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psnet.ahrq.gov/node/49491/psn-pdf
September 01, 2005 - The case also brings to light several issues of team performance, including (i) problems of situation … A
number of studies have demonstrated that her situation is common: documentation of improper CPR
technique … We have created a simulation (
Video) of this situation—it shows the code being conducted, with the … final minute demonstrating the
situation as described in the case.
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psnet.ahrq.gov/node/72614/psn-pdf
March 01, 2021 - Rehearsing Team Care for Relatively Rare Obstetric
Emergencies Leads to Improved Outcomes
Originally published on December 22, 2020
Last updated on December 23, 2020
https://psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-
improved-outcomes
Summary
Multidisciplinary tea…
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psnet.ahrq.gov/node/840153/psn-pdf
November 16, 2022 - Team debriefing in the COVID-19 pandemic: a qualitative
study of a hospital-wide clinical event debriefing program
and a novel qualitative model to analyze debriefing
content.
November 16, 2022
Welch-Horan TB, Mullan PC, Momin Z, et al. Team debriefing in the COVID-19 pandemic: a qualitative
study of a hospital-w…
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psnet.ahrq.gov/node/44419/psn-pdf
September 02, 2015 - Lack of standardisation between specialties for human
factors content in postgraduate training: an analysis of
specialty curricula in the UK.
September 2, 2015
Greig PR, Higham H, Vaux E. Lack of standardisation between specialties for human factors content in
postgraduate training: an analysis of specialty curric…
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psnet.ahrq.gov/issue/root-cause-analysis-clinical-error-confronting-disjunction-between-formal-rules-and-situated
June 14, 2011 - Commentary
A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity.
Citation Text:
Iedema RAM, Jorm C, Braithwaite J, et al. A root cause analysis of clinical error: confronting the disjunction between formal rules and si…
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psnet.ahrq.gov/issue/human-factors-recognising-and-minimising-errors-our-day-day-practice
October 09, 2016 - Review
Human factors—recognising and minimising errors in our day to day practice.
Citation Text:
Green B, Tsiroyannis C, Brennan PA. Human factors--recognising and minimising errors in our day to day practice. Oral Dis. 2016;22(1):19-22. doi:10.1111/odi.12384.
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes
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December 22, 2020
Innovation
Contact
…
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psnet.ahrq.gov/node/36025/psn-pdf
March 28, 2011 - Understanding diagnostic errors in medicine: a lesson
from aviation.
March 28, 2011
Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation.
Qual Saf Health Care. 2006;15(3):159-64.
https://psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
T…
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - Department of Defense, consists of four core teachable competencies: communication, team leadership, situation … The SBAR or Situation, Background, Assessment, and Recommendation/Request tool represents a useful
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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/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/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.
Copy Citation
Format:
Google Scholar Pu…
-
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