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www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-transcript.html
December 01, 2017 - monitoring, knowing what's going on around you within your team, and mutual support of your team members … and monitoring, and mutual support, but to implement these skills, what we're hoping to do is improve … Situation monitoring tools. … Cross monitoring is a tool. … Is there opportunities for better communication, situation monitoring, or mutual support?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-into-cusp-efforts-transcript.docx
April 07, 2015 - monitoring, knowing what's going on around you within your team, and mutual support of your team members … and monitoring, and mutual support, but to implement these skills, what we're hoping to do is improve … Situation monitoring tools. … Cross monitoring is a tool. … Is there opportunities for better communication, situation monitoring, or mutual support?
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psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-prevent-harm
June 10, 2018 - Newspaper/Magazine Article
Fatal PCA adverse events continue to happen...better patient monitoring … Citation Text:
Fatal PCA adverse events continue to happen...better patient monitoring is essential … PCA), this newsletter article highlights risks around PCA use and recommends practices to enhance monitoring … Citation
Citation Text:
Fatal PCA adverse events continue to happen...better patient monitoring … June 10, 2018
Remote CPOE error—a situation that's more than remotely possible.
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psnet.ahrq.gov/issue/apsf-endorsed-statement-revising-recommendations-patient-monitoring-during-anesthesia
July 25, 2018 - Policy/Guidelines
APSF endorsed statement on revising recommendations for patient monitoring … Citation Text:
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia … This guidance applied expert consensus to examine existing anesthesia monitoring standards worldwide … Citation
Citation Text:
APSF endorsed statement on revising recommendations for patient monitoring … July 25, 2018
Three quarters of preventable patient harm stems from situation awareness
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
January 01, 2003 - integrated
assessment of the patient’s status that would enable nurses to develop a high level of situation … • Constructs—which are conceptualizations of the situation; also referred to as mental models. … intervention and how that individual extrapolates information
into the future based on the current situation … • Think about a situation when you and your colleagues work under serious time pressure. … Comprehension and situation
awareness. In: Durso F, Nickerson RS, Dumais ST, et
al, editors.
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - unintended physical injury resulting from or contributed to by medical care that requires additional monitoring … This situation involved a high potential for harm, as a cognitively impaired or less aware patient may … Two other terms define hazards to patients that do not result in harm: Near miss : an unsafe situation … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-case-scenarios.pdf
April 01, 2016 - Read each description and imagine
yourself actually being in the situation. … After you read the description, write in your own words what you would say
in response to the situation … Table of Contents
Scenario 1: Non-Clinical Situation, Group Project ................................. … During the resuscitation efforts, information obtained from the devices monitoring Mary’s EKG, blood … The nurse involved in monitoring
Mary appears visibly shaken and states that she was distracted during
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www.ahrq.gov/teamstepps-program/curriculum/intro/teach/half-day.html
August 01, 2023 - Module 3: Situation Monitoring— Describes the importance of team members’ gaining or maintaining an accurate … awareness or understanding of the situation in which the team is functioning, and outcomes of situation … monitoring, including a shared mental model among team members.
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psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations-integrated-displays-improve
March 01, 2011 - care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation … care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation … direct observation of intensive care unit (ICU) nurses in three hospitals to assess the degree to which 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/teamstepps-program/dx-improvement/module2-team-structure.pptx
January 12, 2022 - Summary Score on Team Structure compare with the other TeamSTEPPS dimensions (Communication, Leadership, Situation … Monitoring, and Mutual Support)? … Core Teams should be small enough to ensure situation monitoring, development of situation awareness, … Monitoring
Module 6: Mutual Support
Module 7: Putting It All Together
TeamSTEPPS for Diagnosis Improvement … Situation Monitoring.
