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psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness
May 26, 2021 - Study
Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices.
Citation Text:
Duffy CC, Bass GA, Duncan JR, et al. Medication errors in anesthesiology: is it time to train by exampl…
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psnet.ahrq.gov/node/840493/psn-pdf
November 30, 2022 - How to Stay Safe When Entering the Healthcare System:
A Physician Walks across the Country to Raise
Awareness of the Need to Improve Healthcare Safety.
November 30, 2022
Meyer DB. Boca Raton, FL: Universal Publishers; 2022. ISBN:? 9781627344067
https://psnet.ahrq.gov/issue/how-stay-safe-when-entering-healthca…
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - We've "tutored" this taxonomy using documents, and therefore this node on toxic shock syndrome is aware … Physicians are more amenable to diagnosis assistance, not just because they're aware of error, but because … need to monitor this for optimal decision-making.( 13 ) The argument is that if physicians were more aware … Advice to Reduce "Fast and Frugal" Cognitive Errors in Diagnosis
Be aware of the odds of being wrong … While they are keenly aware that diagnostic error exists, they believe errors are made by other physicians
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - need to monitor this for optimal decision-making.( 13 ) The argument is that if physicians were more aware … Advice to Reduce "Fast and Frugal" Cognitive Errors in Diagnosis
Be aware of the odds of being wrong … While they are keenly aware that diagnostic error exists, they believe errors are made by other physicians … We've "tutored" this taxonomy using documents, and therefore this node on toxic shock syndrome is aware … Physicians are more amenable to diagnosis assistance, not just because they're aware of error, but because
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psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting
August 03, 2017 - Study
Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system.
Citation Text:
Schulz CM, Krautheim V, Hackemann A, et al. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting syste…
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psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety
December 02, 2014 - Study
Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.
Citation Text:
Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Pediatrics. 2013;131(…
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psnet.ahrq.gov/node/39808/psn-pdf
September 01, 2010 - Handoffs and communication: the underappreciated roles
of situational awareness and inattentional blindness.
September 1, 2010
Gosbee JW. Handoffs and communication: the underappreciated roles of situational awareness and
inattentional blindness. Clin Obstet Gynecol. 2010;53(3):545-58. doi:10.1097/GRF.0b013e3181ec1…
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psnet.ahrq.gov/node/40679/psn-pdf
December 01, 2011 - Team situation awareness and the anticipation of patient
progress during ICU rounds.
December 1, 2011
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.2010.048561.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/863762/psn-pdf
March 14, 2024 - Diagnostic Excellence: a Patient Safety Awareness Week
Webinar.
March 6, 2024
Institute for Healthcare Improvement. March 14, 2024.
https://psnet.ahrq.gov/issue/diagnostic-excellence-patient-safety-awareness-week-webinar
Diagnostic safety is core to care without harm. This webinar aligned with the 2024 Patient Saf…
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psnet.ahrq.gov/node/43877/psn-pdf
February 25, 2015 - Training situational awareness to reduce surgical errors
in the operating room.
February 25, 2015
Graafland M, Schraagen JMC, Boermeester MA, et al. Training situational awareness to reduce surgical
errors in the operating room. Br J Surg. 2015;102(1):16-23. doi:10.1002/bjs.9643.
https://psnet.ahrq.gov/issue/train…
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psnet.ahrq.gov/node/38508/psn-pdf
March 25, 2009 - Supporting structures for team situation awareness and
decision making: insights from four delivery suites.
March 25, 2009
Mackintosh N, Berridge E-J, Freeth D. Supporting structures for team situation awareness and decision
making: insights from four delivery suites. J Eval Clin Pract. 2009;15(1):46-54. doi:10.111…
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psnet.ahrq.gov/node/41280/psn-pdf
December 31, 2014 - Intensive care unit nurses' information needs and
recommendations for integrated displays to improve
nurses' situation awareness.
December 31, 2014
Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for
integrated displays to improve nurses' situation awareness. J Am …
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psnet.ahrq.gov/node/43557/psn-pdf
October 01, 2014 - 5th National Audit Project (NAP5) on accidental
awareness during general anaesthesia: protocol,
methods, and analysis of data.
October 1, 2014
Pandit JJ, Andrade J, Bogod DG, et al. 5th National Audit Project (NAP5) on accidental awareness during
general anaesthesia: protocol, methods, and analysis of data. Br J A…
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psnet.ahrq.gov/issue/teamwork-matters-team-situation-awareness-build-high-performing-healthcare-teams-narrative
August 23, 2023 - Review
Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review.
Citation Text:
Weller JM, Mahajan R, Fahey-Williams K, et al. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Br J An…
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psnet.ahrq.gov/issue/identification-hospital-complications-claims-data-it-valid
June 13, 2011 - September 2, 2020
TRIAD XII: are patients aware of and agree with DNR or POLST orders
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psnet.ahrq.gov/node/850916/psn-pdf
June 21, 2023 - Awareness of racial and ethnic bias and potential
solutions to address bias with use of health care
algorithms.
June 21, 2023
Jain A, Brooks JR, Alford CC, et al. Awareness of racial and ethnic bias and potential solutions to address
bias with use of health care algorithms. JAMA Health Forum. 2023;4(6):e231197.
d…
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psnet.ahrq.gov/node/73427/psn-pdf
June 23, 2021 - Incidence and OR team awareness of “near-miss” and
retained surgical sharps: a national survey on United
States operating rooms.
June 23, 2021
Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical
sharps: a national survey on United States operating rooms. Patient Sa…
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psnet.ahrq.gov/node/34851/psn-pdf
December 23, 2016 - Preventing, and managing the impact of, anesthesia
awareness.
December 23, 2016
Preventing, and managing the impact of, anesthesia awareness. Sentinel Event Alert. 2004;32:1-3.
https://psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness
This alert provides recommendations for minimizing the ri…
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psnet.ahrq.gov/node/42217/psn-pdf
December 18, 2013 - A concept analysis of situational awareness in nursing.
December 18, 2013
Fore AM, Sculli GL. A concept analysis of situational awareness in nursing. J Adv Nurs. 2013;69(12):2613-
21. doi:10.1111/jan.12130.
https://psnet.ahrq.gov/issue/concept-analysis-situational-awareness-nursing
This review examines situational…
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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
November 01, 2008 - impact, even by doing simple types of studies such as trying to figure out how often physicians are aware … So, there was a sense anecdotally that the physicians weren't aware that the catheter was present. … So I wanted to formally study whether or not physicians were aware that their patients had urinary catheters … Are physicians aware of which of their patients have indwelling urinary catheters?