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psnet.ahrq.gov/node/73977/psn-pdf
October 20, 2021 - Optimizing situation awareness to reduce emergency
transfers in hospitalized children.
October 20, 2021
Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in
hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2020-034603.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/863002/psn-pdf
February 21, 2024 - Three quarters of preventable patient harm stems from
situation awareness breakdowns: recognizing and
addressing the core issue.
February 21, 2024
Tscholl DW, Hunn CA, Gasciauskaite G. APSF Newsletter. 2024;39:29–30.
https://psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-
b…
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psnet.ahrq.gov/issue/qualitative-study-examining-influences-situation-awareness-and-identification-mitigation-and
July 16, 2014 - Study
A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk.
Citation Text:
Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, miti…
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psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain-damage-closed
September 01, 2021 - Study
Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis.
Citation Text:
Schulz CM, Burden A, Posner KL, et al. Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims Anal…
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psnet.ahrq.gov/issue/training-situational-awareness-reduce-surgical-errors-operating-room
November 21, 2012 - Review
Training situational awareness to reduce surgical errors in the operating room.
Citation Text:
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.
C…
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www.ahrq.gov/teamstepps-program/curriculum/situation/teach/half-day.html
July 01, 2023 - Half-Day Training Content
In a half-day training, Module 3 activities should take about 30 minutes (as noted below). Components to include in the Situation Monitoring Module for a half-day training include:
Introductory Teamwork Exercise #2 : 5 minutes
Objectives and Introduction to Situation Monitoring : 2…
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psnet.ahrq.gov/node/837331/psn-pdf
June 08, 2022 - Can a targeted educational approach improve situational
awareness in paramedicine during 911 emergency calls?
June 8, 2022
Hunter J, Porter M, Cody P, et al. Can a targeted educational approach improve situational awareness in
paramedicine during 911 emergency calls? Int Emerg Nurs. 2022;63:101174.
doi:10.1016/j.i…
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesWeissman2010.pdf
December 31, 2007 - Physicians may contribute to the problem by prescribing a higher
cost drug simply because they are not aware
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psnet.ahrq.gov/issue/attitudes-and-experiences-trainees-regarding-disclosing-medical-errors-patients
April 13, 2011 - June 14, 2023
Bad things can happen: are medical students aware of patient centered care
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psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-hospitals
June 25, 2010 - Readmissions and Improve Health Outcomes
March 29, 2023
TRIAD XII: are patients aware
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psnet.ahrq.gov/issue/long-term-effects-e-learning-course-patient-safety-controlled-longitudinal-study-medical
March 16, 2016 - February 22, 2023
Bad things can happen: are medical students aware of patient centered
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psnet.ahrq.gov/issue/how-do-we-learn-about-error-cross-sectional-study-urology-trainees
October 21, 2010 - June 28, 2023
Bad things can happen: are medical students aware of patient centered care
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psnet.ahrq.gov/issue/avoidable-iatrogenic-complications-urethral-catheterization-and-inadequate-intern-training
March 02, 2011 - February 22, 2023
Bad things can happen: are medical students aware of patient centered
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psnet.ahrq.gov/issue/current-and-ideal-state-anatomic-pathology-patient-safety
February 15, 2010 - May 24, 2023
Are pathologists self-aware of their diagnostic accuracy?
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psnet.ahrq.gov/issue/feasibility-first-developing-public-performance-indicators-patient-safety-and-clinical
February 27, 2014 - March 3, 2021
TRIAD XII: are patients aware of and agree with DNR or POLST orders in
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digital.ahrq.gov/2019-year-review/research-summary/using-smartphone-location-data-care-coordination
January 01, 2019 - A primary care practice can’t properly coordinate care unless they are aware of the events and care that
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psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
November 03, 2015 - April 21, 2011
Are pathologists self-aware of their diagnostic accuracy?
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psnet.ahrq.gov/node/61062/psn-pdf
January 01, 2022 - Medication errors in anesthesiology: is it time to train by
example? Vignettes can assess error awareness,
assessment of harm, disclosure, and reporting practices.
October 28, 2020
Duffy CC, Bass GA, Duncan JR, et al. Medication errors in anesthesiology: is it time to train by example?
Vignettes can assess error a…
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psnet.ahrq.gov/node/46071/psn-pdf
March 20, 2018 - Evaluating situation awareness: an integrative review.
March 20, 2018
Orique SB, Despins L. Evaluating Situation Awareness: An Integrative Review. West J Nurs Res.
2018;40(3):388-424. doi:10.1177/0193945917697230.
https://psnet.ahrq.gov/issue/evaluating-situation-awareness-integrative-review
Situation awareness in…
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www.ahrq.gov/patient-safety/index.html
January 01, 2024 - Patient Safety and Quality Improvement
AHRQ Safety Program for Perinatal Care, Phase 2
Resources to help labor and delivery units reduce obstetric hemorrhage and severe hypertension in pregnancy
…