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221. Module-6-Implementation-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
     June 02, 2025 - Overview The overall goal of TAKEheart is to increase the enrollment and successful completion of cardiac … • AACVPR Cardiac Rehabilitation Enrollment Strategy—Cardiac Rehabilitation Pre-Enrollment Group Screening … • Case Study: Mount Carmel Health System—Cardiac Rehab Open Gym Q&A with Mt. … • AACVPR Cardiac Rehabilitation Enrollment Strategy—Cardiac Rehabilitation Patient Progress Report … • AACVPR Cardiac Rehabilitation Enrollment Strategy— AACVPR Cardiac Rehabilitation Adherence Strategy—Incorporating

222. A quality improvement initiative to improve pediatric discharge medication safety and efficiency. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-initiative-improve-pediatric-discharge-medication-safety-and-efficiency
     May 20, 2020 - June 18, 2019 Cold debriefings after in-hospital cardiac arrest in an international pediatric … 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. … January 29, 2015 Cardiac surgery errors: results from the UK National Reporting and Learning

223. 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

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48016/psn-pdf
     January 01, 2020 - Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. … Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. … https://psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross … https://psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration … https://psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37026/psn-pdf
     September 15, 2011 - Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: … Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: … https://psnet.ahrq.gov/issue/residents-feel-unprepared-and-unsupervised-leaders-cardiac-arrest-teams- … teaching-hospitals Housestaff traditionally lead cardiac arrest resuscitation ("code blue") teams … at academic institutions after receiving training in Advanced Cardiac Life Support (ACLS). 

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45419/psn-pdf
     June 29, 2017 - Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day … Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day … https://psnet.ahrq.gov/issue/risk-adjusted-survival-adults-following-hospital-cardiac-arrest-day-week-and … This analysis of a large national database examined variations in outcomes following in-hospital cardiac … Raising concerns that patients who had in-hospital cardiac arrest on nights or weekends might have been

227. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety | PSNet
     psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
     December 01, 2012 - Case Objectives Understand the scope of a point-of-care cardiac ultrasound examination. … Understand the difference between a limited and a complete cardiac ultrasound examination. … There were no cardiac murmurs or extra heart sounds, and he had no lower extremity edema. … The physician in the emergency department (ED) performed a bedside point-of-care cardiac ultrasound and … Focused cardiac ultrasound: recommendations from the American Society of Echocardiography.

228. Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. | PSNet
     psnet.ahrq.gov/issue/application-human-factors-analysis-and-classification-system-methodology-cardiovascular
     January 06, 2012 - 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 … September 27, 2016 Application of the aviation black box principle in pediatric cardiac … surgery: tracking all failures in the pediatric cardiac operating room. … July 5, 2013 A prospective study of paediatric cardiac surgical microsystems: assessing

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37568/psn-pdf
     February 03, 2011 - Survival from in-hospital cardiac arrest during nights and weekends. … Survival from in-hospital cardiac arrest during nights and weekends. … https://psnet.ahrq.gov/issue/survival-hospital-cardiac-arrest-during-nights-and-weekends This study … discovered that survival rates from in-hospital cardiac arrest are lower during nights and weekends, … /issue/delayed-time-defibrillation-after-hospital-cardiac-arrest

230. Adapting to new technologies in the operating room. | PSNet
     psnet.ahrq.gov/issue/adapting-new-technologies-operating-room
     January 16, 2017 - human performance by studying the implementation of a new physiological monitoring system for use in cardiac … Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac … September 22, 2021 Human factor in cardiac surgery: errors and near misses in a high … is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac … June 8, 2011 Adaptive coordination in cardiac anaesthesia: a study of situational changes

231. MGH halts a pediatric program: Heart surgeries on hold after errors. | PSNet
     psnet.ahrq.gov/issue/mgh-halts-pediatric-program-heart-surgeries-hold-after-errors
     August 24, 2016 - This newspaper article discusses one hospital's decision to temporarily close its pediatric cardiac surgery … March 24, 2016 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

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43709/psn-pdf
     December 04, 2014 - A team-based approach to reducing cardiac monitor alarms. … A team-based approach to reducing cardiac monitor alarms. … https://psnet.ahrq.gov/issue/team-based-approach-reducing-cardiac-monitor-alarms Improving alarm systems … The program included standardized steps for ordering and reassessing cardiac monitor parameters. … In addition, physicians and nurses used a log to document the need for ongoing cardiac monitoring and

233. Communication Failure—Who's in Charge? | PSNet
     psnet.ahrq.gov/web-mm/communication-failure-whos-charge
     April 01, 2018 - The child suffered a cardiac arrest at 7:00 AM from low cardiac output. … similarly, the ICU attending focused on stabilizing the child's respiratory status and missed his low cardiac … teams focused on children with cardiac problems. … 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

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37926/psn-pdf
     July 30, 2008 - Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns … Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns … https://psnet.ahrq.gov/issue/adaptive-coordination-cardiac-anaesthesia-study-situational-changes- coordination-patterns … This study used direct observation to evaluate how anesthesia teams engaged in teamwork during cardiac … https://psnet.ahrq.gov/issue/adaptive-coordination-cardiac-anaesthesia-study-situational-changes-coordination-patterns

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40174/psn-pdf
     December 21, 2014 - Physician implicit review to identify preventable errors during in-hospital cardiac arrest. … Physician implicit review to identify preventable errors during in-hospital cardiac arrest. … https://psnet.ahrq.gov/issue/physician-implicit-review-identify-preventable-errors-during-hospital-cardiac … - arrest This research letter discusses a review of cardiac arrest cases that found 25% of these cases … https://psnet.ahrq.gov/issue/physician-implicit-review-identify-preventable-errors-during-hospital-cardiac-arrest

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865429/psn-pdf
     April 24, 2024 - Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery April 24, 2024 Bohringer … Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. 2024. … https://psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery Disclosure … He underwent cardiac catheterization, which showed 3-vessel coronary artery disease and severe aortic … Pacing induced recurrent ventricular fibrillation following cardiac surgery.

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837065/psn-pdf
     May 11, 2022 - Fast tracking in cardiac surgery: is it safe? … Fast tracking in cardiac surgery: is it safe? … https://psnet.ahrq.gov/issue/fast-tracking-cardiac-surgery-it-safe Post-operative complications can … https://psnet.ahrq.gov/issue/fast-tracking-cardiac-surgery-it-safe https://psnet.ahrq.gov/issue/comprehensive-estimation-costs

238. A systems approach to analyzing and preventing hospital adverse events. | PSNet
     psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
     March 30, 2022 - January 23, 2017 Safety culture in cardiac surgical teams: data from five programs and … January 22, 2016 Application of the aviation black box principle in pediatric cardiac … surgery: tracking all failures in the pediatric cardiac operating room. … February 25, 2015 Cardiac surgical ICU care: eliminating "preventable" complications. … September 11, 2013 Quality, patient safety, and the cardiac surgical team.

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33956/psn-pdf
     March 07, 2005 - The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg … March 7, 2005 Inquest, Manitoba Pediatric Cardiac Surgery. … https://psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths- … winnipeg-health A 3-year review investigating a series of deaths from a pediatric cardiac unit revealed … https://psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths-winnipeg-health

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38541/psn-pdf
     May 21, 2009 - The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level … The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level … https://psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers … postoperative general wards—but not in the intensive care unit—was associated with reduced mortality for cardiac … https://psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers-and-educational