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381. Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children’s hospital. | PSNet
     psnet.ahrq.gov/issue/effect-rapid-response-team-hospital-wide-mortality-and-code-rates-outside-icu-childrens
     December 02, 2014 - June 6, 2012 Diagnostic errors in paediatric cardiac intensive care. … Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac … September 24, 2010 A reduction in cardiac arrests and duration of clinical instability

382. Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. | PSNet
     psnet.ahrq.gov/issue/assessing-content-validity-and-user-perspectives-team-check-tool-expert-survey-and-user-focus
     January 02, 2017 - August 21, 2024 Reducing three infections across cardiac surgery programs: a multisite … 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

383. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. | PSNet
     psnet.ahrq.gov/issue/prognosis-undiagnosed-chest-pain-linked-electronic-health-record-cohort-study
     March 19, 2018 - July 26, 2017 A patient safety checklist for the cardiac catheterisation laboratory. … March 17, 2015 A team-based approach to reducing cardiac monitor alarms. … 2010 Importance of prevention and early intervention of adverse events in pediatric cardiac

384. Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. | PSNet
     psnet.ahrq.gov/issue/evaluation-electronic-health-record-structured-discharge-summary-provide-real-time-adverse
     December 29, 2014 - Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac … Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac … is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac

385. Spotlight Nstemi (pdf file)
     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 14 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.

386. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency | PSNet
     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

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43928/psn-pdf
     April 08, 2018 - They suggest that patients treated in the emergency department for chest pain or a cardiac condition … Conversely, teaching hospital status and availability of cardiac catheterization were associated with

388. Blame: what does it look like? | PSNet
     psnet.ahrq.gov/issue/blame-what-does-it-look
     February 02, 2022 - July 22, 2020 Patient safety in the cardiac operating room: human factors and teamwork … October 7, 2013 Cardiac surgery errors: results from the UK National Reporting and Learning

389. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet
     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

390. Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians. | PSNet
     psnet.ahrq.gov/issue/causes-errors-electrocardiographic-diagnosis-atrial-fibrillation-physicians
     April 16, 2018 - 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

391. Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study. | PSNet
     psnet.ahrq.gov/issue/nurse-workload-and-inexperienced-medical-staff-members-are-associated-seasonal-peaks-severe
     June 28, 2013 - inexperienced resident physicians were associated with higher rates of adverse events including unexpected cardiac … September 30, 2010 The relationship between inpatient cardiac surgery mortality and nurse

392. Psn-Pdf (pdf file)
     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.

393. Local Anesthesia-Induced Coma During Total Knee Arthroplasty. | PSNet
     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.

394. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-345
     May 16, 2022 - Study Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent … Seventy-four in situ cardiac arrest simulations were conducted in one hospital, identifying 106 unique … Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac … In this study, procedures in the cardiac catheterization lab were observed to assess the frequency and … This Month’s WebM&Ms WebM&M Cases Management of Cardiac Arrest in Unconventional

395. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-331
     March 31, 2022 - Study Hospital-acquired functional decline and clinical outcomes in older cardiac … hospital-acquired function decline on post-discharge outcomes among older adults who had undergone cardiac … Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac … Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac … Study Hospital-acquired functional decline and clinical outcomes in older cardiac

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846169/psn-pdf
     March 15, 2023 - retrieved from another room, resulting in marked arterial hemoglobin desaturation without bradycardia or cardiac … administer a larger dose of muscle relaxant to speed up the onset of paralysis to prevent a hypoxic cardiac … With adequate preparation, hypoxic cardiac arrest due to laryngospasm is preventable and it should occur … A cardiac defibrillator also should be readily available in all anesthetizing locations; the operational … patient became hypoxic during an episode of laryngospasm but fortunately did not suffer a hypoxic cardiac

397. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. | PSNet
     psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
     January 29, 2021 - retrieved from another room, resulting in marked arterial hemoglobin desaturation without bradycardia or cardiac … administer a larger dose of muscle relaxant to speed up the onset of paralysis to prevent a hypoxic cardiac … With adequate preparation, hypoxic cardiac arrest due to laryngospasm is preventable and it should occur … A cardiac defibrillator also should be readily available in all anesthetizing locations; the operational … This case resulted in unnecessary hypoxemia but a cardiac arrest could be averted because the neuromuscular

398. The U.S. is repeating its deadliest pandemic mistake. | PSNet
     psnet.ahrq.gov/issue/us-repeating-its-deadliest-pandemic-mistake
     September 02, 2020 - Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac … August 4, 2021 A handoff protocol from the cardiovascular operating room to cardiac ICU

399. Costly issues of an uncommunicative OR. | PSNet
     psnet.ahrq.gov/issue/costly-issues-uncommunicative-or
     July 29, 2020 - Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac … May 24, 2023 Association of overlapping cardiac surgery with short-term patient outcomes

400. Recognizing and managing errors of cognitive underspecification. | PSNet
     psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
     November 14, 2018 - July 22, 2020 Patient safety in the cardiac operating room: human factors and teamwork … October 7, 2013 Cardiac surgery errors: results from the UK National Reporting and Learning