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psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help
March 31, 2021 - Artificial Intelligence (AI) is used in an increasing range of health care situations to address a variety
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psnet.ahrq.gov/issue/request-information-creating-national-healthcare-system-action-alliance-advance-patient
June 22, 2022 - Partnerships are needed to motivate, design, and implement lasting innovation in complex situations
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psnet.ahrq.gov/node/837073/psn-pdf
May 11, 2022 - Clinical progress note: situation awareness for clinical
deterioration in hospitalized children.
May 11, 2022
Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in
hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:10.1002/jhm.2774.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/web-mm/workaround-error
October 30, 2024 - importance of human factors in their work will be better able to anticipate and guard against hazardous situations … Hospitals must include some excess nurse capacity into each shift to provide for unexpected situations … administrators must reduce the workload for nurses and build in extra nursing staff to accommodate emergency situations
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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - predictable mistakes on the part of relatively inexperienced personnel faced with cognitively complex situations … than focusing corrective efforts on punishment or remediation, the systems approach seeks to identify situations … Failure modes effect analysis (FMEA) attempts to prospectively identify error-prone situations, or failure
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psnet.ahrq.gov/node/854827/psn-pdf
October 25, 2023 - Beyond the surgical safety checklist: using intraoperative
handoff to facilitate team situation awareness in the OR.
October 25, 2023
Ramjaun A, Hammond Mobilio M, Wright N, et al. Beyond the surgical safety checklist: using intraoperative
handoff to facilitate team situation awareness in the OR. Ann Surg. 2023;278…
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psnet.ahrq.gov/issue/understanding-situation-awareness-nursing-work-hybrid-concept-analysis
October 20, 2021 - Study
Understanding situation awareness in nursing work: a hybrid concept analysis.
Citation Text:
Sitterding MC, Broome ME, Everett LQ, et al. Understanding situation awareness in nursing work: a hybrid concept analysis. ANS Adv Nurs Sci. 2012;35(1):77-92. doi:10.1097/ANS.0b013e318245…
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psnet.ahrq.gov/issue/opioid-wisely
April 06, 2022 - April 6, 2022
Acting wisely in complex clinical situations: 'Mutual safety' for clinicians
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psnet.ahrq.gov/node/72661/psn-pdf
January 20, 2021 - An intervention to increase situational awareness and the
Culture of Mutual Care (Foco) and its effects during
COVID-19 pandemic: a randomized controlled trial and
qualitative analysis.
January 20, 2021
Kozasa EH, Lacerda SS, Polissici MA, et al. An Intervention to Increase Situational Awareness and the
Culture o…
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psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - A medical director who participates actively in training, who knows the situations that the EMS personnel … At times, I also go to the scene and assist in managing patients, and, in critical situations, get involved … The hospital may not the right place for individuals who have needs in those situations. … There are always unexpected situations and circumstances that quality measures are not designed to take … To assist EMS personnel in decision making in high-pressure situations and to support standardized care
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psnet.ahrq.gov/issue/periodic-resuscitation-cart-checks-and-nurse-situational-awareness-observational-study
March 18, 2020 - Study
Periodic resuscitation cart checks and nurse situational awareness: an observational study.
Citation Text:
Aljuaid J, Al-Moteri M. Periodic resuscitation cart checks and nurse situational awareness: an observational study. J Emerg Nurs. 2022;48(2):189-201. doi:10.1016/j.jen.2021.12…
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psnet.ahrq.gov/node/49445/psn-pdf
May 01, 2004 - Clear policies and procedures along with communication regarding protocol requirements in
these situations … sometimes create safety challenges, clear policies and procedures should
be in place regarding such situations
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psnet.ahrq.gov/node/73977/psn-pdf
October 20, 2021 - Optimizing situation awareness to reduce emergency
transfers in hospitalized children.
October 20, 2021
Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in
hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2020-034603.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/49520/psn-pdf
September 01, 2006 - approach to and outcomes of life-sustaining interventions in the operating room versus other clinical
situations … postoperative recovery room, when the patient’s
clinical condition is stable.(2) However, in some clinical situations … orders that can be applied to the “standard” patient are unrealistic in light of the
wide range of situations
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psnet.ahrq.gov/node/38706/psn-pdf
June 17, 2009 - tool approach and maintains a Web site
with information on trigger tools for a variety of clinical situations
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psnet.ahrq.gov/node/33642/psn-pdf
November 01, 2006 - However, in all of these areas, dangerous situations can result when these systems collapse,
when they … What the designer tries to do is to
imagine all those situations that might arise and then provide the … They miss a lot of critical situations. They
miss the unknown. They don't understand the context. … We have situations in which there are two different brands of a
device, both of which do the same thing
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - from the context of the work is often "sterile" and doesn't really capture the complexity of teamwork situations … intensive 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/covid-19-assessing-risk-public-protection-posed-doctor-result-concerns-about-their-practice
July 15, 2015 - Physician caregiving effectiveness can be tested during crisis situations .
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psnet.ahrq.gov/issue/patient-safety-home-assessment-issues-challenges-and-opportunities
August 09, 2017 - The ambulatory environment presents unique situations that can introduce safety challenges into care
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psnet.ahrq.gov/issue/errors-medicine-and-law
August 06, 2016 - The authors also summarize situations in which blame is appropriate and present concepts to help the