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psnet.ahrq.gov/node/37468/psn-pdf
April 11, 2011 - A similar study in the adult population found delays in treatment of in-hospital
cardiac arrests, with … using-simulation-based-training-improve-patient-safety-what-does-it-take
https://psnet.ahrq.gov/issue/delayed-time-defibrillation-after-hospital-cardiac-arrest
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psnet.ahrq.gov/node/39192/psn-pdf
February 02, 2011 - contraindicated-medication-use-dialysis-patients-undergoing-percutaneous-
coronary
Patients hospitalized for cardiac … contraindicated-medication-use-dialysis-patients-undergoing-percutaneous-coronary
https://psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
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psnet.ahrq.gov/sites/default/files/2020-07/spotlight_nstemi.pdf
January 01, 2020 - • Cardiac MRI showed no viability of the mid-anterior wall of
the left ventricle. … women with CVD
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Cardiovascular Disease in Women
- Typical triad for MI: chest pain, elevated cardiac … - This patient’s cardiac history of CAD and STEMI s/p PCI, now with
decreased EF not fully explained … High-sensitivity cardiac troponin T predicts mortality after
hospitalization for community-acquired … Initial Results from a Cardiac Curbside Program.
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psnet.ahrq.gov/node/45708/psn-pdf
October 31, 2017 - 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/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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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
December 01, 2015 - His initial electrocardiogram (ECG) showed no evidence of significant ischemia but cardiac biomarkers … 8
Low-Voltage QRS Complex
In a recent study, low-voltage QRS complexes were a major cause of false cardiac … general, there are three types of clinical alarms in the hospital
Arrhythmia alarms: detect a change in cardiac … academic medical center
In that case, there were repeated low heart rate alarms before the patient's cardiac … clinical staff should instead problem-solve why an alarm condition is occurring and work to resolve it
Cardiac
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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
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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
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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
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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
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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.
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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.
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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
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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
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psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - Cardiology was consulted and recommended to transfer the patient to the cardiac intensive care unit ( … Maintenance of cardiac output in patients with acute heart failure depends in part upon sympathetic drive … Syncope has different risk stratifications depending on cardiac versus noncardiac etiologies, and ED … physicians may have more cumulative experience with vasovagal and orthostatic syncope than with cardiac … causes of syncope, such as heart failure and cardiomyopathy with decreased cardiac output. 16 In this
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psnet.ahrq.gov/node/60744/psn-pdf
July 29, 2020 - Cardiac magnetic resonance imaging
(MRI) showed no viability of the mid-anterior wall of the left ventricle … Cardiac troponin (cTn) T and I are expressed by the
myocardium and are the preferred biomarkers to use … In a patient like the one in this case,
with known CAD, rising cardiac biomarkers, and a new drop in … High-
sensitivity cardiac troponin T predicts mortality after hospitalization for community-acquired … Initial Results from a Cardiac Curbside Program.
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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
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - Initial cardiac troponin I concentrations were 4400 ng/L (99 th 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 … The incorrect patient label was placed on the cardiac troponin I sample, which resulted in the report
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psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
October 27, 2021 - Cardiovascular complications range from arrhythmias to cardiac arrest. … In addition, there is a dose-dependent decrease in cardiac contractility, and in the case of bupivacaine … , a pronounced vasoconstrictor effect, causing an increase in afterload, further impairing cardiac output … Cardiac toxicity can be compared across different local anesthetics using the CC/CNS ratio, which is … Patient characteristics include age, low weight, pregnancy, or renal, hepatic or cardiac disease.
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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