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Showing results for "situation".

101. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863753/psn-pdf
     March 06, 2024 - This article describes the Situation, Context, Decision, Plan, Act Review (SPAR-CD) framework developed

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838972/psn-pdf
     October 27, 2022 - The nursing staff was unable to de-escalate the contentious situation and the patient insisted on “leaving … understandably distraught and encountered two nurses who did not seem very empathetic, creating a situation … Once a difficult situation has been identified and significantly disrupted the provider-patient relationship … When a provider expresses regret and accountability for the situation with sincerity and without condescension … Avoid defensive or argumentative behaviors that further escalates the situation.

103. Exploring perinatal shift-to-shift handover communication and process: an observational study. | PSNet
     psnet.ahrq.gov/issue/exploring-perinatal-shift-shift-handover-communication-and-process-observational-study
     April 04, 2018 - direct observation study of verbal handoffs in a labor and delivery ward revealed that key elements ( situation … August 12, 2009 Supporting structures for team situation awareness and decision making

104. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. | PSNet
     psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
     April 22, 2013 - The mnemonic I-PASS (Illness severity, Patient summary, Actions list, Situation awareness, Synthesis … More than half of the handoffs did not include Situation Awareness , and the most common order of categories

105. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33584/psn-pdf
     March 15, 2025 - The Situation-Background-Assessment-Recommendation (SBAR) approach is widely used to facilitate communication … culture-safety https://psnet.ahrq.gov/glossary-0#glossary-heading-term-73821 https://psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care

106. Towards a common framework to support decision-making in high-risk, low-time environments. | PSNet
     psnet.ahrq.gov/issue/towards-common-framework-support-decision-making-high-risk-low-time-environments
     November 16, 2022 - This article describes the Situation, Context, Decision, Plan, Act Review (SPAR-CD) framework developed

107. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37462/psn-pdf
     January 06, 2017 - The authors provide a number of anecdotes to illustrate the relationship of the errors to the code situation

108. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33653/psn-pdf
     June 01, 2007 - When an error occurs in a situation where nurses may be manipulating a medication in a non-emergency … situation before administration, one of the first questions should be, "Why was the nurse put in that … emphasized why mistakes may not be acknowledged or reported and suggested strategies for reversing this situation

109. Guidelines on Human Factors in Critical Situations 2023. | PSNet
     psnet.ahrq.gov/issue/guidelines-human-factors-critical-situations-2023
     November 29, 2023 - Organizational Policy/Guidelines Guidelines on Human Factors in Critical Situations 2023. Citation Text: Bijok B, Jaulin F, Picard J, et al. Guidelines on human factors in critical situations 2023. Anaesth Crit Care Pain Med. 2023;42(4):101262. doi:10.1016/j.accpm.2023.101262. Copy Cit…

110. Heed this warning! Don't miss important computer alerts. | PSNet
     psnet.ahrq.gov/issue/heed-warning-dont-miss-important-computer-alerts
     May 07, 2018 - July 17, 2018 Remote CPOE error—a situation that's more than remotely possible. … June 5, 2018 Remote CPOE error—a situation that's more than remotely possible.

111. The Unhappy Patient Leaves Against Medical Advice. | PSNet
     psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
     January 31, 2024 - The nursing staff was unable to de-escalate the contentious situation and the patient insisted on “leaving … was understandably distraught and encountered two nurses who did not seem very empathetic, creating a situation … Once a difficult situation has been identified and significantly disrupted the provider-patient relationship … When a provider expresses regret and accountability for the situation with sincerity and without condescension … Avoid defensive or argumentative behaviors that further escalates the situation.

112. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50389/psn-pdf
     September 25, 2019 - Said differently, most of our decisions are made based on rapid recognition of a situation, comparing … that situation to a previous experience, and making a decision. … The term "cognitive bias" is often used to describe a heuristic that, when applied in a specific situation … a decision is affected by an individual's personal feelings or experiences about something in the situation … that highlights the context in which clinicians make decisions and the significant impact that the situation

113. The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. | PSNet
     psnet.ahrq.gov/issue/ritualisation-surgical-safety-checklist-and-its-decoupling-patient-safety-goals
     January 19, 2022 - Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation … Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation

114. Getting the Diagnosis Both Right and Wrong | PSNet
     psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
     May 29, 2024 - Said differently, most of our decisions are made based on rapid recognition of a situation, comparing … that situation to a previous experience, and making a decision. … The term "cognitive bias" is often used to describe a heuristic that, when applied in a specific situation … when a decision is affected by an individual's personal feelings or experiences about something in the situation … that highlights the context in which clinicians make decisions and the significant impact that the situation

115. Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. | PSNet
     psnet.ahrq.gov/issue/medication-errors-associated-code-situations-us-hospitals-direct-and-collateral-damage
     June 29, 2011 - The authors provide a number of anecdotes to illustrate the relationship of the errors to the code situation

116. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/858323/psn-pdf
     December 13, 2023 - some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses Inordinate focus on one element of a situation

117. Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children | PSNet
     psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
     June 30, 2021 - December 1, 2021 Situation awareness and the mitigation of risk associated with patient … March 1, 2023 Optimizing situation awareness to reduce emergency transfers in hospitalized

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73151/psn-pdf
     April 14, 2021 - Systemic problems arising from the situation include disparities associated with antibiotic administration

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73355/psn-pdf
     June 02, 2021 - This situation is described as one that devalues this patient population and degrades the care received

120. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42850/psn-pdf
     May 21, 2019 - which found that nearly all physician, nurse, and midwife respondents had witnessed an unsafe patient situation