 8, 2018 Missed diagnoses of acute cardiac ischemia in the emergency department.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41405/psn-pdf
    December 30, 2014 - identifying-and-categorising-patient-safety-hazards-cardiovascular-operating- rooms-using Failure to address both operational and cultural factors in cardiac … This study used detailed observation of cardiac surgical procedures by a multidisciplinary team, including
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40122/psn-pdf
    February 01, 2011 - attitudes-and-barriers-medical-emergency-team-system-tertiary-paediatric- hospital Rapid response systems (RRS) have been shown to reduce cardiac … attitudes-and-barriers-medical-emergency-team-system-tertiary-paediatric-hospital https://psnet.ahrq.gov/primer/rapid-response-systems https://psnet.ahrq.gov/issue/reduction-cardiac-arrests-and-duration-clinical-instability-after-implementation-paediatric
  6. psnet.ahrq.gov/issue/impact-educational-initiative-targeting-non-radiologist-staff-overall-notification-times
    March 09, 2022 - January 14, 2015 Safety culture in cardiac surgical teams: data from five programs and … February 9, 2011 Computerized physician order entry in the cardiac intensive care unit … March 27, 2013 Patient safety in the cardiac operating room: human factors and teamwork … February 14, 2024 Race and socioeconomic bias in pediatric cardiac transplantation. … , 2020 How strong is the evidence for the use of perioperative beta blockers in non-cardiac
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41176/psn-pdf
    March 02, 2012 - between weekend care and overall complications, delays in urgent procedures, survival from in-hospital cardiac … waiting-urgent-procedures-weekend-among-emergently-hospitalized-patients https://psnet.ahrq.gov/issue/survival-hospital-cardiac-arrest-during-nights-and-weekends
  8. psnet.ahrq.gov/issue/management-operating-room-critical-events
    March 27, 2024 - WebM&M Cases Missed Connection: A Case of Inadequate ECG Oversight in Cardiac … WebM&M Cases Uterine Artery Injury during Cesarean Delivery Leads to Cardiac
  9. Psn-Pdf (pdf file)

    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.
  10. psnet.ahrq.gov/issue/toward-improving-patient-safety-through-voluntary-peer-peer-assessment
    August 25, 2015 - approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac … August 25, 2015 Cardiac surgery errors: results from the UK National Reporting and Learning … January 22, 2017 Safety culture in cardiac surgical teams: data from five programs and
  11. psnet.ahrq.gov/issue/finding-and-fixing-mistakes-do-checklists-work-clinicians-different-levels-experience
    February 06, 2014 - Checklists and cardiac exam. … July 3, 2016 A patient safety checklist for the cardiac catheterisation laboratory. … Checklists and cardiac exam.
  12. psnet.ahrq.gov/issue/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety-reporting-systems
    December 29, 2014 - RIS Download Citation Related Resources From the Same Author(s) Cardiac … May 1, 2015 Application of the aviation black box principle in pediatric cardiac surgery … : tracking all failures in the pediatric cardiac operating room.
  13. 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
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39282/psn-pdf
    September 20, 2011 - only overall complications but also delays in undergoing urgent procedures, survival from in-hospital cardiac … waiting-urgent-procedures-weekend-among-emergently-hospitalized-patients https://psnet.ahrq.gov/issue/survival-hospital-cardiac-arrest-during-nights-and-weekends
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39551/psn-pdf
    May 26, 2010 - Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac … Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac
  16. 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
  17. 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
  18. psnet.ahrq.gov/issue/wrong-patient
    December 23, 2008 - This case study describes the events of a patient who underwent an unintended invasive cardiac electrophysiology … Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac
  19. psnet.ahrq.gov/issue/rescue-me-saving-vulnerable-non-icu-patient-population
    June 01, 2011 - A nurse-led rapid response team achieved significant reductions in cardiac arrests and unanticipated … May 25, 2010 A reduction in cardiac arrests and duration of clinical instability after
  20. psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
    January 01, 2024 - Autopsy confirmed sudden cardiac arrest without myocardial infarction as the cause of death. 7 7 … Unfortunately, the patient deteriorated and suffered sudden cardiac death likely due to TdP (meaning … In cardiac myocytes, the high selective permeability of potassium ion channels in the cell membrane generates … a negative resting membrane potential that stabilizes cardiac myocytes.5 Therefore, serum potassium … Finally, when resuscitating patients in cardiac arrest, responders should be mindful of the side effects

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