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psnet.ahrq.gov/node/853773/psn-pdf
September 27, 2023 - Department of Defense,
consists of four core teachable competencies: communication, team leadership, situation … monitoring, and
mutual support. … The SBAR or Situation, Background, Assessment, and Recommendation/Request tool represents a useful
starting … A helpful tool for situational monitoring is STAR: Stop, Think, Act,
and Review. … It consists of strategies for effective communication,
leadership, situational monitoring, and mutual
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/module-4-slides.pptx
March 01, 2017 - Fatigue
Workload
Misinterpretation of Cues
Lack of Role Clarity Brief
Huddle
Debrief
STEP
Cross-Monitoring … Situation awareness maintained?
Workload distribution equitable? … /CAUTI Long-Term Care Safety Modules
Teamwork and Communication | ‹#›
15
Practicing SBAR3
Situation … curriculum-tools/teamstepps/longtermcare/video/11cus_sa/index.html
20
DESC
Describe the specific situation … or behavior; provide concrete data
Express how the situation makes you feel/what your concerns are
Suggest
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitator-roadmap.pdf
February 01, 2022 - ■ Module 2: Diagnostic Team Structure
■ Module 3: Communication
■ Module 4: Leadership
■ Module 5: Situation … Monitoring
■ Module 6: Mutual Support
■ Module 7: Putting It All Together
Present self-paced
learning
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety-apa.html
September 01, 2022 - What further tests or monitoring might be helpful to understand what is really going on with the patient … Have you and your team been able to speak up if you have concerns related to this patient diagnosis or situation … your organization share the near-misses, errors, and excellent diagnostic performance from a clinical situation … Who should attend a debriefing of a clinical situation?
S-3.
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psnet.ahrq.gov/issue/validation-teamwork-perceptions-measure-increase-patient-safety
March 20, 2014 - teamwork within health care settings—reliably measures how staff perceive leadership, mutual support, situation … monitoring, communication, and team structure.
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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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www.ahrq.gov/teamstepps-program/evidence-base/anesthesiology.html
May 01, 2023 - Situation awareness in anesthesiology. Human Factors 37, 20-31. … Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - with fetal condition per National Institute for Child Health and Human Development electronic fetal monitoring … risk awareness for all patients, timely recognition of a shoulder dystocia diagnosis, awareness and monitoring … Use SBAR (Situation, Background, Assessment, and Recommendation), callouts, huddles, and closed-loop … positive approach to emphasize “what is right, not who is right”:
· D: Describe the specific behavior or situation … .
· E: Express how the situation makes you feel or concerns you.
· S: Suggest other alternatives.
· C
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-6.html
July 01, 2023 - effectively complete their assigned tasks (e.g., taking a careful history and physical examination, monitoring … Continued monitoring by the model may provide updates about the patient's status after an intervention … Patients, their families, or other caregivers must be comfortable describing their unique situation and … In this situation, a clinician would need to be familiar with the validity, reliability, and intended … However, this situation is changing as EHRs, hubs for healthcare communication, are increasingly incorporating
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - Cross-monitoring: A harm error reduction strategy that involves monitoring actions of
other team members … SBAR (Situation, Background, Assessment, Recommendation and Request): A
technique for communicating … Shared mental model: Results from each team member maintaining situation
awareness and ensures that … Situation awareness: The state of “knowing what’s going on around you.” … Situation monitoring: The process of continually scanning and assessing a situation to
gain and maintain
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - Cross-monitoring: A harm error reduction strategy that involves monitoring actions of
other team members … SBAR (Situation, Background, Assessment, Recommendation and Request): A
technique for communicating … Shared mental model: Results from each team member maintaining situation
awareness and ensures that … Situation awareness: The state of “knowing what’s going on around you.” … Situation monitoring: The process of continually scanning and assessing a situation to
gain and maintain
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
July 01, 2023 - Use uniform parameters for maternal and fetal monitoring and provider notification prior to initiation … Use unit-established parameters for maternal and fetal monitoring at regular intervals. … Parameters for monitoring and provider notification. … approach to emphasize "what is right, not who is right":
D: Describe the specific behavior or situation … E: Express how the situation makes you feel or concerns you.
S: Suggest other alternatives.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
July 01, 2023 - with fetal condition per National Institute for Child Health and Human Development electronic fetal monitoring … decide its approach to debriefing events based on seriousness of event, expertise available, and data monitoring … approach to emphasize "what is right, not who is right":
D: Describe the specific behavior or situation … E: Express how the situation makes you feel or concerns you.
S: Suggest other alternatives. … Earlier studies, prior to the advent of continuous fetal monitoring, showed association with increased
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psnet.ahrq.gov/web-mm/no-bp-during-nibp
March 01, 2011 - Per American Society of Anesthesiologists guidelines, monitoring included continuous electrocardiography … Situation awareness in anesthesiology. Hum Factors. 1995;37:20-31. … Standards For Basic Anesthetic Monitoring. … Near real-time notification of gaps in cuff blood pressure recordings for improved patient monitoring … care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
June 01, 2021 - We’ve talked about active monitoring before. … As a quick reminder, active monitoring is often a great way to avoid unnecessary antibiotic starts in … In this situation, it is appropriate to sit down and have a family meeting. … What we understand is that attempting to treat these infections does not change the overall situation … Depending on the situation, this may need to happen more than once.
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www.ahrq.gov/news/newsroom/case-studies/cquips1201.html
October 01, 2014 - The TeamSTEPPS system builds on four competency areas—leadership, situation monitoring, mutual support
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www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - Monitoring
Situation monitoring is a way for team members to be aware of what is going on around
them … , enabling individuals to adapt to changes in the situation. … Creating an environment that supports situation monitoring will enable the team
to anticipate and predict … S Situation – What is happening with the patient? A concise statement of the problem. … Situation Monitoring: Process of actively scanning and assessing situational elements to
gain information
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www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 01, 2015 - Monitoring
Situation monitoring is a way for team members to be aware of what is going on around
them … , enabling individuals to adapt to changes in the situation. … Creating an environment that supports situation monitoring will enable the team
to anticipate and predict … S Situation – What is happening with the patient? A concise statement of the problem. … Situation Monitoring: Process of actively scanning and assessing situational elements to
gain information
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - Monitoring
Situation monitoring is a way for team members to be aware of what is going on around
them … , enabling individuals to adapt to changes in the situation. … Creating an environment that supports situation monitoring will enable the team
to anticipate and predict … S Situation – What is happening with the patient? A concise statement of the problem. … Situation Monitoring: Process of actively scanning and assessing situational elements to
gain information
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psnet.ahrq.gov/issue/sbar-patients
September 12, 2012 - commentary presents information and background on the standardized communication process known as SBAR (situation … December 18, 2013
Radiation protection and dose monitoring in medical imaging: a journey