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81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/853236/psn-pdf
    September 06, 2023 - Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed … Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed … https://psnet.ahrq.gov/issue/video-review-simulated-pediatric-cardiac-arrest-identify-errorslatent-safety … By analyzing video recordings of pediatric cardiac arrest simulations, researchers were able to identify … https://psnet.ahrq.gov/issue/video-review-simulated-pediatric-cardiac-arrest-identify-errorslatent-safety-threats-mixed

82. Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. | PSNet
    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 … January 31, 2024 Mortality due to hospital-acquired infection after cardiac surgery.

83. Physician implicit review to identify preventable errors during in-hospital cardiac arrest. | PSNet
    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.

84. Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. | PSNet
    psnet.ahrq.gov/issue/hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary
    May 21, 2019 - of postoperative mortality, surgeons at the Bristol Royal Infirmary continued to perform pediatric cardiac … National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac … April 22, 2015 Application of the aviation black box principle in pediatric cardiac surgery … : tracking all failures in the pediatric cardiac operating room. … July 31, 2012 A prospective study of paediatric cardiac surgical microsystems: assessing

85. Why studying human behavior is a critical component of patient safety. | PSNet
    psnet.ahrq.gov/issue/why-studying-human-behavior-critical-component-patient-safety
    January 15, 2020 - video analysis of teams in critical situations informed adjustments to training to reduce risks in cardiac … April 22, 2015 Application of the aviation black box principle in pediatric cardiac surgery … : tracking all failures in the pediatric cardiac operating room. … May 25, 2011 A reduction in cardiac arrests and duration of clinical instability after … December 16, 2009 Nurses' perceptions of subspecialization in pediatric cardiac intensive

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46839/psn-pdf
    December 03, 2018 - Trends in survival after in-hospital cardiac arrest during nights and weekends. … Trends in Survival After In-Hospital Cardiac Arrest During Nights and Weekends. … https://psnet.ahrq.gov/issue/trends-survival-after-hospital-cardiac-arrest-during-nights-and-weekends … A patient who has an in-hospital cardiac arrest at night or during the weekend is less likely to be … In this large retrospective cohort study, researchers examined trends in in-hospital cardiac arrests

87. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. | PSNet
    psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit
    September 26, 2012 - Study Implementation of a rapid response team decreases cardiac arrest outside of … Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. … on the use of a rapid response team (RRT) in their hospital and found a 50% reduction in non-ICU cardiac … Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. … 2014 Transparency, public reporting, and a culture of change to quality and safety in cardiac

88. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. | PSNet
    psnet.ahrq.gov/issue/dealing-unforeseen-complexity-or-role-heedful-interrelating-medical-teams
    July 06, 2011 - Through direct observation, this study analyzed how pediatric cardiac surgery teams dealt with unanticipated … Related Resources From the Same Author(s) A prospective study of paediatric cardiac … January 26, 2022 Application of the aviation black box principle in pediatric cardiac … surgery: tracking all failures in the pediatric cardiac operating room. … June 8, 2011 Standardized multidisciplinary protocol improves handover of cardiac surgery

89. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery | PSNet
    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].

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60666/psn-pdf
    July 08, 2020 - Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest … Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest … //psnet.ahrq.gov/issue/maximum-emergency-department-overcrowding-correlated-occurrence- unexpected-cardiac-arrest … at a single ED found that maximum ED occupancy rates were positively correlated with in- hospital cardiac … https://psnet.ahrq.gov/issue/maximum-emergency-department-overcrowding-correlated-occurrence-unexpected-cardiac-arrest

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851158/psn-pdf
    June 28, 2023 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization June 28, 2023 Pham TH, Atreja … Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet]. 2023. … Risks of diagnostic cardiac catheterization Although it is a relatively safe procedure, cardiac catheterization … The history of cardiac catheterization. Can J Cardiol. 2005;21(12):1011-1014.  2. … Complications of cardiac catheterization.

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47222/psn-pdf
    October 03, 2018 - Decision support tools, systems, and artificial intelligence in cardiac imaging. … Decision Support Tools, Systems, and Artificial Intelligence in Cardiac Imaging. … https://psnet.ahrq.gov/issue/decision-support-tools-systems-and-artificial-intelligence-cardiac-imaging … artificial intelligence can be utilized to inform diagnostic decision making and improve the accuracy of cardiac … https://psnet.ahrq.gov/issue/decision-support-tools-systems-and-artificial-intelligence-cardiac-imaging

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/860722/psn-pdf
    January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? … Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? … https://psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful- improvements … This study reviewed and categorized incident reports regarding in-hospital cardiac arrest (IHCA) at two … https://psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50885/psn-pdf
    February 12, 2020 - Impact of staff turnover during cardiac surgical procedures. … Impact of staff turnover during cardiac surgical procedures. … https://psnet.ahrq.gov/issue/impact-staff-turnover-during-cardiac-surgical-procedures This study examined … Analyses of all cardiac operations performed at Massachusetts General Hospital over a 5-year period … A prior Web M&M commentary discusses adverse outcomes arising due a retained foreign object during cardiac

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60880/psn-pdf
    September 02, 2020 - Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality … Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality … https://psnet.ahrq.gov/issue/cold-debriefings-after-hospital-cardiac-arrest-international-pediatric- … This article describes the use of “cold” debriefings performed more than one day after in-hospital cardiac … https://psnet.ahrq.gov/issue/cold-debriefings-after-hospital-cardiac-arrest-international-pediatric-resuscitation-quality

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837306/psn-pdf
    June 01, 2022 - Mortality due to hospital-acquired infection after cardiac surgery. … Mortality due to hospital-acquired infection after cardiac surgery. … https://psnet.ahrq.gov/issue/mortality-due-hospital-acquired-infection-after-cardiac-surgery Surgical … Among 8,853 patients undergoing cardiac surgery in one academic hospital in France, 4.2% developed an … https://psnet.ahrq.gov/issue/mortality-due-hospital-acquired-infection-after-cardiac-surgery https://

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72778/psn-pdf
    February 24, 2021 - Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. … Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. … https://psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and … In this evaluation of 194 cardiac catheterization procedures at a single hospital, the authors found … https://psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety

98. Do hospitals provide lower quality care on weekends? | PSNet
    psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
    January 12, 2022 - patients admitted on weekends were significantly less likely to undergo invasive treatments (such as cardiac … Association of measured quality and future financial performance among hospitals performing cardiac … December 7, 2022 Hospital-acquired functional decline and clinical outcomes in older cardiac … September 24, 2016 Impact of anesthetic handover on mortality and morbidity in cardiac … February 10, 2015 The relationship between inpatient cardiac surgery mortality and nurse

99. Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. | PSNet
    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

100. Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. | PSNet
     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