Mutual Support.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module2-presenters-notes.pdf
January 12, 2022 - Score on Team Structure compare with the other
TeamSTEPPS dimensions (Communication, Leadership, Situation … Monitoring, and
Mutual Support)? … • Core Teams should be small enough to ensure situation monitoring, development
of situation awareness … Monitoring
Module 6:
Mutual
Support
Module 7:
Putting It All
Together
TeamSTEPPS for Diagnosis … • Situation Monitoring.
• Mutual Support.
• Putting It All Together.
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psnet.ahrq.gov/node/41280/psn-pdf
December 31, 2014 - care unit nurses' information needs and
recommendations for integrated displays to improve
nurses' situation … care unit nurses' information needs and recommendations for
integrated displays to improve nurses' situation … direct observation of intensive care unit (ICU) nurses in three hospitals to assess the degree to
which monitoring
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psnet.ahrq.gov/node/45608/psn-pdf
October 27, 2016 - errors-omissions-and-outliers-hourly-vital-signs-measurements-intensive-care
Vital signs remain a mainstay of monitoring … The authors recommend
seeking alternatives to hourly vital sign monitoring in order to optimize safety … A previous WebM&M
commmentary discussed challenges in monitoring vital signs. … vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes
https://psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
June 02, 2025 - strategies.
2
2
Mutual Support Is…
Mutual Support
Dependent on information gathered through situation … monitoring. … The attending physician provides the final treatment, reviews the clinical situation, and determines … Mutual Support
A constructive approach for managing and resolving conflict
Describe the specific situation … Express how the situation makes you feel/what your concerns are.
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www.ahrq.gov/teamstepps-program/curriculum/mutual/teach/two-day.html
July 01, 2024 - Mutual Support Two-Day Training
If you are teaching the Situation Monitoring Module as part of … If you have time, ask a person to share a situation from the past few months where someone on their team … Ask participants to share a situation where they felt supported by one of the patients or family caregivers … Ask the class whether they’ve ever seen the Two-Challenge Rule used or seen a situation where it should … As an alternative to this scenario, you may want to discuss a situation in which a patient with limited
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-leadership.pptx
January 05, 2022 - Monitoring, and Mutual Support)? … They are quick, reactive, touch-base meetings to gain or regain situation awareness. … For example, after dealing with a complex diagnostic situation, the team leader may conduct a debrief … Monitoring
Module 6: Mutual Support
Module 7: Putting It All Together
TeamSTEPPS® for Diagnosis … Situation Monitoring.
Mutual Support.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-video-simulation-credits.pdf
June 02, 2025 - Assistant
Becky Ellis
Editor
Jake Scumaci
Assistant Editor, Voice over
PERFORMERS
Team Structure Situation … Monitoring Mutual Support
Nicky Lowney (Angela Tucker,
daughter)
Nicky Lowney (Colleen
Griffith
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation
AHRQ Safety … Program for Perinatal Care
Slide 1: Monitoring for Perinatal Safety: Electronic Fetal Monitoring … Monitoring for Perinatal Safety: Electronic Fetal Monitoring
Slide 2: Learning Objectives
Image … Slide 3: Electronic Fetal Monitoring
Electronic fetal monitoring (EFM) is a commonly used practice … Fetal monitoring: creating a culture of safety with informed choice.
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psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
October 20, 2021 - Download Citation
Related Resources From the Same Author(s)
Optimizing situation … September 17, 2014
Clinical progress note: situation awareness for clinical deterioration … February 12, 2020
Improving shared situation awareness for high-risk therapies in hospitalized … January 12, 2022
The impact of adding a 2-way video monitoring system on falls and costs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - decide its approach to debriefing events based on seriousness of event, expertise available, and data monitoring … Use SBAR (Situation, Background, Assessment, and Recommendation), callouts, huddles, and closed-loop … .
· E: Express how the situation makes you feel or concerns you.
· S: Suggest other alternatives.
· C … Improvement Component
This component involves education and training for deployment, along with debriefing, monitoring … Monitoring
Monitoring use of a rapid response system with respect to both process and outcome can help