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241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46677/psn-pdf
     June 25, 2018 - Diagnostic errors in paediatric cardiac intensive care. … Diagnostic errors in paediatric cardiac intensive care. … https://psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care Researchers surveyed … pediatric cardiac intensive care unit providers across three tertiary cardiac centers in the United … https://psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care https://psnet.ahrq.gov

242. 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

243. 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.

244. 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.

245. 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

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42047/psn-pdf
     March 18, 2013 - Checklists and cardiac exam. March 18, 2013 Sibbald M, de Bruin A, Cavalcanti RB, et al. … Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-2012-001537. … https://psnet.ahrq.gov/issue/do-you-have-re-examine-reconsider-your-diagnosis-checklists-and-cardiac- … 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.

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37415/psn-pdf
     March 03, 2011 - Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan … Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan … https://psnet.ahrq.gov/issue/six-year-audit-cardiac-arrests-and-medical-emergency-team-calls-australian … hospital with a long-standing medical emergency team has had a significant and sustained decline in cardiac … https://psnet.ahrq.gov/issue/six-year-audit-cardiac-arrests-and-medical-emergency-team-calls-australian-outer-metropolitan

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43753/psn-pdf
     December 10, 2014 - Improving the quality and safety of patient care in cardiac anesthesia. … Improving the quality and safety of patient care in cardiac anesthesia. … https://psnet.ahrq.gov/issue/improving-quality-and-safety-patient-care-cardiac-anesthesia This review … explores safety in cardiac surgery and suggests that the anesthesiologist in the surgical team is in … https://psnet.ahrq.gov/issue/improving-quality-and-safety-patient-care-cardiac-anesthesia https://psnet.ahrq.gov

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42413/psn-pdf
     July 31, 2013 - A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements … A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements … https://psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated- … improvements-care A standardized handoff protocol for cardiac surgery patients between the operating … https://psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated-improvements-care

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37183/psn-pdf
     October 06, 2011 - Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET … Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET … https://psnet.ahrq.gov/issue/frequent-diagnostic-errors-cardiac-petct-due-misregistration-ct-attenuation … - and-emission-pet In this study, 40% of cardiac PET/CT scans showed a false-positive result due to … https://psnet.ahrq.gov/issue/frequent-diagnostic-errors-cardiac-petct-due-misregistration-ct-attenuation-and-emission-pet

251. Getting Started Laying the Groundwork Coordination for Implementing Automatic Referral & Effective Care
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-slides.pptx
     December 31, 2022 - Increasing cardiac rehabilitation participation from 20% to 70%: a road map from the Million Hearts Cardiac … Cardiac Rehabilitation: Saving Lives, Restoring Health, Preventing Disease” 2018. … Cardiac Performance Measure Compliance in Outpatients. … Cardiac rehabilitation delivery model for low-resource settings.  … Who is referred to cardiac rehabilitation and why?

252. Module 2 Implementation Guide: System Change: Laying the Foundation and Leadership (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-implementation-guide.pdf
     June 02, 2025 - : CR QI Team implementing automatic referral with care coordination Secondary audience: Non-team cardiac … • The champion needs to be a credible and trusted member of the cardiac care group at the hospital … STEP 2: Create a Multidisciplinary Cardiac Rehabilitation Implementation Team Form a multidisciplinary … “Million Hearts: Getting to 70% Cardiac Rehabilitation Participation: Action Steps for Hospitals.” … Cardiac Rehabilitation: Saving Lives, Restoring Health, Preventing Disease.” 2018.

253. Sampleransferandintakenotes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
     June 02, 2025 - Transfer to location (hospital or ED) • Reason for transfer (grouped according to symptom or condition: cardiac … Transfer Time: Transfer to:  Emergency Department  Hospital Reason for Transfer Out of Facility Cardiac … /Circulatory/Blood  Anemia  Cardiac arrest  Coagulation defect  Chest pain/angina  Dizzy/lightheaded … Insertion and Fluids  PICC  Central  Peripheral  IV fluids Labs Obtained  Electrolytes  Cardiac …  Abdominal  Cardiac  Hip fracture  Other fracture  Joint replacement  Other major surgery,

254. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits - Transfer Note and Intake Note (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
     June 02, 2025 - Transfer to location (hospital or ED) • Reason for transfer (grouped according to symptom or condition: cardiac … Transfer Time: Transfer to:  Emergency Department  Hospital Reason for Transfer Out of Facility Cardiac … /Circulatory/Blood  Anemia  Cardiac arrest  Coagulation defect  Chest pain/angina  Dizzy/lightheaded … Insertion and Fluids  PICC  Central  Peripheral  IV fluids Labs Obtained  Electrolytes  Cardiac …  Abdominal  Cardiac  Hip fracture  Other fracture  Joint replacement  Other major surgery,

255. 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

256. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/002-ss-antimicrobial-prophylaxis-part-1.pptx
     April 01, 2025 - Program for MRSA Prevention: Targeting SSI Antimicrobial Prophylaxis Part 1 Surgical Services For: Cardiac … Cardiac* Spine Hip and knee replacement *Cefuroxime is often used effectively in cardiac surgery though … Expected Microbiology3 S. aureus is the most frequently isolated SSI pathogen for: Orthopedic surgery Cardiac … Antimicrobial Prophylaxis Part 1 9 Cefazolin Covers Expected Microbiology* *expected microbiology of cardiac … Association of a bundled intervention with surgical site infections among patients undergoing cardiac

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74089/psn-pdf
     July 15, 2002 - The effect of race and sex on physicians' recommendations for cardiac catheterization. … The effect of race and sex on physicians' recommendations for cardiac catheterization. … https://psnet.ahrq.gov/issue/effect-race-and-sex-physicians-recommendations-cardiac-catheterization … Analyses indicate that women and Black patients with chest pain were less likely to be referred for cardiac … https://psnet.ahrq.gov/issue/effect-race-and-sex-physicians-recommendations-cardiac-catheterization https

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39264/psn-pdf
     February 03, 2010 - Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and … Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and … https://psnet.ahrq.gov/issue/changing-cardiac-arrest-and-hospital-mortality-rates-through-medical- emergency-team-takes … This study demonstrated progressive declines in unexpected cardiac deaths within 2 years and in mortality … https://psnet.ahrq.gov/issue/changing-cardiac-arrest-and-hospital-mortality-rates-through-medical-emergency-team-takes

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39003/psn-pdf
     January 28, 2010 - Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. … Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. … https://psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical … demonstrated that implementation of an intensivist physician and nurse–based team led to improvements in cardiac … https://psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44391/psn-pdf
     January 22, 2016 - Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. … Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. … https://psnet.ahrq.gov/issue/safety-culture-cardiac-surgical-teams-data-five-programs-and-national- … surgical-comparison This study found that cardiac surgical teams had a more positive safety culture … https://psnet.ahrq.gov/issue/safety-culture-cardiac-surgical-teams-data-five-programs-and-national-surgical-comparison