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401. Application of human error theory in case analysis of wrong procedures. | PSNet
     psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wrong-procedures
     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

402. 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

403. 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

404. 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

405. 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.

406. "Team time-out" and surgical safety—experiences in 12,390 neurosurgical patients. | PSNet
     psnet.ahrq.gov/issue/team-time-out-and-surgical-safety-experiences-12390-neurosurgical-patients
     November 21, 2018 - is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac … October 8, 2016 Patient safety in the cardiac operating room: human factors and teamwork

407. 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.

408. 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

409. 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

410. 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

411. 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.

412. 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

413. 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

414. 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

415. 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

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. 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

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35633/psn-pdf
     January 16, 2024 - https://psnet.ahrq.gov/issue/patient-safety-25 https://psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths-winnipeg-health

419. 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

420. 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.