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psnet.ahrq.gov/issue/adverse-safety-events-emergency-medical-services-care-children-out-hospital-cardiac-arrest
May 18, 2022 - Adverse safety events in emergency medical services care of children with out-of-hospital cardiac … Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest … Adverse safety events (ASE) are common in pediatric out-of-hospital cardiac arrests (OHCA). … Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest … September 4, 2016
Safety events in pediatric out-of-hospital cardiac arrest.
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psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort-study
August 04, 2021 - Study
Impact of anesthetic handover on mortality and morbidity in cardiac surgery … Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. … Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. … August 11, 2010
The effect of race and sex on physicians' recommendations for cardiac … January 23, 2017
A handoff protocol from the cardiovascular operating room to cardiac
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psnet.ahrq.gov/issue/patient-safety-science-cardiothoracic-surgery-overview
October 03, 2017 - June 7, 2017
Patient safety in the cardiac operating room: human factors and teamwork … surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists … , and cardiac operating room nurses. … surgery: tracking all failures in the pediatric cardiac operating room. … October 22, 2014
Quality, patient safety, and the cardiac surgical team.
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psnet.ahrq.gov/issue/application-who-surgical-safety-checklist-outside-operating-theatre-medicine-can-learn
March 17, 2021 - This study provides an in-depth description of how the checklist was modified and applied in cardiac … June 8, 2022
WebM&M Cases
Management of Cardiac Arrest … April 19, 2017
A patient safety checklist for the cardiac catheterisation laboratory. … March 17, 2015
A team-based approach to reducing cardiac monitor alarms. … 2011
Importance of prevention and early intervention of adverse events in pediatric cardiac
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psnet.ahrq.gov/issue/frequent-diagnostic-errors-cardiac-petct-due-misregistration-ct-attenuation-and-emission-pet
December 22, 2018 - Study
Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation … Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET … In this study, 40% of cardiac PET/CT scans showed a false-positive result due to technical errors. … Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET … Related Resources
Decision support tools, systems, and artificial intelligence in cardiac
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psnet.ahrq.gov/issue/focus-society-cardiovascular-anesthesiologists-initiative-improve-quality-and-safety
January 03, 2017 - surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists … , and cardiac operating room nurses. … March 16, 2016
Improving the quality and safety of patient care in cardiac anesthesia … July 9, 2014
Cardiac surgical ICU care: eliminating "preventable" complications. … September 11, 2013
Quality, patient safety, and the cardiac surgical team.
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psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - SPOTLIGHT CASE
Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery … Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. … Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. … Pacing induced recurrent ventricular fibrillation following cardiac surgery. … Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet].
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psnet.ahrq.gov/node/847538/psn-pdf
April 12, 2023 - Crisis scenarios for simulation-based nontechnical skills
training for cardiac surgery teams: a national … survey
among cardiac anesthesiologists, cardiac surgeons,
clinical perfusionists, and cardiac operating … Crisis scenarios for simulation-based nontechnical skills training
for cardiac surgery teams: a national … survey among cardiac anesthesiologists, cardiac surgeons, clinical
perfusionists, and cardiac operating … Cardiac surgeons, cardiac anesthesiologists, cardiac
perfusionists, and cardiac operating room nurses
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psnet.ahrq.gov/issue/do-you-have-re-examine-reconsider-your-diagnosis-checklists-and-cardiac-exam
February 06, 2014 - Checklists and cardiac exam. … Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-2012-001537. … In this study, internal medicine residents examined a high-fidelity cardiac simulator and then were given … a checklist that outlined the major aspects of the cardiac exam. … Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-2012-001537.
