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psnet.ahrq.gov/node/845357/psn-pdf
March 29, 2023 - Reducing hospital harm: establishing a command centre
to foster situational awareness.
March 29, 2023
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.
https://psnet.ahrq.gov/innovation/reducing-hospital-harm-…
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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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www.ahrq.gov/policy/electronic/privacy/infosecurity.html
August 01, 2018 - AHRQ Information Security and Privacy Program
This page provides an overview of AHRQ's Information Security and Privacy Program and requirements for protecting against information technology threats and vulnerabilities.
The AHRQ Information Security and Privacy Program fosters an enterprise-wide secure and tr…
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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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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
June 02, 2025 - TeamSTEPPS Situation Monitoring Module 3
Situation Monitoring
Module 3
1
Situation Monitoring Exercise:
Rebuild Your Tower
Situation Monitoring
Rules:
Same goals and rules as the earlier tower building exercise except one BIG change:
The Color Guide cannot speak or write the name of any color.
The Length Guide…
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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/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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effectivehealthcare.ahrq.gov/sites/default/files/marketing_evidence_evans.ppt
September 13, 2006 - Awareness and Smoking Uptake
Longitudinal Survey: Time 1 (Y1) - Time 3 (Y3)
Never Smokers at Y1
Aware … truth did not exist
Y1 Never Smokers who
Tried Smoking at Y3
9.5%
6.5%
0%
2%
4%
6%
8%
10%
Aware … of
stand
Not Aware
Chart3
1997 1997
1998 1998
1999 1999
2000 2000
2001 2001 … of
stand
Not Aware
Slide 1
Marketing “evidence” to healthcare consumers … Awareness and Smoking Uptake
Longitudinal Survey: Time 1 (Y1) - Time 3 (Y3)
Never Smokers at Y1
Aware
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psnet.ahrq.gov/node/44260/psn-pdf
November 06, 2015 - Innovative teaching in situational awareness.
November 6, 2015
Gregory A, Hogg G, Ker J. Innovative teaching in situational awareness. Clin Teach. 2015;12(5):331-5.
doi:10.1111/tct.12310.
https://psnet.ahrq.gov/issue/innovative-teaching-situational-awareness
Nontechnical skills contribute to successful teamwork an…
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psnet.ahrq.gov/node/42878/psn-pdf
January 29, 2014 - A qualitative study examining the influences on situation
awareness and the identification, mitigation and
escalation of recognised patient risk.
January 29, 2014
Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the
identification, mitigation and escalation of recogni…
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psnet.ahrq.gov/node/44858/psn-pdf
February 10, 2016 - Situation awareness errors in anesthesia and critical care
in 200 cases of a critical incident reporting system.
February 10, 2016
Schulz CM, Krautheim V, Hackemann A, et al. Situation awareness errors in anesthesia and critical care in
200 cases of a critical incident reporting system. BMC Anesthesiol. 2016;16:4. …
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psnet.ahrq.gov/node/852275/psn-pdf
January 01, 2024 - Improving emergency medicine clinician awareness of
prehospital-administered medications.
August 9, 2023
Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-
administered medications. Prehosp Emerg Care. 2024;28(3):506-512.
doi:10.1080/10903127.2023.2238815.
https://p…