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401. 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

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33614/psn-pdf
     June 01, 2005 - Consider a study of the impact of a medical emergency team on survival from cardiac arrest on general … wards.(9) Using a before-after design, the study reported an absolute reduction in mortality from "cardiac … The study focuses on patients with "calls for cardiac arrest." … Before the intervention, cardiac arrests meant literal cardiac arrests. … Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac

403. The Deadly Duo | PSNet
     psnet.ahrq.gov/web-mm/deadly-duo
     April 28, 2021 - other drugs.( 24 ) The most dreaded toxicity of TCAs derives from their multiple effects on the cardiac … These changes may lead to increased cardiac morbidity and mortality in one of four scenarios: (i) when … administered to a patient with pre-existing cardiac problems (e.g., bundle-branch block, third-degree … (ii) when ingested in an overdose; (iii) when administered along with other agents that also affect cardiac … increasing the likelihood of occurrence and the severity of the same when they do occur—such as the cardiac

404. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected | PSNet
     psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
     September 25, 2024 - She was immediately given a fluid bolus, phenylephrine, and 100% oxygen but still developed cardiac arrest … Cardiopulmonary resuscitation (CPR) was initiated with cardiac massage , but she could not be resuscitated … events include patient age (infants are at higher risk than older children); pre-existing pulmonary, cardiac … cause of death cannot be proven, the child in this case most likely had a massive air embolism and cardiac … needed, CPR should be initiated according to Pediatric Advanced Life Support (PALS) and/or Advanced Cardiac

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866618/psn-pdf
     December 31, 2024 - Autopsy confirmed sudden cardiac arrest without myocardial infarction as the cause of death. … 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 … Finally, when resuscitating patients in cardiac arrest, responders should be mindful of the side effects

406. Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention. | PSNet
     psnet.ahrq.gov/issue/knowledge-based-errors-anesthesia-paired-controlled-trial-learning-and-retention
     December 06, 2023 - April 3, 2019 Use of an emergency manual during an intraoperative cardiac arrest by an … Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac

407. In situ simulation: identification of systems issues. | PSNet
     psnet.ahrq.gov/issue/situ-simulation-identification-systems-issues
     January 31, 2024 - Adverse safety events in emergency medical services care of children with out-of-hospital cardiac … prehospital care in the USA December 11, 2019 Safety events in pediatric out-of-hospital cardiac

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74251/psn-pdf
     January 26, 2022 - Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac … Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac … Before the child could be transfused, she suddenly collapsed and developed cardiac arrest accompanied … conditions than during active cardiopulmonary resuscitation), would have likely prevented the patient’s cardiac … Prospective analysis of percutaneous central venous catheterization in infants <4.0 kg undergoing cardiac

409. State sepsis mandates—a new era for regulation of hospital quality. | PSNet
     psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital-quality
     October 02, 2019 - May 5, 2021 Delayed time to defibrillation after in-hospital cardiac arrest. … March 23, 2011 The effect of race and sex on physicians' recommendations for cardiac

410. Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis. | PSNet
     psnet.ahrq.gov/issue/swapping-horses-midstream-factors-related-physicians-changing-their-minds-about-diagnosis
     January 29, 2020 - Related Resources WebM&M Cases Management of Cardiac … Checklists and cardiac exam.

411. Why do hundreds of US women die annually in childbirth? | PSNet
     psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
     June 14, 2019 - Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac … October 4, 2023 Cold debriefings after in-hospital cardiac arrest in an international

412. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. | PSNet
     psnet.ahrq.gov/issue/misdiagnosis-acute-myocardial-infarction-systematic-review-literature
     July 28, 2021 - Related Resources WebM&M Cases Management of Cardiac … January 23, 2017 A team-based approach to reducing cardiac monitor alarms.

413. Time for a change in injury and trauma care delivery: a trauma death review analysis. | PSNet
     psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis
     November 21, 2021 - March 5, 2010 Changing cardiac arrest and hospital mortality rates through a medical … 2010 Importance of prevention and early intervention of adverse events in pediatric cardiac

414. Acquisition of critical intraoperative event management skills in novice anesthesiology residents by using high-fidelity simulation-based training. | PSNet
     psnet.ahrq.gov/issue/acquisition-critical-intraoperative-event-management-skills-novice-anesthesiology-residents
     March 19, 2019 - WebM&M Cases Missed Connection: A Case of Inadequate ECG Oversight in Cardiac … Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac

415. Semantically ambiguous language in the teaching operating room. | PSNet
     psnet.ahrq.gov/issue/semantically-ambiguous-language-teaching-operating-room
     November 11, 2020 - July 21, 2021 A handoff protocol from the cardiovascular operating room to cardiac ICU … Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac

416. Reducing surgical specimen errors through multidisciplinary quality improvement. | PSNet
     psnet.ahrq.gov/issue/reducing-surgical-specimen-errors-through-multidisciplinary-quality-improvement
     July 28, 2021 - February 6, 2019 Application of the aviation black box principle in pediatric cardiac … surgery: tracking all failures in the pediatric cardiac operating room.

417. High fidelity simulation as a research tool. | PSNet
     psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool
     February 19, 2020 - June 21, 2023 Hospital-wide cardiac arrest in situ simulation to identify and mitigate … June 8, 2022 WebM&M Cases Management of Cardiac Arrest

418. Sleep deprivation and medication administration errors in registered nurses- a scoping review. | PSNet
     psnet.ahrq.gov/issue/sleep-deprivation-and-medication-administration-errors-registered-nurses-scoping-review
     September 23, 2020 - approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac … August 25, 2015 Safety culture in cardiac surgical teams: data from five programs and

419. Ward round template: enhancing patient safety on ward rounds. | PSNet
     psnet.ahrq.gov/issue/ward-round-template-enhancing-patient-safety-ward-rounds
     April 19, 2023 - 2024 Transparency, public reporting, and a culture of change to quality and safety in cardiac … November 2, 2022 Distractions in the cardiac catheterisation laboratory: impact for cardiologists

420. Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet. | PSNet
     psnet.ahrq.gov/issue/reduction-medication-errors-related-sliding-scale-insulin-introduction-standardized-order
     June 19, 2024 - September 13, 2023 Hospital-acquired functional decline and clinical outcomes in older cardiac … Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac