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psnet.ahrq.gov/web-mm/lp-or-not-lp
February 01, 2018 - It is easy to identify erroneous actions in this scenario, but one should recognize that these errors … It is interesting to note that all four of the errors in this scenario involved breakdowns in communication … There are, however, a few simple steps that if followed routinely, would have prevented this particular scenario
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psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - April at the start of a new name cycle would be known as "unknown male Alpha 24/4". (6) In this case scenario … In the best-case scenario, the records would be seamlessly merged in the EHR; however, accidental linkage … In this scenario, the blood banking and transfusion checks ultimately shed light on the identification
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psnet.ahrq.gov/issue/human-factors-patient-safety-innovation
June 09, 2021 - of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based
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psnet.ahrq.gov/issue/what-we-can-do-about-maternal-mortality-and-how-do-it-quickly
September 01, 2016 - November 11, 2009
Content analysis of team communication in an obstetric emergency scenario
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psnet.ahrq.gov/issue/mobile-situ-obstetric-emergency-simulation-and-teamwork-training-improve-maternal-fetal
July 09, 2008 - November 11, 2009
Content analysis of team communication in an obstetric emergency scenario
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psnet.ahrq.gov/periodic-issue/periodic-issue-408
September 27, 2023 - September 13, 2023 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repo…
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psnet.ahrq.gov/issue/exposure-incivility-does-not-hinder-speaking-randomised-controlled-high-fidelity-simulation
August 24, 2022 - In this study, hospital staff participated in a simulated scenario with scripted, randomly assigned
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psnet.ahrq.gov/issue/method-measuring-system-safety-and-latent-errors-associated-pediatric-procedural-sedation
April 11, 2011 - The authors describe a method for using a simulated scenario to identify latent failures .
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psnet.ahrq.gov/issue/understanding-why-quality-initiatives-succeed-or-fail-sociotechnical-systems-perspective
March 10, 2021 - of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based
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psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
June 09, 2021 - of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based
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psnet.ahrq.gov/issue/effect-crew-resource-management-training-multidisciplinary-obstetrical-setting
March 06, 2005 - January 12, 2011
Content analysis of team communication in an obstetric emergency scenario
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psnet.ahrq.gov/issue/effects-teamwork-training-adverse-outcomes-and-process-care-labor-and-delivery-randomized
January 10, 2017 - March 23, 2011
Content analysis of team communication in an obstetric emergency scenario
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psnet.ahrq.gov/issue/impact-crm-based-team-training-obstetric-outcomes-and-clinicians-patient-safety-attitudes
January 12, 2011 - January 12, 2011
Content analysis of team communication in an obstetric emergency scenario
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psnet.ahrq.gov/node/49646/psn-pdf
February 01, 2012 - having discussed their wishes for care at the end of life.(3,6)
The case presented is a common clinical scenario
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psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses-working-intensive
November 29, 2023 - Study
Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial.
Citation Text:
Khamali RE, Mouaci A, Valera S, et al. Effects of a Multimodal Program Including Simulation on Job Strain Among Nurses Workin…
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psnet.ahrq.gov/issue/electronic-health-records-and-national-patient-safety-goals
December 06, 2023 - 31, 2014
Enhancing electronic health record usability in pediatric patient care: a scenario-based
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psnet.ahrq.gov/issue/missing-near-miss-recognizing-valuable-learning-opportunities-radiation-oncology
November 18, 2020 - Study
Missing the near miss: recognizing valuable learning opportunities in radiation oncology.
Citation Text:
Kundu P, Jung OS, Valle LF, et al. Missing the near miss: recognizing valuable learning opportunities in radiation oncology. Pract Radiat Oncol. 2021;11(3):e256-e262. doi:10.101…
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psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making
June 02, 2019 - Study
Racial bias in cesarean decision-making.
Citation Text:
Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927.
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psnet.ahrq.gov/issue/crisis-management-during-anaesthesia-development-anaesthetic-crisis-management-manual
June 23, 2015 - applying these algorithms in daily practice should be considered as decision support when a clinical scenario
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psnet.ahrq.gov/issue/does-simulator-based-clinical-performance-correlate-actual-hospital-behavior-effect-extended
February 17, 2011 - who had completed a 16-hour clinical shift performed significantly better on a simulated clinical scenario