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psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
January 05, 2017 - A cognitive aid was developed to assist anesthesiologists in responding to emergency situations. … View More
Related Resources
Guidelines on Human Factors in Critical Situations
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psnet.ahrq.gov/issue/role-computerized-physician-order-entry-systems-facilitating-medication-errors
February 18, 2011 - This AHRQ-funded study identified 22 situations in which the CPOE system increased the probability of … According to the study, these situations fell into two categories: information errors generated by fragmentation
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psnet.ahrq.gov/issue/novel-study-situational-awareness-among-out-hospital-providers-during-online-clinical
June 08, 2022 - Situational awareness (SA) requires recognizing situations, interpreting them, and predicting how the
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psnet.ahrq.gov/node/838245/psn-pdf
January 01, 2023 - novel-study-situational-awareness-among-out-hospital-providers-during-online-
clinical
Situational awareness (SA) requires recognizing situations
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psnet.ahrq.gov/node/865656/psn-pdf
April 24, 2024 - highlights the potential for medication errors and patient harm to occur in the midst of high-stress
situations … Medication Error
Reporting and Prevention (NCCMERP).1,2 Such orders should be reserved for emergency situations … Environmental factors such as background noise, distractions, or high-stress situations such as responding … While these
situations do not technically fit the traditional definition of “override,” they pose similar … Overrides should only be used in emergency situations when it is impractical for a provider to place
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psnet.ahrq.gov/node/863002/psn-pdf
February 21, 2024 - is a crisis management concept drawn from aviation safety to be used in examination
of complex care situations
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psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
February 15, 2023 - August 23, 2023
Guidelines on Human Factors in Critical Situations 2023. … Crisis recovery in surgery: error management and problem solving in safety-critical situations
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psnet.ahrq.gov/issue/concept-analysis-situational-awareness-nursing
August 12, 2015 - Review
A concept analysis of situational awareness in nursing.
Citation Text:
Fore AM, Sculli GL. A concept analysis of situational awareness in nursing. J Adv Nurs. 2013;69(12):2613-21. doi:10.1111/jan.12130.
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psnet.ahrq.gov/issue/evaluating-situation-awareness-integrative-review
January 01, 2016 - Review
Evaluating situation awareness: an integrative review.
Citation Text:
Orique SB, Despins L. Evaluating Situation Awareness: An Integrative Review. West J Nurs Res. 2018;40(3):388-424. doi:10.1177/0193945917697230.
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Format:
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psnet.ahrq.gov/node/857580/psn-pdf
August 09, 2024 - https://psnet.ahrq.gov/issue/patient-safety-research-summaries
The application of evidence in real situations
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psnet.ahrq.gov/issue/retrospective-review-serious-surgical-incidents-5-large-uk-teaching-hospitals-system-based
May 26, 2021 - January 1, 2022
Toward constructive change after making a medical error: recovery from situations … Crisis recovery in surgery: error management and problem solving in safety-critical situations
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psnet.ahrq.gov/node/60011/psn-pdf
March 04, 2020 - institutional responsibility to monitor physicians exhibiting performance issues that put patients into
unsafe situations
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psnet.ahrq.gov/node/73480/psn-pdf
December 17, 2024 - they can be used to reduce risk through design
improvements in a variety of process and interpersonal situations
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psnet.ahrq.gov/node/60332/psn-pdf
May 13, 2020 - psnet.ahrq.gov/issue/circle-training
https://psnet.ahrq.gov/issue/measuring-teamwork-performance-teams-crisis-situations-systematic-review-assessment-tools-and
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psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - highlights the potential for medication errors and patient harm to occur in the midst of high-stress situations … Medication Error Reporting and Prevention (NCCMERP). 1,2 Such orders should be reserved for emergency situations … Environmental factors such as background noise, distractions, or high-stress situations such as responding … While these situations do not technically fit the traditional definition of “override,” they pose similar … Overrides should only be used in emergency situations when it is impractical for a provider to place
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psnet.ahrq.gov/node/841198/psn-pdf
December 07, 2022 - technology-education-and-safety-1
Safety challenges in anesthesiology and perioperative care are high-risk situations
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psnet.ahrq.gov/node/47490/psn-pdf
December 05, 2018 - seemingly simple mistakes such as name
misspellings and phone numbers as these errors can contribute to situations
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psnet.ahrq.gov/node/60883/psn-pdf
September 02, 2020 - when-misdiagnosis-child-abuse
Diagnostic decision-making is susceptible to cognitive biases and error in stressful situations
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psnet.ahrq.gov/taxonomy/term/3466
Mental Models
Mental models are psychological representations of real, hypothetical, or imaginary situations
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psnet.ahrq.gov/node/60307/psn-pdf
May 06, 2020 - bears-down-doctors-confront-difficult-choices-elective-surgeries
http://psnet.ahrq.gov/issue/trends-and-patterns-reporting-patient-safety-situations-transplantation