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Total Results: 3,040 records

Showing results for "situation".

261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37926/psn-pdf
     July 30, 2008 - Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns using a new observation system. July 30, 2008 Manser T, Howard SK, Gaba DM. Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns using a new observation system. Erg…

262. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73325/psn-pdf
     May 26, 2021 - Communication of preclinical emergency teams in critical situations: a nationwide study. May 26, 2021 Zimmer M, Czarniecki DM, Sahm S. Communication of preclinical emergency teams in critical situations: a nationwide study. PLoS One. 2021;16(5):e0250932. doi:10.1371/journal.pone.0250932. https://psnet.ahrq.gov/iss…

263. Training situational awareness to reduce surgical errors in the operating room. | PSNet
     psnet.ahrq.gov/issue/training-situational-awareness-reduce-surgical-errors-operating-room
     November 21, 2012 - Review Training situational awareness to reduce surgical errors in the operating room. Citation Text: Graafland M, Schraagen JMC, Boermeester MA, et al. Training situational awareness to reduce surgical errors in the operating room. Br J Surg. 2015;102(1):16-23. doi:10.1002/bjs.9643. C…

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47790/psn-pdf
     April 08, 2019 - The "hemolyzed" physical examination—situational challenges to accurate bedside diagnosis. April 8, 2019 Sargsyan Z. The "Hemolyzed" Physical Examination-Situational Challenges to Accurate Bedside Diagnosis. JAMA Intern Med. 2019;179(4):465-466. doi:10.1001/jamainternmed.2018.8753. https://psnet.ahrq.gov/issue/hem…

265. Good Catch in the Operating Room | PSNet
     psnet.ahrq.gov/web-mm/good-catch-operating-room
     August 27, 2017 - anesthesiologist was very concerned about the patient and said to the surgeon, "I think we have an unsafe situation … potential 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 CUS … 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

266. Living with cancer: not talking about medical mistakes. | PSNet
     psnet.ahrq.gov/issue/living-cancer-not-talking-about-medical-mistakes
     January 15, 2014 - that transparency around the incident and preoperative patient briefings could have improved the situation

267. RaDonda Vaught says some system practices contributed to fatal mistake. | PSNet
     psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
     September 29, 2021 - charged criminally after a medication mistake, her memory of what occurred and how she managed the situation

268. Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. | PSNet
     psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
     March 14, 2023 - This article discusses this situation and provides recommendations to orient improvement efforts toward

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42217/psn-pdf
     December 18, 2013 - A concept analysis of situational awareness in nursing. December 18, 2013 Fore AM, Sculli GL. A concept analysis of situational awareness in nursing. J Adv Nurs. 2013;69(12):2613- 21. doi:10.1111/jan.12130. https://psnet.ahrq.gov/issue/concept-analysis-situational-awareness-nursing This review examines situational…

270. Implementation of the SBAR communication technique in a tertiary center. | PSNet
     psnet.ahrq.gov/issue/implementation-sbar-communication-technique-tertiary-center
     March 27, 2019 - This article describes how one hospital employed a Situation-Background-Assessment-Recommendation (SBAR

271. Spotlight Case September 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
     September 01, 2003 - Key Components of Clinical Competence Situation awareness Preparedness Knowledge alone is not sufficient … Measurement of situation awareness in dynamic systems. Human Factors. 1995;37:65-84. … Situation awareness in anesthesiology. Human Factors. 1995;37:20-31.

272. eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds. | PSNet
     psnet.ahrq.gov/issue/esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-decision-support
     April 07, 2022 - February 8, 2017 Improving shared situation awareness for high-risk therapies in hospitalized

273. Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses. | PSNet
     psnet.ahrq.gov/issue/some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses
     November 01, 2023 - Inordinate focus on one element of a situation can reduce the capacity to successfully complete tasks

274. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-341
     May 16, 2022 - Commentary Clinical progress note: situation awareness for clinical deterioration … Situation awareness supports effective teamwork and safe care delivery. … This commentary highlights the role of situation awareness in watching the condition of pediatric inpatients … event review, psychological safety, and patient and family partnering as mechanisms improved through situation

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39729/psn-pdf
     September 20, 2011 - those that occur because of inattention to patient context such as environment, behavior, economic situation

276. SBAR: a shared mental model for improving communication between clinicians. | PSNet
     psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
     January 02, 2017 - The authors present a case study involving the SBAR (Situation, Background, Assessment, Recommendations

277. TeamSTEPPS for health care risk managers: improving teamwork and communication. | PSNet
     psnet.ahrq.gov/issue/teamstepps-health-care-risk-managers-improving-teamwork-and-communication
     March 27, 2019 - training focused on distinct professional groups generated strengthened perceptions of team structure and situation … May 1, 2024 Teamwork matters: team situation awareness to build high-performing healthcare

278. Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects. | PSNet
     psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among
     October 27, 2021 - Reducing stress and fatigue and improving cognitive skills, including situation awareness, can improve

279. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/characteristics-disease-specific-and-generic-diagnostic-pitfalls-qualitative-study
     December 02, 2020 - follow-up, and other pitfalls (e.g., problems with inappropriate referral, urgency of the clinical situation

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35975/psn-pdf
     June 14, 2011 - A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. June 14, 2011 Iedema RAM, Jorm C, Braithwaite J, et al. A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. Soc Sci Med. 20…