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psnet.ahrq.gov/issue/talking-patients-and-families-about-medical-error-guide-education-and-practice
July 24, 2019 - July 12, 2016
Toward constructive change after making a medical error: recovery from situations
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psnet.ahrq.gov/issue/creating-culture-safety-emergency-department-value-teamwork-training
October 14, 2020 - More
Related Resources
Measuring the teamwork performance of teams in crisis situations
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psnet.ahrq.gov/issue/management-reasoning-beyond-diagnosis
June 26, 2019 - Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations
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psnet.ahrq.gov/issue/medication-handling-towards-practical-human-centred-approach
September 23, 2020 - March 4, 2009
Trends and patterns in reporting of patient safety situations in transplantation
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psnet.ahrq.gov/issue/second-victim-support-programs-healthcare-organizations
August 12, 2020 - September 14, 2022
Toward constructive change after making a medical error: recovery from situations
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psnet.ahrq.gov/issue/influences-observed-incidence-and-reporting-medication-errors-anesthesia
October 19, 2022 - August 4, 2021
Trends and patterns in reporting of patient safety situations in transplantation
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psnet.ahrq.gov/node/40275/psn-pdf
March 23, 2011 - Discrepant perceptions of communication, teamwork and
situation awareness among surgical team members.
March 23, 2011
Wauben LSGL, van Doorn CMD-, van Wijngaarden JDH, et al. Discrepant perceptions of communication,
teamwork and situation awareness among surgical team members. Int J Qual Health Care.
2011;23(2):15…
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psnet.ahrq.gov/node/49725/psn-pdf
January 01, 2015 - However, data
from a PA catheter can still be valuable in managing certain difficult perioperative situations … on
the monitor screen, which would have revealed the error), some degree of human error in dynamic
situations
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psnet.ahrq.gov/issue/implementing-standardized-safe-surgery-program-reduces-serious-reportable-events
October 30, 2024 - Crisis recovery in surgery: error management and problem solving in safety-critical situations
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psnet.ahrq.gov/issue/complications-acknowledging-managing-and-coping-human-error
March 13, 2024 - Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations
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psnet.ahrq.gov/node/35975/psn-pdf
June 14, 2011 - A root cause analysis of clinical error: confronting the
disjunction between formal rules and situated clinical
activity.
June 14, 2011
Iedema RAM, Jorm C, Braithwaite J, et al. A root cause analysis of clinical error: confronting the disjunction
between formal rules and situated clinical activity. Soc Sci Med. 20…
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psnet.ahrq.gov/web-mm/intubation-mishap
April 26, 2023 - Optimal response in crisis situations requires not only availability of the necessary equipment and drugs … mentally simulating what both patients and team members might do (or not do) in different clinical situations … separate rooms) will not help diverse professionals learn to work together as a team during crisis situations
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psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
June 29, 2022 - EMERGING INNOVATIONS
Reducing hospital harm: establishing a command centre to foster situational awareness.
Citation Text:
Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885.
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…
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psnet.ahrq.gov/node/44723/psn-pdf
December 16, 2015 - Situation, background, assessment, and
recommendation–guided huddles improve
communication and teamwork in the emergency
department.
December 16, 2015
Martin HA, Ciurzynski SM. Situation, Background, Assessment, and Recommendation-Guided Huddles
Improve Communication and Teamwork in the Emergency Department. Jour…
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psnet.ahrq.gov/issue/exploring-situational-awareness-diagnostic-errors-primary-care
September 20, 2011 - Study
Exploring situational awareness in diagnostic errors in primary care.
Citation Text:
Singh H, Giardina TD, Petersen LA, et al. Exploring situational awareness in diagnostic errors in primary care. BMJ Qual Saf. 2011;21(1):30-38. doi:10.1136/bmjqs-2011-000310.
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Fo…
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psnet.ahrq.gov/node/40988/psn-pdf
August 16, 2016 - Situational Awareness and Patient Safety: A Learning
Package.
August 16, 2016
Parush A, Campbell C, Hunter A, et al. Ottawa, Ontario: The Royal College of Physicians and Surgeons of
Canada; 2011. ISBN: 9781926588100.
https://psnet.ahrq.gov/issue/situational-awareness-and-patient-safety-learning-package
This publi…
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psnet.ahrq.gov/issue/beyond-surgical-safety-checklist-using-intraoperative-handoff-facilitate-team-situation
June 13, 2018 - Study
Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR.
Citation Text:
Ramjaun A, Hammond Mobilio M, Wright N, et al. Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awarene…
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psnet.ahrq.gov/issue/apsf-endorsed-statement-revising-recommendations-patient-monitoring-during-anesthesia
July 25, 2018 - August 23, 2023
Guidelines on Human Factors in Critical Situations 2023.
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psnet.ahrq.gov/issue/team-situation-awareness-and-anticipation-patient-progress-during-icu-rounds
May 06, 2009 - Study
Team situation awareness and the anticipation of patient progress during ICU rounds.
Citation Text:
Reader TW, Flin R, Mearns K, et al. Team situation awareness and the anticipation of patient progress during ICU rounds. BMJ Qual Saf. 2011;20(12):1035-42. doi:10.1136/bmjqs.2010.0…
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psnet.ahrq.gov/issue/errors-prevented-and-associated-bar-code-medication-administration-systems
October 16, 2019 - December 30, 2014
Medication errors associated with code situations in U.S. hospitals