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Showing results for "situation".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47982/psn-pdf
    July 31, 2019 - more likely to speak up when they received specific information about safety risks in an experimental situation

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50945/psn-pdf
    February 26, 2020 - The situation illustrates conditions in the broader indigenous peoples’ community that indicate a lack

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73218/psn-pdf
    January 01, 2022 - Reducing stress and fatigue and improving cognitive skills, including situation awareness, can improve

  4. In response to "Failure to Report" (March 2007) | PSNet

    psnet.ahrq.gov/perspective/response-failure-report-march-2007
    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

  5. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-430
    March 27, 2024 - This article describes the Situation, Context, Decision, Plan, Act Review (SPAR-CD) framework developed … Review Improving situation awareness to advance patient outcomes: a systematic … Situational awareness is the ability to perceive, understand, and respond to a situation.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36221/psn-pdf
    October 20, 2010 - improving handoff communication by adapting  crew resource management techniques and using the SBAR model (situation

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42826/psn-pdf
    December 18, 2013 - improvement-medication-event-interventions-through-use-electronic-database https://psnet.ahrq.gov/issue/huddling-high-reliability-and-situation-awareness

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45840/psn-pdf
    February 08, 2017 - psnet.ahrq.gov/issue/implementation-safety-huddle https://psnet.ahrq.gov/issue/huddling-high-reliability-and-situation-awareness

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41120/psn-pdf
    September 08, 2016 - impact-anti-infective-drug-shortages-hospitals-united-states-trends-and-causes This review discusses the shortage of anti-infective drugs and argues that the situation

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867444/psn-pdf
    January 08, 2025 - paediatric-medication-incident-reporting-multicentre-comparison-study-medication-errors https://psnet.ahrq.gov/issue/improving-shared-situation-awareness-high-risk-therapies-hospitalized-children

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867139/psn-pdf
    November 13, 2024 - Less than half reported satisfaction with how the organization addressed and resolved the situation.

  12. Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. | PSNet

    psnet.ahrq.gov/issue/developing-and-evaluating-success-family-activated-medical-emergency-team-quality-improvement
    December 02, 2014 - December 2, 2014 Improving situation awareness to reduce unrecognized clinical deterioration … December 18, 2014 Huddling for high reliability and situation awareness.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49725/psn-pdf
    January 01, 2015 - Fortunately, the nurse recognized the situation quickly, and the resident deflated the balloon and withdrew … These often occur in a manner creating a situation never seen before by the involved personnel, thus … Having clinicians thrust into an emergency "hurry-up" situation should be a red flag that leads to recognition … of mnemonics (e.g. iSoBAR (5), a handover protocol incorporating the following components: identify–situation–observations–background–agreed … a strong safety culture, can ensure that all steps in a process and factors in a critical clinical situation

  14. Inadvertent Castration | PSNet

    psnet.ahrq.gov/web-mm/inadvertent-castration
    October 27, 2010 - This procedure may have occurred in a hospital where an urologist was not immediately available, a situation … clinicians committing cognitive errors would take appropriate action had they accurately comprehended the situation—a … state generally known as "situation awareness … "( 10 ) In medical accidents, gaps in situation awareness and experience, rather than lack of medical … knowledge, are often to blame.( 11 ) Combating cognitive errors and supporting situation awareness requires

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73534/psn-pdf
    July 28, 2021 - barriers and facilitators to experience error recovery were supervision, self, surgical context, and situation

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60360/psn-pdf
    May 20, 2020 - A recommendation shared to address the situation is to assure patients diagnosed with the disorder get

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50375/psn-pdf
    September 25, 2019 - moral,  ethical, legal, and clinical reasons for health care to examine how to respond when such a situation

  18. Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. | PSNet

    psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
    June 08, 2022 - Special or Theme Issue Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. Citation Text: Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344. Co…

  19. Situational Awareness and Patient Safety: A Learning Package. | PSNet

    psnet.ahrq.gov/issue/situational-awareness-and-patient-safety-learning-package
    September 13, 2017 - Book/Report Situational Awareness and Patient Safety: A Learning Package. Citation Text: Situational Awareness and Patient Safety: A Learning Package. Parush A, Campbell C, Hunter A, et al. Ottawa, Ontario: The Royal College of Physicians and Surgeons of Canada; 2011. ISBN: 9781926588100…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34903/psn-pdf
    September 02, 2016 - number of prescribed medications a patient is currently receiving can affect his or her safety in this situation
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