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psnet.ahrq.gov/issue/nurse-physician-communications-connecting-safety
July 29, 2009 - June 24, 2020
Three quarters of preventable patient harm stems from situation awareness
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psnet.ahrq.gov/issue/lawyers-say-sorry-may-sink-you-court
December 04, 2016 - December 4, 2016
Use of design thinking and human factors approach to improve situation
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psnet.ahrq.gov/issue/common-errors-computer-electrocardiogram-interpretation
May 08, 2024 - April 3, 2024
Use of design thinking and human factors approach to improve situation
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psnet.ahrq.gov/node/33642/psn-pdf
November 01, 2006 - DN: First, we need automatic equipment that at least can notice when we're reaching an untenable
situation … Then maybe we could change the situation.
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psnet.ahrq.gov/node/49850/psn-pdf
January 01, 2019 - order set is not appropriate for a given patient due to
specific aspects of that patient's medical situation … Therefore, a best practice in such a situation would be to augment such electronic communications and
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psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes
July 31, 2008 - care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation
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psnet.ahrq.gov/issue/non-technical-skills-used-anaesthetic-technicians-critical-incidents-reported-australian
January 19, 2011 - November 18, 2016
Situation awareness errors in anesthesia and critical care in 200 cases
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psnet.ahrq.gov/issue/interactions-between-context-health-care-organisation-and-failure-situational-impact-failure
May 17, 2012 - Review
Interactions between the context of a health-care organisation and failure: the situational impact of failure on organisational learning.
Citation Text:
Horck S. Interactions between the context of a health-care organisation and failure: the situational impact of failure on organi…
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psnet.ahrq.gov/issue/call-safety-anticipating-and-mitigating-risk-across-obstetrics-and-gynecology-service-line
February 24, 2016 - February 24, 2016
Discrepant perceptions of communication, teamwork and situation awareness
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psnet.ahrq.gov/issue/development-rating-system-surgeons-non-technical-skills
June 12, 2008 - May 11, 2011
Discrepant perceptions of communication, teamwork and situation awareness
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psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
July 01, 2003 - interventions and even reduce the level of anesthesia and analgesia to ensure stable vital functions; either situation … physician’s attention, she can make an individualized decision, taking into account the patient’s clinical situation
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psnet.ahrq.gov/node/49634/psn-pdf
September 01, 2011 - However, in doing so, the pharmacist unintentionally worsened the situation when the computer
automatically
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psnet.ahrq.gov/node/865656/psn-pdf
April 24, 2024 - Due
to the urgency of the situation, the primary nurse overrode the automated dispensing unit and mistakenly
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - to start dialysis after the patient was physically in the ICU and was unaware of
the urgency of the situation … If applied to the situation illustrated in the vignette, these systems would have decreased overcrowding
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psnet.ahrq.gov/issue/person-first-treatment-strategies-weight-bias-and-impact-mental-health-people-living-obesity
August 18, 2021 - February 16, 2022
Situation awareness and the mitigation of risk associated with patient
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psnet.ahrq.gov/issue/variation-caregiver-perceptions-teamwork-climate-labor-and-delivery-units
August 04, 2021 - November 4, 2009
Supporting structures for team situation awareness and decision making
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psnet.ahrq.gov/issue/human-factors-surgery-three-mile-island-operating-room
July 12, 2019 - June 8, 2011
Discrepant perceptions of communication, teamwork and situation awareness
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psnet.ahrq.gov/issue/improving-safety-and-quality-care-enhanced-teamwork-through-operating-room-briefings
May 11, 2019 - April 6, 2011
Discrepant perceptions of communication, teamwork and situation awareness
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psnet.ahrq.gov/issue/henry-ford-health-system-no-harm-campaign-comprehensive-model-reduce-harm-and-save-lives
May 11, 2019 - August 20, 2018
Optimizing situation awareness to reduce emergency transfers in hospitalized
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psnet.ahrq.gov/node/49445/psn-pdf
May 01, 2004 - In this situation, the hospital, emergency room, and individual providers can be liable for
such actions