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psnet.ahrq.gov/node/35196/psn-pdf
March 01, 2011 - A method for measuring system safety and latent errors
associated with pediatric procedural sedation.
March 1, 2011
Blike G, Christoffersen K, Cravero JP, et al. A method for measuring system safety and latent errors
associated with pediatric procedural sedation. Anesth Analg. 2005;101(1):48-58, table of contents.
…
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psnet.ahrq.gov/node/40583/psn-pdf
August 01, 2011 - Effective physician–nurse communication: a patient
safety essential for labor and delivery.
August 1, 2011
Lyndon A, Zlatnik MG, Wachter R. Effective physician-nurse communication: a patient safety essential for
labor and delivery. Am J Obstet Gynecol. 2011;205(2):91-6. doi:10.1016/j.ajog.2011.04.021.
https://psne…
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psnet.ahrq.gov/node/853970/psn-pdf
September 27, 2023 - Clinical triggers and vital signs influencing crisis
acknowledgment and calls for help by anesthesiologists:
a simulation-based observational study.
September 27, 2023
Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis
acknowledgment and calls for help by anesthesiologist…
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psnet.ahrq.gov/node/60575/psn-pdf
June 10, 2020 - Applying principles from aviation safety investigations to
root cause analysis of a critical incident during a
simulated emergency.
June 10, 2020
Imach S, Eppich W, Zech A, et al. Applying principles from aviation safety investigations to root cause
analysis of a critical incident during a simulated emergency. Sim…
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psnet.ahrq.gov/node/73164/psn-pdf
April 21, 2021 - Effectiveness of communication interventions in
obstetrics--a systematic review.
April 21, 2021
Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a
systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ijerph18052616.
https://psnet.ahrq.go…
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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
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psnet.ahrq.gov/node/854247/psn-pdf
October 04, 2023 - Cognitive biases regarding utilization of Emergency
Severity Index among emergency nurses.
October 4, 2023
Essa CD, Victor G, Khan SF, et al. Cognitive biases regarding utilization of emergency severity index
among emergency nurses. Am J Emerg Med. 2023;73:63-68. doi:10.1016/j.ajem.2023.08.021.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/46457/psn-pdf
December 20, 2017 - Simulation and the diagnostic process: a pilot study of
trauma and rapid response teams.
December 20, 2017
Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and
rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/dx-2017-0010.
https://psnet.ah…
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psnet.ahrq.gov/node/72749/psn-pdf
February 17, 2021 - Multi-professional simulation-based team training in
obstetric emergencies for improving patient outcomes
and trainees' performance
February 17, 2021
Fransen AF, van de Ven J, Banga FR, et al. Multi-professional simulation-based team training in obstetric
emergencies for improving patient outcomes and trainees' pe…
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psnet.ahrq.gov/issue/mistakes-were-made
November 06, 2013 - Newspaper/Magazine Article
Mistakes were made.
Citation Text:
Weber DO.
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March 19, 2014
Weber DO.
This article reports on the pe…
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psnet.ahrq.gov/node/49430/psn-pdf
January 01, 2004 - Triage Time Bomb
January 1, 2004
Washington DL. Triage Time Bomb. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/triage-time-bomb
The Case
A parent presented with a child to the emergency department (ED) triage area (located around the corner
and down the hall from the actual ED). The child was febrile, an…
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psnet.ahrq.gov/node/46269/psn-pdf
January 30, 2018 - A randomized controlled trial on the effect of a double
check on the detection of medication errors.
January 30, 2018
Douglass AM, Elder J, Watson R, et al. A Randomized Controlled Trial on the Effect of a Double Check on
the Detection of Medication Errors. Ann Emerg Med. 2018;71(1):74-82.e1.
doi:10.1016/j.annemer…
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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
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psnet.ahrq.gov/node/50615/psn-pdf
October 30, 2019 - Misidentifying the Unidentified – John Doe and the EHR
October 30, 2019
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
The Case
Two male patients of similar age arrived at the same …
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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.
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psnet.ahrq.gov/node/35104/psn-pdf
April 06, 2011 - Crisis management during anaesthesia: the development
of an anaesthetic crisis management manual.
April 6, 2011
Runciman WB, Kluger MT, Morris RW, et al. Crisis management during anaesthesia: the development of
an anaesthetic crisis management manual. Qual Saf Health Care. 2005;14(3):e1.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/43065/psn-pdf
April 09, 2014 - Multiprofessional team simulation training, based on an
obstetric model, can improve teamwork in other areas of
health care.
April 9, 2014
van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an
obstetric model, can improve teamwork in other areas of health care. A…
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psnet.ahrq.gov/node/35575/psn-pdf
April 11, 2011 - Parental preferences for error disclosure, reporting, and
legal action after medical error in the care of their
children.
April 11, 2011
Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and
legal action after medical error in the care of their children. Pediatrics. …
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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.
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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.