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Total Results: 3,040 records

Showing results for "situation".

221. Haste Makes Care Unsafe | PSNet
     psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
     January 07, 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 … 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

222. BBC News 'wrong guy' is revealed. | PSNet
     psnet.ahrq.gov/issue/bbc-news-wrong-guy-revealed
     August 05, 2020 - answered three questions and later told the BBC that he would be "happy to return" to "speak about any situation

223. Patient Safety Essentials Toolkit. | PSNet
     psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
     January 08, 2020 - Featured tools include the Situation-Background-Assessment-Recommendation approach, huddle agendas,

224. Swiss Cheese Model | PSNet
     psnet.ahrq.gov/taxonomy/term/3460
     January 20, 2025 - For instance, in an emergency situation, all three of the surgical identification safety checks mentioned

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46273/psn-pdf
     August 30, 2017 - simulated-settings-powerful-arenas-learning-patient-safety-practices-and-facilitating https://psnet.ahrq.gov/issue/situation-background-assessment-and-recommendation-guided-huddles-improve-communication-and

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37294/psn-pdf
     May 21, 2013 - The book provides tips for implementing the SBAR (Situation-Background-Assessment-Recommendation) method

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41206/psn-pdf
     March 14, 2012 - development of an assessment tool for surgical morbidity and mortality conferences based on the SBAR (situation

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838075/psn-pdf
     September 14, 2022 - Crisis recovery in surgery: error management and problem solving in safety-critical situations. September 14, 2022 Gogalniceanu P, Kunduzi B, Ruckley C, et al. Crisis recovery in surgery: error management and problem solving in safety-critical situations. Surgery. 2022;172(2):537-545. doi:10.1016/j.surg.2022.03.007…

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49415/psn-pdf
     September 01, 2003 - The Importance of Situation Awareness. … , continuously updated based on repetitive assessment, is situation awareness (14,15), which appears … Even in less acute settings, situation awareness about the actions, thoughts, and intentions of other … Measurement of situation awareness in dynamic systems. Hum Factors. 1995;37:65-84. 15. … Situation awareness in anesthesiology. Hum Factors. 1995;37:20-31[ go to PubMed ] 16.

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60851/psn-pdf
     August 26, 2020 - Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. August 26, 2020 Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344. https://psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error Challenges to effective clinical reas…

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865531/psn-pdf
     April 10, 2024 - resident was displaying bias, and (3) communicate with both the resident and family to diffuse the situation

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42932/psn-pdf
     December 30, 2014 - sbar-improves-communication-and-safety-climate-and-decreases-incident- reports-due Introduction of the SBAR (situation-background-assessment-recommendation

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43444/psn-pdf
     August 27, 2014 - patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national https://psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34774/psn-pdf
     June 02, 2010 - factors from both the clinical and administrative sides of medicine are presented as contributors to the situation

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45678/psn-pdf
     October 11, 2017 - there-role-patients-and-their-relatives-escalating-clinical-deterioration-hospital-systematic https://psnet.ahrq.gov/primer/rapid-response-systems https://psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34886/psn-pdf
     February 03, 2011 - European cities and report a number of factors associated with inappropriate use, including poor economic situation

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46166/psn-pdf
     June 07, 2017 - number of studies with limited characterization of the types of adverse events encountered in this situation

238. Cups of Error | PSNet
     psnet.ahrq.gov/web-mm/cups-error
     January 12, 2011 - the students failed to recheck their medications and, further, why the instructor created this unsafe situation … The instructor's decision to allow this unsafe situation is problematic from several perspectives. … Second, the situation role modeled that it is acceptable to ignore recommended safe practices—working … The situation exposes a fundamental tension in training: the decision to not allow students to access

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60212/psn-pdf
     January 29, 2021 - patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian- experience The COVID-19 pandemic is a rapidly evolving situation

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50844/psn-pdf
     January 29, 2020 - psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery https://psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety … Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events … Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013;22(11):899-906.