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381. 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

382. 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

383. 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

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. 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

386. 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

387. 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

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. Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. | PSNet
     psnet.ahrq.gov/issue/changes-efficiency-and-safety-culture-after-integration-i-pass-supported-handoff-process
     June 25, 2018 - to develop and implement a standardized signout process for transferring patients from the pediatric cardiac … Related Resources From the Same Author(s) Diagnostic errors in paediatric cardiac

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. Enhancing safety of a system-wide in situ simulation program using no-go considerations. | PSNet
     psnet.ahrq.gov/issue/enhancing-safety-system-wide-situ-simulation-program-using-no-go-considerations
     June 13, 2018 - This study examined risks – “no go” considerations - associated with in situ simulations focused on cardiac … April 14, 2021 Hospital-wide cardiac arrest in situ simulation to identify and mitigate

392. 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

393. Costs of adverse events in intensive care units. | PSNet
     psnet.ahrq.gov/issue/costs-adverse-events-intensive-care-units
     July 23, 2008 - the Critical Care Safety Study to determine the costs associated with adverse events in medical and cardiac … June 19, 2019 Diagnostic errors in paediatric cardiac intensive care.

394. Rapid Response Systems | PSNet
     psnet.ahrq.gov/primer/rapid-response-systems
     July 18, 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

395. The NSTEMI Curbside Consultation | PSNet
     psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
     August 04, 2021 - Cardiac magnetic resonance imaging (MRI) showed no viability of the mid-anterior wall of the left ventricle … and stroke. 14 Based on this phenotype for women, lack of recognition of the high probability of a cardiac … 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 … Initial Results from a Cardiac Curbside Program.

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49858/psn-pdf
     April 01, 2019 - Her admission electrocardiogram was unchanged from a prior one and showed no evidence of cardiac ischemia … In an intensive care unit (ICU), the patient is hard-wired to a cardiac monitor at the bedside. … Monitor watchers have been described as "personnel whose job it is to watch the central cardiac monitor … Connecting remote cardiac monitoring issues with care areas. PA-PSRS Patient Saf Advis. … Communication How will prescriber determine whether patient should be on a cardiac unit with onsite

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73549/psn-pdf
     July 28, 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.

398. 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

399. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
     January 01, 2021 - surgery, resulting in postoperative hypotension despite a normal or increased cardiac index • Most … Postoperative complications among patients undergoing cardiac surgery. … Management of vasodilatory shock after cardiac surgery: identification of predisposing factors and use … Vasopressin versus norepinephrine in patients with vasoplegic shock after cardiac surgery: the VANCS … Effect of perioperative goal-directed hemodynamic resuscitation therapy on outcomes following cardiac

400. 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