Improving Situation Awareness to Reduce Unrecognized Clinical Deterioration and Serious Safety Events

No abstract is available for this paper.

• Publication year

  2013

• Venue

  Pediatrics

• Publication date

  2013-01-01

• Fields of study

  Medicine

• Identifiers
  DOI 10.1542/peds.2012-1364PMID 23230078PMCID PMC4528338
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Improving Situation Awareness to Reduce Unrecognized

  2012cited by this paper
• Development of a Pragmatic Measure for Evaluating and Optimizing Rapid Response Systems

  2012cited by this paper
• Quality Improvement Initiative to Reduce Serious Safety Events and Improve Patient Safety Culture

  2012cited by this paper
• Rapid-response teams.

  2011cited by this paper
• Team situation awareness and the anticipation of patient progress during ICU rounds

  2011cited by this paper
• Implementation of a Multicenter Rapid Response System in Pediatric Academic Hospitals Is Effective

  2011cited by this paper
• Rapid-response teams.

  2011cited by this paper
• Rapid Response Teams: A Systematic Review and Meta-analysis.

  2010influential reference
• "Identifying the hospitalised patient in crisis"--a consensus conference on the afferent limb of rapid response systems.

  2010cited by this paper
• Aggressive treatment style and surgical outcomes.

  2010cited by this paper
• A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system

  2009cited by this paper
• Situation Awareness Analysis and Measurement

  2009cited by this paper
• Critical care physician cognitive task analysis: an exploratory study

  2009cited by this paper
• A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system.

  2009cited by this paper
• Implementing a pediatric rapid response system to improve quality and patient safety.

  2009influential reference
• Reduction of hospital mortality and of preventable cardiac arrest and death on introduction of a pediatric medical emergency team*

  2009cited by this paper
• Prospective evaluation of a pediatric inpatient early warning scoring system.

  2009cited by this paper
• Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies -- Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools)

  2008cited by this paper
• "Becoming a high reliability organization-operational advice for hospital leaders" report.

  2008cited by this paper
• Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary arrests in a children's center.

  2008cited by this paper
• Implementation and impact of a rapid response team in a children's hospital.

  2007cited by this paper
• A Cross-sectional Survey of Levels of Care and Response Mechanisms for Evolving Critical Illness in Hospitalized Children

  2007cited by this paper
• Implementation of a medical emergency team in a large pediatric teaching hospital prevents respiratory and cardiopulmonary arrests outside the intensive care unit*

  2007cited by this paper
• Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children's Hospital.

  2007influential reference
• Managing the unexpected: resilient performance in an age of uncertainty, second edition

  2007cited by this paper
• First documented rhythm and clinical outcome from in-hospital cardiac arrest among children and adults.

  2006cited by this paper
• Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes

  2006cited by this paper
• Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial.

  2005cited by this paper
• Medical learning curves and the Kantian ideal

  2005cited by this paper
• Objective measures of situation awareness in a simulated medical environment

  2004cited by this paper
• Incidence, location and reasons for avoidable in-hospital cardiac arrest in a district general hospital.

  2002cited by this paper
• Duration of life-threatening antecedents prior to intensive care admission

  2002cited by this paper
• Toward a Theory of Situation Awareness in Dynamic Systems

  1995cited by this paper
• Measurement of Situation Awareness in Dynamic Systems

  1995cited by this paper
• Understanding Variation: The Key to Managing Chaos

  1994cited by this paper
• Critical decision method: A technique for eliciting concrete assessment indicators from the intuition of NICU nurses

  1993cited by this paper
• Statistical Method from the Viewpoint of Quality Control

  1940cited by this paper
• Economic Control of Quality of Manufactured Product.

  1933cited by this paper

• Implementación de una escala de alerta tempranapediátrica para identificar el deterioro clínico enuna sala de internación pediátrica

  2026cites this paper
• Implementation of a pediatric early warning scale to identify clinical deterioration in a pediatric general ward.

  2026cites this paper
• Causes, characteristics and improvement strategies for delayed interventions during paediatric deterioration: A mixed methods systematic review.