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psnet.ahrq.gov/issue/changing-cardiac-arrest-and-hospital-mortality-rates-through-medical-emergency-team-takes
March 13, 2024 - Study
Changing cardiac arrest and hospital mortality rates through a medical emergency … Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and … This study demonstrated progressive declines in unexpected cardiac deaths within 2 years and in mortality … Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and
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psnet.ahrq.gov/issue/disruptions-surgical-flow-and-their-relationship-surgical-errors-exploratory-investigation
August 26, 2011 - Using a trained observer to monitor for errors and flow disruptions in cardiac surgery operations, this … December 7, 2022
Impact of staff turnover during cardiac surgical procedures. … February 12, 2020
Starting elective cardiac surgery after 3 pm does not impact patient … January 23, 2017
Patient safety in the cardiac operating room: human factors and teamwork … July 5, 2013
A prospective study of paediatric cardiac surgical microsystems: assessing
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psnet.ahrq.gov/issue/physician-implicit-review-identify-preventable-errors-during-hospital-cardiac-arrest
August 02, 2013 - Study
Physician implicit review to identify preventable errors during in-hospital cardiac … Physician implicit review to identify preventable errors during in-hospital cardiac arrest. … This research letter discusses a review of cardiac arrest cases that found 25% of these cases had preventable … Physician implicit review to identify preventable errors during in-hospital cardiac arrest. … November 16, 2022
Delayed time to defibrillation after in-hospital cardiac arrest.
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psnet.ahrq.gov/issue/serious-hazards-transfusion-evaluating-dangers-wrong-patient-autologous-salvaged-blood
May 11, 2022 - Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac … Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac … March 24, 2021
Mortality due to hospital-acquired infection after cardiac surgery. … June 1, 2022
Hospital-wide cardiac arrest in situ simulation to identify and mitigate … September 28, 2022
Mortality due to hospital-acquired infection after cardiac surgery
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psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration
August 21, 2024 - Study
Reducing three infections across cardiac surgery programs: a multisite cross-unit … Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. … Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. … August 21, 2024
Safety culture in cardiac surgical teams: data from five programs and … April 5, 2017
Cardiac surgery errors: results from the UK National Reporting and Learning
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psnet.ahrq.gov/issue/risk-adjusted-survival-adults-following-hospital-cardiac-arrest-day-week-and-time-day
July 01, 2017 - Study
Risk-adjusted survival for adults following in-hospital cardiac arrest by day … Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day … Raising concerns that patients who had in-hospital cardiac arrest on nights or weekends might have been … Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day … June 11, 2014
Adverse drug events in hospitalized cardiac patients.
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psnet.ahrq.gov/web-mm/paradoxical-pulse
May 01, 2013 - The clinical examination of cardiac tamponade starts with a history. … The significance of echocardiographic-Doppler studies in cardiac tamponade. … Physiology of cardiac tamponade and pulsus paradoxus. … I: mechanisms of pulsus paradoxus in cardiac tamponade. … Pulsus paradoxus: definition and relation to the severity of cardiac tamponade.
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psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing-relationships-between
February 14, 2024 - Study
A prospective study of paediatric cardiac surgical microsystems: assessing … A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between … A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between … December 3, 2018
Application of the aviation black box principle in pediatric cardiac … surgery: tracking all failures in the pediatric cardiac operating room.
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psnet.ahrq.gov/node/854255/psn-pdf
October 04, 2023 - Empowering telemetry technicians and enhancing
communication to improve in-hospital cardiac arrest … Empowering telemetry technicians and enhancing communication to
improve in-hospital cardiac arrest survival … psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-
hospital-cardiac-arrest … In-hospital cardiac arrests (IHCAs) are complex clinical scenarios requiring effective communication … https://psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
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psnet.ahrq.gov/issue/video-review-simulated-pediatric-cardiac-arrest-identify-errorslatent-safety-threats-mixed
October 07, 2020 - Study
Video review of simulated pediatric cardiac arrest to identify errors/latent … Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed … By analyzing video recordings of pediatric cardiac arrest simulations, researchers were able to identify … Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed
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psnet.ahrq.gov/issue/importance-prevention-and-early-intervention-adverse-events-pediatric-cardiac-catheterization
March 24, 2019 - Importance of prevention and early intervention of adverse events in pediatric cardiac … Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization … This study sought to quantify the incidence and types of adverse events associated with pediatric cardiac … Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization