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Showing results for "cardiac".
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441. A hospital is not just a factory, but a complex adaptive system—implications for perioperative care. | PSNet
     psnet.ahrq.gov/issue/hospital-not-just-factory-complex-adaptive-system-implications-perioperative-care
     May 11, 2019 - , 2020 How strong is the evidence for the use of perioperative beta blockers in non-cardiac … National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac

442. The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories. | PSNet
     psnet.ahrq.gov/issue/effectiveness-inking-needle-core-prostate-biopsies-preventing-patient-specimen-identification
     August 04, 2021 - September 23, 2020 Health system redesign of cardiac monitoring oversight to optimize … May 15, 2024 Starting elective cardiac surgery after 3 pm does not impact patient morbidity

443. Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. | PSNet
     psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
     May 19, 2021 - February 16, 2022 Mortality due to hospital-acquired infection after cardiac surgery. … 2023 Transparency, public reporting, and a culture of change to quality and safety in cardiac

444. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. | PSNet
     psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality-improvement-report
     January 15, 2020 - February 3, 2016 Application of the aviation black box principle in pediatric cardiac … surgery: tracking all failures in the pediatric cardiac operating room.

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49431/psn-pdf
     January 01, 2004 - Cardiac enzymes were drawn. She was admitted to the cardiac care unit (CCU). … The first set of cardiac enzymes was equivocal, and a CPK- MB was minimally elevated. … Many such aides are available, and these improve the sensitivity and specificity of diagnosing cardiac … '(4-8) For example, one study used a formula based on seven clinical variables to predict cardiac ischemia … However, had the team incorporated all available data, they might have realized that the likelihood of cardiac

446. Crushing Chest Pain: A Missed Opportunity | PSNet
     psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
     February 01, 2007 - Cardiac enzymes were drawn. She was admitted to the cardiac care unit (CCU). … The first set of cardiac enzymes was equivocal, and a CPK-MB was minimally elevated. … Many such aides are available, and these improve the sensitivity and specificity of diagnosing cardiac … '( 4-8 ) For example, one study used a formula based on seven clinical variables to predict cardiac ischemia … However, had the team incorporated all available data, they might have realized that the likelihood of cardiac

447. 20 years later: to err is a leadership failure. | PSNet
     psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
     November 30, 2016 - associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac … 2023 Transparency, public reporting, and a culture of change to quality and safety in cardiac

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49747/psn-pdf
     December 01, 2015 - His initial electrocardiogram (ECG) showed no evidence of significant ischemia, but cardiac biomarkers … types of alarms generated with hospital monitor devices: arrhythmia alarms that detect a change in cardiac … well-known academic medical center.(2) Despite repeated low heart rate alarms before the patient's cardiac … A number of different forces result in an excessive number of cardiac monitor alarms. … Cardiac monitor devices have a high sensitivity for detecting arrhythmias and vital sign changes, but

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49756/psn-pdf
     April 01, 2016 - While being evaluated by the emergency physician, he suddenly went into cardiac arrest. … He was successfully resuscitated and underwent emergent cardiac catheterization, which revealed multivessel … references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references communicated from the cardiac … Third, the cardiac care team may have been inappropriately reassured that free air on the radiograph … may have been a delay in the recognition of this complication because of a flawed transfer from a cardiac

450. Medication errors—new approaches to prevention. | PSNet
     psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
     November 18, 2016 - May 23, 2018 Improving the quality and safety of patient care in cardiac anesthesia. … January 7, 2015 Improving the quality and safety of patient care in cardiac anesthesia

451. Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association. | PSNet
     psnet.ahrq.gov/issue/latency-ecg-displays-hospital-telemetry-systems-science-advisory-american-heart-association
     March 14, 2018 - September 1, 2016 Novel approach to cardiac alarm management on telemetry units. … Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac

452. 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

453. Burnout syndrome among healthcare professionals. | PSNet
     psnet.ahrq.gov/issue/burnout-syndrome-among-healthcare-professionals
     September 01, 2018 - 2022 Transparency, public reporting, and a culture of change to quality and safety in cardiac … November 9, 2022 Implementation of a rapid response team decreases cardiac arrest outside

454. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. | PSNet
     psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th-anniversary-provokes
     January 01, 2015 - is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac … October 19, 2022 Patient safety in the cardiac operating room: human factors and teamwork

455. Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety. | PSNet
     psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
     May 25, 2016 - Citation Related Resources From the Same Author(s) Interdisciplinary ICU cardiac … April 6, 2012 Cold debriefings after in-hospital cardiac arrest in an international pediatric

456. 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

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49718/psn-pdf
     January 01, 2015 - While on the third bag of the potassium infusion, the patient went into cardiac arrest and advanced … potassium chloride for mild–moderate hypokalemia (K+ 3.1–3.5 mEq/L) and IV repletion via central line with cardiac … : necessary when the patient cannot take oral medicines or for cases of severe hypokalemia causing cardiac … administration** Oral: 60–80 mEq/day initially Intravenous: usual rate of 10–20 mEq/h with preference for cardiac … monitoring; emergency rate of 5–10 mEq over 20 min with mandatory cardiac monitoring in an ICU setting

458. The role of the anesthesiologist in perioperative patient safety. | PSNet
     psnet.ahrq.gov/issue/role-anesthesiologist-perioperative-patient-safety
     November 20, 2015 - December 19, 2014 Improving the quality and safety of patient care in cardiac anesthesia … is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac

459. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? | PSNet
     psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
     February 24, 2011 - Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac … Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac

460. Cognitive errors detected in anaesthesiology: a literature review and pilot study. | PSNet
     psnet.ahrq.gov/issue/cognitive-errors-detected-anaesthesiology-literature-review-and-pilot-study
     November 21, 2012 - Checklists and cardiac exam. … Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac