-
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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effectivehealthcare.ahrq.gov/products/signals/research
June 15, 2011 - In these situations, the RAND method produced a positive signal for updating and Ottawa's method produced … A sensitivity analysis that reclassified these situations as agreement between the two methods yielded
-
effectivehealthcare.ahrq.gov/sites/default/files/epstein1.pdf
January 01, 2009 - • Negotiation of roles and responsibilities
• Unusual situations
• Situations requiring
shared
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/epstein1.pdf
January 01, 2009 - • Negotiation of roles and responsibilities
• Unusual situations
• Situations requiring
shared
-
pbrn.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html
January 01, 2020 - communicate important or critical information
Informs all team members simultaneously during emergent situations … STEP
A tool for monitoring situations in the delivery of health care
Components of Situation Monitoring … the Patient
T eam Members
E nvironment
P rogress Toward Goal
Tool to help assess health care situations … Key strategies include:
Team members protect each other from work overload situations.
-
pcmh.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html
January 01, 2020 - communicate important or critical information
Informs all team members simultaneously during emergent situations … STEP
A tool for monitoring situations in the delivery of health care
Components of Situation Monitoring … the Patient
T eam Members
E nvironment
P rogress Toward Goal
Tool to help assess health care situations … Key strategies include:
Team members protect each other from work overload situations.
-
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
-
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
-
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
-
digital.ahrq.gov/ahrq-funded-projects/building-and-implementing-predictive-decision-support-system-based-proactive
January 01, 2024 - vendor-agnostic proactive FCP DSS tool that will allow the early identification of potential ED overcrowding situations … with resultant triggering of mitigating actions to avoid these situations.
-
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
-
psnet.ahrq.gov/node/74249/psn-pdf
January 12, 2022 - issue/medication-safety-issues-newly-authorized-paxlovid
Emerging care practices can produce unsafe situations
-
psnet.ahrq.gov/node/60692/psn-pdf
July 15, 2020 - tolerance-uncertainty-and-practice-emergency-medicine
Clinicians commonly face uncertainty in complex care situations
-
www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - communicate important or
critical information
• Informs all team members
simultaneously during emergent
situations … all team members are “on the
same page.”
21
Situation Monitoring
STEP
A tool for monitoring situations … Components of Situation Monitoring:
2222
Situation Monitoring
STEP
Tool to help assess health care situations … Key strategies include:
• Team members protect each other
from work overload situations
• Effective
-
teamstepps.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - communicate important or
critical information
• Informs all team members
simultaneously during emergent
situations … all team members are “on the
same page.”
21
Situation Monitoring
STEP
A tool for monitoring situations … Components of Situation Monitoring:
2222
Situation Monitoring
STEP
Tool to help assess health care situations … Key strategies include:
• Team members protect each other
from work overload situations
• Effective
-
talkingquality.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - communicate important or
critical information
• Informs all team members
simultaneously during emergent
situations … all team members are “on the
same page.”
21
Situation Monitoring
STEP
A tool for monitoring situations … Components of Situation Monitoring:
2222
Situation Monitoring
STEP
Tool to help assess health care situations … Key strategies include:
• Team members protect each other
from work overload situations
• Effective
-
patientregistry.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - communicate important or
critical information
• Informs all team members
simultaneously during emergent
situations … all team members are “on the
same page.”
21
Situation Monitoring
STEP
A tool for monitoring situations … Components of Situation Monitoring:
2222
Situation Monitoring
STEP
Tool to help assess health care situations … Key strategies include:
• Team members protect each other
from work overload situations
• Effective
-
ahrqpubs.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - communicate important or
critical information
• Informs all team members
simultaneously during emergent
situations … all team members are “on the
same page.”
21
Situation Monitoring
STEP
A tool for monitoring situations … Components of Situation Monitoring:
2222
Situation Monitoring
STEP
Tool to help assess health care situations … Key strategies include:
• Team members protect each other
from work overload situations
• Effective
-
monahrq.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - communicate important or
critical information
• Informs all team members
simultaneously during emergent
situations … all team members are “on the
same page.”
21
Situation Monitoring
STEP
A tool for monitoring situations … Components of Situation Monitoring:
2222
Situation Monitoring
STEP
Tool to help assess health care situations … Key strategies include:
• Team members protect each other
from work overload situations
• Effective