-
psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned
January 08, 2020 - Study
Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation.
Citation Text:
Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency departme…
-
psnet.ahrq.gov/node/50754/psn-pdf
December 18, 2019 - certainly attempt to), it is critically important to
identify an agent who will consider specific clinical scenarios … the POLST document and determine code status and treatment decisions occurring
in various patient scenarios
-
psnet.ahrq.gov/node/49589/psn-pdf
August 01, 2009 - Diagnostic Errors with Zoster
There are several clinical scenarios when the diagnosis of HZ is missed
-
psnet.ahrq.gov/node/72558/psn-pdf
December 09, 2020 - Escape Room.
December 9, 2020
Harrisburg, PA: Pennsylvania Safety Authority; 2020.
https://psnet.ahrq.gov/issue/escape-room
Time pressure can negatively impact critical thinking, information gathering, and communication abilities.
This tool builds teamwork and decision-making skills by testing participants as they…
-
psnet.ahrq.gov/issue/knowledge-retention-after-simulated-crisis-importance-independent-practice-and-simulated
September 13, 2017 - Study
Knowledge retention after simulated crisis: importance of independent practice and simulated mortality.
Citation Text:
Burnett G, Goldberg A, DeMaria S, et al. Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. Br J Anaesth. 2019…
-
psnet.ahrq.gov/node/72614/psn-pdf
March 01, 2021 - Obstetric MultiProfessional Training (or PROMPT) curriculum, teams
rehearsed flexible emergency care scenarios … sessions emphasized two key areas where care
processes need to be improved—responses to common emergency scenarios … Optimal response to emergency scenarios: Didactic sessions outlined the care steps
clinicians should
-
psnet.ahrq.gov/node/38407/psn-pdf
February 11, 2009 - The science and economics of improving clinical
communication.
February 11, 2009
O'Byrne WT, Weavind L, Selby J. The science and economics of improving clinical communication.
Anesthesiol Clin. 2008;26(4):729-44, vii. doi:10.1016/j.anclin.2008.07.010.
https://psnet.ahrq.gov/issue/science-and-economics-improving-cl…
-
psnet.ahrq.gov/node/39041/psn-pdf
October 21, 2009 - The OR and a "just culture."
October 21, 2009
Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003.
https://psnet.ahrq.gov/issue/or-and-just-culture
To illustrate the value of just culture implementation, this piece describes a hypothetical scenario involving
the WHO Sa…
-
psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - multimodal and interactive simulation experiences for users with a range of difficulty and clinical scenarios … first-person game designed to evaluate a player's decision-making capability in seven high-risk pediatric scenarios … Validity evidence for a serious Game to assess performance on critical pediatric emergency medicine scenarios … I'm on the task force that has been writing and testing those scenarios.
-
psnet.ahrq.gov/node/836867/psn-pdf
April 06, 2022 - Safer Dx Checklist: 10 High-Priority Practices for
Diagnostic Excellence.
April 6, 2022
Houston TX; Baylor College of Medicine: 2022.
https://psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence
Assessment can identify the current state of a process or program to reveal ar…
-
psnet.ahrq.gov/node/37110/psn-pdf
October 06, 2011 - Seeing systems in health care organizations.
October 6, 2011
Friedman LH, King JB, Bella D. Seeing systems in health care organizations. Physician Exec.
2007;33(4):20-9.
https://psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
Using a hypothetical scenario, the authors illustrate how to use the system…
-
psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - Consider all possible task scenarios. … at altitude but not failure near the ground when there was little time to react.( 11 ) Including all scenarios … requires length—not lengthier checklists, but different checklists for different scenarios. … Every checklist should be tested with real users in realistic scenarios.
-
psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - Consider all possible task scenarios. … at altitude but not failure near the ground when there was little time to react.( 11 ) Including all scenarios … requires length—not lengthier checklists, but different checklists for different scenarios. … Every checklist should be tested with real users in realistic scenarios.
-
psnet.ahrq.gov/node/40358/psn-pdf
April 06, 2011 - Safety huddles in the PACU: when a patient self-
medicates.
April 6, 2011
Setaro J, Connolly M. Safety huddles in the PACU: when a patient self-medicates. J Perianesth Nurs.
2011;26(2):96-102. doi:10.1016/j.jopan.2011.01.010.
https://psnet.ahrq.gov/issue/safety-huddles-pacu-when-patient-self-medicates
Through a c…
-
psnet.ahrq.gov/node/33721/psn-pdf
November 01, 2011 - We found that it is crucial to select the type of simulation equipment and
scenarios that will most … Making sure the simulation scenarios align with the
didactic material is important.
-
psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - Participants also practiced applying the algorithms to real-life scenarios. … One of those scenarios is hand hygiene noncompliance.
-
psnet.ahrq.gov/node/35887/psn-pdf
July 23, 2010 - Confronting a colleague who covers up a medical error.
July 23, 2010
Brody H. Confronting a colleague who covers up a medical error. Am Fam Physician. 2006;73(7):1272,
1274.
https://psnet.ahrq.gov/issue/confronting-colleague-who-covers-medical-error
This article presents a case scenario of an unacknowledged misdia…
-
psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - based on the Broselow tape: a randomized, controlled, crossover trial involving simulated resuscitation scenarios
-
psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - certainly attempt to), it is critically important to identify an agent who will consider specific clinical scenarios … review the POLST document and determine code status and treatment decisions occurring in various patient scenarios
-
psnet.ahrq.gov/node/36180/psn-pdf
September 29, 2010 - Why nurses make medication errors: a simulation study.
September 29, 2010
Kazaoka T, Ohtsuka K, Ueno K, et al. Why nurses make medication errors: a simulation study. Nurse Educ
Today. 2007;27(4):312-7.
https://psnet.ahrq.gov/issue/why-nurses-make-medication-errors-simulation-study
The investigators used a simulate…