-
psnet.ahrq.gov/node/850177/psn-pdf
June 07, 2023 - discusses the current shortage of chemotherapy drugs, the psychological and physical
harm potential in the situation
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psnet.ahrq.gov/node/60949/psn-pdf
September 23, 2020 - why-accountability-sharing-health-care-organizational-cultures-means-
patients-are-probably
The recognition that humans err and the situation
-
psnet.ahrq.gov/node/47555/psn-pdf
November 14, 2018 - teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
https://psnet.ahrq.gov/issue/huddling-high-reliability-and-situation-awareness
-
psnet.ahrq.gov/node/853613/psn-pdf
September 20, 2023 - demoralized and
burnt out after a conflict and brought those feelings to future interactions, priming the situation
-
psnet.ahrq.gov/node/853628/psn-pdf
September 20, 2023 - The harm to the victims and fear of the peers who knew of the situation
and were not psychologically
-
psnet.ahrq.gov/node/865482/psn-pdf
April 03, 2024 - impact-relocation-new-critical-care-building-pediatric-safety-events
https://psnet.ahrq.gov/issue/use-design-thinking-and-human-factors-approach-improve-situation-awareness-pediatric
-
psnet.ahrq.gov/node/37611/psn-pdf
February 15, 2011 - commentary presents information and background on the standardized communication process known
as SBAR (situation
-
psnet.ahrq.gov/node/38185/psn-pdf
October 29, 2008 - implementation-sbar-communication-technique-tertiary-center
This article describes how one hospital employed a Situation-Background-Assessment-Recommendation
-
psnet.ahrq.gov/node/843321/psn-pdf
February 01, 2023 - This article discusses this situation and provides recommendations to orient improvement
efforts toward
-
psnet.ahrq.gov/node/849612/psn-pdf
May 31, 2023 - potential for
maternal sepsis in the Black patient population and the role structural racism plays in this situation
-
psnet.ahrq.gov/node/47400/psn-pdf
November 28, 2018 - avoiding-handover-fumbles-controlled-trial-structured-handover-tool-versus-traditional
https://psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care
-
psnet.ahrq.gov/node/47870/psn-pdf
April 17, 2019 - decision
support to help clinicians determine what amount of care is appropriate for a given clinical situation
-
psnet.ahrq.gov/node/73403/psn-pdf
June 16, 2021 - This report examines a long-term situation that, due to failure of reporting and
other system issues
-
psnet.ahrq.gov/node/47424/psn-pdf
November 21, 2018 - mistake and explores
leadership response to the incident to determine accountability in each type of situation
-
psnet.ahrq.gov/node/855432/psn-pdf
November 15, 2023 - 3,986
registered nurses, the majority (83%) reported alarm fatigue and over half (55%) experienced a situation
-
psnet.ahrq.gov/node/35761/psn-pdf
February 15, 2017 - sbar-shared-mental-model-improving-communication-between-clinicians
The authors present a case study involving the SBAR (Situation
-
psnet.ahrq.gov/node/43674/psn-pdf
November 12, 2014 - suggests
that transparency around the incident and preoperative patient briefings could have improved the situation
-
psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - anesthesiologist was very concerned about the patient and said to the surgeon, "I think we have an
unsafe situation … urgent safety problem, the CUS Tool allows a team member to express concern
regarding a perceived situation … In this case, the anesthesiologist used the expression "I think we have
an unsafe situation" as her … done in the case of a massive loss
of blood would allow a mental rehearsal to prepare them for the situation … In such a situation, the entire team would know that
something had happened to the blade, allowing them
-
psnet.ahrq.gov/node/60973/psn-pdf
September 30, 2020 - Recommendations to avoid this
situation include heightening prevention efforts by employing tactics
-
psnet.ahrq.gov/node/61029/psn-pdf
October 14, 2020 - The author defines the repeated lack of
organizational willingness to resolve the situation as a normalized