  2026cites this paper
• An Interdisciplinary Approach to Reducing Serious Safety Events by Implementing a Proactive Safety Framework

  2025cites this paper
• Safety huddle in healthcare settings: a concept analysis

  2025cites this paper
• Transition of a Neurology Subspecialty Service to a Pediatric Hospitalist Model of Care.

  2025cites this paper
• Emergency Transfers Are Associated With Increased Financial Charges.

  2025cites this paper
• Assessing the Impact of Emergency Transfers in Pediatric Cardiology.

  2025cites this paper
• Improving the Safety of Pediatric Emergency Department to Inpatient Transfers of Care.

  2025cites this paper
• Association of Hospitalization-Level Characteristics With Pediatric Rapid Response Team Outcomes.

  2025cites this paper
• Do Emergency Transfers Reflect Hospital Quality? Preventable Harm and the Next 100 000 Lives.

  2025cites this paper
• Outcomes and predictors of in-hospital mortality among patients admitted to the intensive care or step-down unit after a rapid response team activation: A retrospective cohort study

  2025cites this paper
• Development and Validation of a Dynamic Real-Time Risk Prediction Model for Intensive Care Units Patients Based on Longitudinal Irregular Data: Multicenter Retrospective Study

  2025cites this paper
• A Quality Improvement Project to Promote Interdisciplinary Communication Using the Pediatric Early Warning System

  2025cites this paper
• Validation of the NICHD Bronchopulmonary Dysplasia Outcome Estimator 2022 in a Quaternary Canadian NICU—A Single-Center Observational Study

  2025cites this paper
• Safety Officer: Hospitalist Support of Safety Practices on a Pediatric Surgical Unit.

  2025cites this paper
• Using Virtual Reality to Assess Residents' Clinical Assessments During and After COVID-19.

  2025cites this paper
• Pediatric Alert Score: evaluation of measurement properties

  2025cites this paper
• Characterization of Potentially Avoidable Pediatric Intensive Care Unit Transfers.

  2025cites this paper
• Patterns of interactions among ICU interprofessional teams: A prospective patient-shift-level survey approach

  2024cites this paper
• Risk Factors for Deterioration Events in the Pediatric Acute Care Setting.

  2024cites this paper
• Sustainability of a PICU Situation Awareness Intervention: A Qualitative Study

  2024cites this paper
• Exploring eye-tracking data as an indicator of situational awareness in nursing students during a cardiorespiratory arrest simulation.

  2024cites this paper
• Evaluation of a Course to Teach Medical Students Latent Hazard Identification in the Operating Room

  2024cites this paper
• Not just a ‘nice to have’: Team compassionate care behaviours and patient safety

  2024cites this paper
• Implementation of a critical care outreach team in a children’s hospital

  2024cites this paper
• Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit

  2023cites this paper
• Pediatric Septic Shock Care Pathways in General Emergency Departments

  2023cites this paper
• How do we detect and respond to clinical deterioration in hospitalized children? Results of the Pediatric Care BefOre Deterioration Events (CODE) survey.

  2023cites this paper
• Pediatric vital signs monitoring in hospital wards: Recognition systems and factors influencing nurses' attitudes and practices.

  2023cites this paper
• Sepsis Prediction in Hospitalized Children: Clinical Decision Support Design and Deployment.

  2023cites this paper
• Sepsis Prediction in Hospitalized Children: Model Development and Validation.

  2023cites this paper
• A Comparison of Nurses’ Situation Awareness and Eye-Tracking Data in Precardiac Arrest Simulations

  2023cites this paper
• Developing a machine learning model to detect diagnostic uncertainty in clinical documentation.

  2023cites this paper
• Improving Situational Awareness to Decrease Emergency ICU Transfers for Hospitalized Pediatric Cardiology Patients

  2023cites this paper
• Towards a Multilevel Framework of Teamwork Processes Affecting Construction Safety Outcomes

  2023cites this paper
• Could Spatial Awareness Affect Situation Awareness: A Conceptual Examination

  2023cites this paper
• Defining diagnostic uncertainty as a discourse type: A transdisciplinary approach to analysing clinical narratives of Electronic Health Records

  2023cites this paper
• Preventing cardiac arrest in high-risk children by implementing low-cost technology independent quality improvement safety bundle

  2023cites this paper
• The Need for a Standard Outcome for Clinical Deterioration in Children's Hospitals.

