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psnet.ahrq.gov/issue/patient-safety-and-quality-initiatives-intensive-care-unit
February 25, 2009 - January 22, 2016
Improving shared situation awareness for high-risk therapies in hospitalized
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psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-prevent-harm
June 10, 2018 - June 10, 2018
Remote CPOE error—a situation that's more than remotely possible.
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psnet.ahrq.gov/issue/drug-name-confusion-preventing-medication-errors
January 29, 2018 - Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation
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psnet.ahrq.gov/node/854830/psn-pdf
January 01, 2024 - The effect of evidence in crisis learning: based on a
perspective integration framework.
October 25, 2023
Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration
framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1468-5973.12506.
https://psnet.ahrq.g…
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psnet.ahrq.gov/issue/debiasing-health-related-judgments-and-decision-making-systematic-review
January 04, 2010 - July 21, 2009
Situation awareness errors in anesthesia and critical care in 200 cases
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psnet.ahrq.gov/node/50382/psn-pdf
September 25, 2019 - The FIRST curriculum: cultivating speaking up behaviors
in the Clinical Learning Environment.
September 25, 2019
Best JA, Kim S. The FIRST Curriculum: Cultivating Speaking Up Behaviors in the Clinical Learning
Environment. J Contin Educ Nurs. 2019;50(8):355-361. doi:10.3928/00220124-20190717-06.
https://psnet.ahrq…
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psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit
August 17, 2017 - March 16, 2016
Situation awareness errors in anesthesia and critical care in 200 cases
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psnet.ahrq.gov/node/40899/psn-pdf
November 02, 2011 - Understanding the behaviour of newly qualified doctors in
acute care contexts.
November 2, 2011
Tallentire VR, Smith SE, Skinner J, et al. Understanding the behaviour of newly qualified doctors in acute
care contexts. Med Educ. 2011;45(10):995-1005. doi:10.1111/j.1365-2923.2011.04024.x.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/73696/psn-pdf
September 15, 2021 - Factors related to serious safety events in a children's
hospital patient safety collaborative.
September 15, 2021
Burrus S, Hall M, Tooley E, et al. Factors related to serious safety events in a children's hospital patient
safety collaborative. Pediatrics. 2021;148(3):e2020030346. doi:10.1542/peds.2020-030346.
ht…
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psnet.ahrq.gov/node/837734/psn-pdf
July 27, 2022 - Can the standard configuration of a cardiac monitor lead
to medical errors under a stress induction?
July 27, 2022
Dzisko M, Lewandowska A, Wudarska B. Can the standard configuration of a cardiac monitor lead to
medical errors under a stress induction? Sensors (Basel). 2022;22(9):3536. doi:10.3390/s22093536.
https…
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psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - Although this patient did not experience any harm, the above situation would be characterized as a near … Two factors increased the likelihood of error in this situation: (i) the limited clinical experience … TSOACs may also not be
appropriate for patients who have a very high bleeding risk, such as in the situation
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psnet.ahrq.gov/issue/influence-standardisation-and-task-load-team-coordination-patterns-during-anaesthesia
November 05, 2008 - June 8, 2011
Discrepant perceptions of communication, teamwork and situation awareness
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psnet.ahrq.gov/issue/please-describe-your-point-view-typical-case-error-palliative-care-qualitative-data
December 04, 2016 - Harm
November 1, 2017
Situation awareness errors in anesthesia and critical
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psnet.ahrq.gov/issue/patients-perception-types-errors-palliative-care-results-qualitative-interview-study
December 04, 2016 - December 4, 2016
Situation awareness errors in anesthesia and critical care in 200 cases
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psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care
January 18, 2011 - March 23, 2011
Improving situation awareness to reduce unrecognized clinical deterioration
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psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery
November 19, 2014 - The moderate success of quality of care improvement efforts: three observations on the situation
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psnet.ahrq.gov/issue/detection-patient-risk-nurses-theoretical-framework
September 24, 2010 - April 22, 2009
Evaluating situation awareness: an integrative review.
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psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong
October 20, 2014 - August 26, 2015
Situation awareness errors in anesthesia and critical care in 200 cases
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psnet.ahrq.gov/issue/understanding-and-learning-organisational-failure
April 19, 2011 - December 8, 2021
Situation awareness and the mitigation of risk associated with patient
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psnet.ahrq.gov/issue/transformation-health-care-front-line
July 24, 2017 - Download Citation
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Improving situation