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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
June 01, 2016 - We use SBAR (situation, background, assessment, recommendation) as our methodology for nurse-to-physician
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psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital
August 17, 2005 - September 6, 2017
Improving situation awareness to reduce unrecognized clinical deterioration
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psnet.ahrq.gov/issue/waking-next-morning-surgeons-emotional-reactions-adverse-events
July 02, 2014 - Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation
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psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error-reporting-pediatric
September 28, 2010 - August 4, 2010
Safety as a criterion for quality: The Critical Nursing Situation Index
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psnet.ahrq.gov/issue/multidisciplinary-obstetric-simulated-emergency-scenarios-moses-promoting-patient-safety
March 25, 2009 - Related Resources From the Same Author(s)
Supporting structures for team situation
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psnet.ahrq.gov/issue/intimidation-practitioners-speak-about-unresolved-problem
September 26, 2017 - June 12, 2019
Huddling for high reliability and situation awareness.
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psnet.ahrq.gov/issue/anybody-list-youre-more-worried-about-qualitative-analysis-exploring-functions-questions
January 22, 2016 - March 28, 2012
Understanding situation awareness in nursing work: a hybrid concept analysis
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psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes
April 08, 2011 - June 16, 2011
Discrepant perceptions of communication, teamwork and situation awareness
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - some alarms are truly appropriate, and silencing them indiscriminately can lead to a life-threatening situation … problems, and knows that in the last 1000 cases an alarm has fired in this type of patient—in this situation
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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - If targets are not met, they expect corrective action and carefully follow progress until the situation … learn about trying to improve quality and safety that you didn't know until you found yourself in that situation
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psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
January 01, 2023 - • Implementation of an electronic SBAR (situation, background,
assessment, response) documentation … Electronic SBAR (situation, background, assessment, response) documentation templates may
facilitate
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psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - learn about trying to improve quality and safety that you didn't know until you found yourself in that situation … If targets are not met, they expect corrective action and carefully follow progress until the situation
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psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
May 01, 2016 - problems, and knows that in the last 1000 cases an alarm has fired in this type of patient—in this situation … some alarms are truly appropriate, and silencing them indiscriminately can lead to a life-threatening situation
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psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - should look at the challenges they face and ask, "How would I apply just culture principles to this situation … A given behavior may be considered "at risk" in one situation or organization and be considered "reckless
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psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - That situation extends to the concept
of hospital-at-home, which functions as a remote monitoring solution … Medical care can be challenging in that
situation.
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psnet.ahrq.gov/node/47921/psn-pdf
June 18, 2019 - Using incident reports to assess communication failures
and patient outcomes.
June 18, 2019
Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and
Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2019.02.006.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - safety-based skills like the ability to communicate, the ability to resolve conflict in a difficult situation … communication with a team member, or the ability to demonstrate their clinical reasoning in a patient situation
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psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
December 30, 2014 - Study
Understanding diagnostic errors in medicine: a lesson from aviation.
Citation Text:
Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-64.
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psnet.ahrq.gov/node/39528/psn-pdf
May 19, 2010 - Multidisciplinary team training in a simulation setting for
acute obstetric emergencies: a systematic review.
May 19, 2010
Merién AER, van de Ven J, Mol BW, et al. Multidisciplinary Team Training in a Simulation Setting for Acute
Obstetric Emergencies. Obstetrics & Gynecology. 2010;115(5). doi:10.1097/aog.0b013e318…
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psnet.ahrq.gov/node/33629/psn-pdf
March 01, 2006 - patient-care work; it is interleaved with many other cognitive and psychomotor demands of the
clinical situation