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psnet.ahrq.gov/issue/are-world-health-organizations-patient-safety-learning-objectives-still-date-group-concept
February 16, 2022 - View More
Related Resources
Bad things can happen: are medical students aware
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psnet.ahrq.gov/node/35509/psn-pdf
January 17, 2025 - Patient Safety Awareness Week.
January 17, 2025
Institute for Healthcare Improvement.
https://psnet.ahrq.gov/issue/patient-safety-awareness-week
This website provides resources for promoting patient safety during Patient Safety Awareness Week,
including a webinar archive, selected readings and communication strate…
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psnet.ahrq.gov/node/45449/psn-pdf
October 29, 2017 - Situational awareness—what it means for clinicians, its
recognition and importance in patient safety.
October 29, 2017
Green B, Parry D, Oeppen RS, et al. Situational awareness - what it means for clinicians, its recognition
and importance in patient safety. Oral Dis. 2017;23(6):721-725. doi:10.1111/odi.12547.
htt…
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psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - On hospital day 9, a nurse documented “unable to
move BLE [bilateral LE], sensation intact, team aware … Finally, the nursing documentation of ‘team aware’ implies unprofessionalism if the physician team
continued … to document normal exams despite being aware of deterioration of the patient’s neurological
state.
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psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
June 29, 2022 - EMERGING INNOVATIONS
Reducing hospital harm: establishing a command centre to foster situational awareness.
Citation Text:
Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885.
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…
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psnet.ahrq.gov/node/854827/psn-pdf
October 25, 2023 - Beyond the surgical safety checklist: using intraoperative
handoff to facilitate team situation awareness in the OR.
October 25, 2023
Ramjaun A, Hammond Mobilio M, Wright N, et al. Beyond the surgical safety checklist: using intraoperative
handoff to facilitate team situation awareness in the OR. Ann Surg. 2023;278…
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psnet.ahrq.gov/node/43627/psn-pdf
November 12, 2014 - The 5th National Audit Project (NAP5) on accidental
awareness during general anaesthesia: patient
experiences, human factors, sedation, consent and
medicolegal issues.
November 12, 2014
Cook TM, Andrade J, Bogod DG, et al. The 5th National Audit Project (NAP5) on accidental awareness
during general anaesthesia: p…
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psnet.ahrq.gov/issue/awareness-recall-during-general-anaesthesia-prospective-observational-evaluation-4001
March 09, 2022 - Study
Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients.
Citation Text:
Errando CL, Sigl JC, Robles M, et al. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Br J Anaesth.…
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psnet.ahrq.gov/node/41942/psn-pdf
July 24, 2017 - Improving situation awareness to reduce unrecognized
clinical deterioration and serious safety events.
July 24, 2017
Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical
deterioration and serious safety events. Pediatrics. 2013;131(1):e298-308. doi:10.1542/peds.2012-…
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psnet.ahrq.gov/node/35203/psn-pdf
December 14, 2010 - Practice Advisory on Intraoperative Awareness and Brain
Function Monitoring.
December 14, 2010
Awareness AS of ATF on I. Practice advisory for intraoperative awareness and brain function monitoring: a
report by the american society of anesthesiologists task force on intraoperative awareness.
Anesthesiology. 2006;1…
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psnet.ahrq.gov/node/50731/psn-pdf
December 11, 2019 - Awareness of diagnosis and follow up care after
discharge from the emergency department
December 11, 2019
Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the
Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec.2019.08.004.
https://psnet.ah…
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psnet.ahrq.gov/node/37998/psn-pdf
April 18, 2011 - Awareness with recall during general anaesthesia: a
prospective observational evaluation of 4001 patients.
April 18, 2011
Errando CL, Sigl JC, Robles M, et al. Awareness with recall during general anaesthesia: a prospective
observational evaluation of 4001 patients. Br J Anaesth. 2008;101(2):178-85. doi:10.1093/bja…
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psnet.ahrq.gov/node/74271/psn-pdf
January 19, 2022 - Improving shared situation awareness for high-risk
therapies in hospitalized children.
January 19, 2022
Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in
hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.2021-006193.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/46137/psn-pdf
August 03, 2017 - Frequency and type of situational awareness errors
contributing to death and brain damage: a closed claims
analysis.
August 3, 2017
Schulz CM, Burden A, Posner KL, et al. Frequency and Type of Situational Awareness Errors Contributing
to Death and Brain Damage: A Closed Claims Analysis. Anesthesiology. 2017;127(2)…
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psnet.ahrq.gov/issue/handoffs-and-communication-underappreciated-roles-situational-awareness-and-inattentional
February 01, 2003 - Commentary
Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness.
Citation Text:
Gosbee JW. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Clin Obstet Gynecol. 2010;53(3)…
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psnet.ahrq.gov/issue/raising-awareness-inpatient-nursing-staff-about-medication-errors
February 15, 2011 - Study
Raising the awareness of inpatient nursing staff about medication errors.
Citation Text:
Elnour AA, Ellahham NH, Qassas HIA. Raising the awareness of inpatient nursing staff about medication errors. Pharm World Sci. 2008;30(2):182-90.
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Format:
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psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations-integrated-displays-improve
March 01, 2011 - Study
Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness.
Citation Text:
Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurs…
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psnet.ahrq.gov/issue/team-situation-awareness-and-anticipation-patient-progress-during-icu-rounds
May 06, 2009 - Study
Team situation awareness and the anticipation of patient progress during ICU rounds.
Citation Text:
Reader TW, Flin R, Mearns K, et al. Team situation awareness and the anticipation of patient progress during ICU rounds. BMJ Qual Saf. 2011;20(12):1035-42. doi:10.1136/bmjqs.2010.0…
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - Prescribing
Is the provider aware of any restrictions in the ability to prescribe this medication
or … Order Review
Is the pharmacist reviewing the order aware of the REMS criteria, in terms of
assessing
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - Sarah Mossburg: I'm curious if you're aware of what kind of trends that are being identified with some … front lines and qualitative
experiences—we noticed that we're a little bit below our goal, are you all aware … I'm curious if you are aware of any data emerging on
prevalence of specific safety events within the … Remle Crowe: I'm not aware of any published; that doesn't mean it doesn't exist because I haven't read … the culture of safety is really becoming something that's a little bit more
prevalent and people are aware