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psnet.ahrq.gov/node/33629/psn-pdf
March 01, 2006 - from the context of the work is often "sterile" and doesn't really capture the
complexity of teamwork situations … coaching in real settings can
fully probe the complexities of real interpersonal and patient care situations … particular advantages for teamwork training, in that it:
Involves participants in clinically challenging situations … For situations such as a clinic or ward where the
exercise wouldn't necessarily recreate acute illness
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psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
November 15, 2023 - could hear patient care alarms over background noises and found audibility to be a problem in several situations
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psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
September 20, 2023 - Treatment & Labor Act (EMTALA) may be employed to minimize care limitations in emergent pregnancy-related situations
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psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect-tyre-nichols
July 19, 2023 - Emergent care situations are vulnerable to a range of factors that reduce care safety and access.
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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - In addition, providers may find themselves working in clinical situations they find uncomfortable , … workers’ confidence in an organization’s ability to keep them safe when delivering care in hazardous situations … extremely helpful for ensuring that safety steps are performed appropriately even in particularly stressful situations … prepare teams and organizations with experiences they can use to optimize their preparedness for crisis situations
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psnet.ahrq.gov/issue/global-patient-safety-law-policy-and-practice
August 01, 2012 - Contributors examine strategies to transfer successes across a range of national environments and policy situations
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psnet.ahrq.gov/issue/fatal-mistakes
October 19, 2016 - organizational and peer support systems affect clinicians, initiatives to provide counseling in similar situations
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - People understand that new threats emerge regularly from situations that no one imagined could occur, … at risk for failure, and they practice performing rapid assessments of and responses to challenging situations
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psnet.ahrq.gov/issue/practice-advisory-anesthetic-care-magnetic-resonance-imaging-report-american-society
August 09, 2023 - Download Citation
Related Resources
Guidelines on Human Factors in Critical Situations
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psnet.ahrq.gov/node/49757/psn-pdf
April 01, 2016 - patient safety and error reporting.(11)
Immersive, experiential curricula and assessments make the situations
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psnet.ahrq.gov/issue/coronavirus-ravaged-nursing-homes-inspectors-were-not-being-tested
October 14, 2020 - Worker safety has ramifications for patient care in both routine and crisis situations.
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psnet.ahrq.gov/issue/are-you-well-positioned-resolve-conflicts-safety-order-learning-physicians-homicide-trial-and
May 18, 2022 - Challenging authority can be difficult but necessary in risky situations.
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psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong
April 03, 2019 - The complexity of the COVID-19 crisis creates situations that are ripe for both impressive care and
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psnet.ahrq.gov/issue/when-misdiagnosis-child-abuse
June 09, 2021 - Diagnostic decision-making is susceptible to cognitive biases and error in stressful situations.
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psnet.ahrq.gov/issue/preparing-challenging-medications-barcode-scanning
October 19, 2022 - This commentary draws from examples such as preparation of insulin and use of ampules to illustrate situations
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psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
February 09, 2022 - Medication safety is challenged by both persistent problems and emerging situations.
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psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson
November 16, 2022 - The report summarizes recommendations to reduce similar situations through improving patient communication
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psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions
March 10, 2021 - variety of factors contributing to errors in administering hypertonic sodium chloride in emergent situations
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psnet.ahrq.gov/node/41519/psn-pdf
September 01, 2016 - Computerized provider order entry (CPOE)
systems offer considerable safety advantages, but in real-world situations
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psnet.ahrq.gov/node/46843/psn-pdf
June 21, 2018 - Detecting diagnostic
uncertainty is an important precursor to identifying clinical situations at high