  2023cites this paper
• Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit.

  2023cites this paper
• The Deterioration Risk Index: Developing and Piloting a Machine Learning Algorithm to Reduce Pediatric Inpatient Deterioration*

  2023cites this paper
• Association between mortality and critical events within 48 hours of transfer to the pediatric intensive care unit

  2023cites this paper
• Text validated by the Comité des Référentiels Cliniques (clinical guidelines committee) of the SFAR on 14/05/2022, and by the Conseils d'administration (boards of directors) of the SFAR on 19/05/2022 and Groupe Facteurs Humains en Santé (GFHS) on 04/07/2022.

  2023cites this paper
• Reduction of Very Rapid Emergency Transfers to the Pediatric Intensive Care Unit

  2023cites this paper
• Effect of Daily Multidisciplinary Team Reflection in Ambulatory Care: A Qualitative Analysis

  2022cites this paper
• Segurança e qualidade do cuidado em saúde na perspectiva do usuário: estudo exploratório de grupos do Facebook

  2022cites this paper
• Effect of post-ICU follow-up by a rapid response team after congenital heart surgery

  2022cites this paper
• Development, implementation and evaluation of an early warning system improvement programme for children in hospital: the PUMA mixed-methods study

  2022cites this paper
• Clinical progress note: Situation awareness for clinical deterioration in hospitalized children.

  2022cites this paper
• Situation awareness in intensive care unit nurses: A qualitative directed content analysis

  2022cites this paper
• A Structural, Cognitive, and Behavioral Model for Error Analysis of Group B Streptococcus Prophylaxis in Pregnancy

  2022cites this paper
• Optimizing Pediatric Patient Safety in the Emergency Care Setting.

  2022cites this paper
• Characteristics of Disease-Specific and Generic Diagnostic Pitfalls

  2022cites this paper
• Optimizing Pediatric Patient Safety in the Emergency Care Setting.

  2022cites this paper
• Validation of a modified bedside Pediatric Early Warning System score for detection of clinical deterioration in hospitalized pediatric oncology patients: A prospective cohort study

  2022cites this paper
• Endo-anesthesia: a primer

  2022cites this paper
• Optimizing Pediatric Patient Safety in the Emergency Care Setting.

  2022cites this paper
• A multidisciplinary safety briefing for acutely ill and deteriorating patients: A quality improvement project.

  2022cites this paper
• Low Inadequate Oxygen Delivery Index is Associated with Decreased Cardiac Arrest Risk in High-Risk Pediatric ICU Patients

  2022cites this paper
• Using the Endsley Model to Evaluate Simulation-Based Situation Awareness Training for Medical and Nursing Students in India

  2022cites this paper
• HeartWatch: Implementing a Pediatric Heart Center Program to Prevent Cardiac Arrests Outside the ICU

  2022cites this paper
• Paediatric early warning systems: not a simple answer to a complex question

  2022cites this paper
• Interventions Into Reliability-Seeking Health Care Organizations: A Systematic Review of Their Goals and Measuring Methods

  2022cites this paper
• Optimizing Recognition and Management of Patients at Risk for Infection-Related Decompensation Through Team-Based Decision Making

  2022cites this paper
• Leveraging EHR Data to Evaluate the Association of Late Recognition of Deterioration With Outcomes.

  2022cites this paper
• Longitudinal Evaluation of a Pediatric Rapid Response System with Realist Evaluation Framework.

  2022cites this paper
• Harnessing the Data Universe to Understand and Reduce Clinical Deterioration in Children.

  2022cites this paper
• Optimizing Pediatric Patient Safety in the Emergency Care Setting.

  2022cites this paper
• Preventing Cardiac Arrest in the Pediatric Cardiac Intensive Care Unit Through Multicenter Collaboration.

  2022cites this paper
• A new situation awareness model decreases clinical deterioration in the emergency departments—A controlled intervention study

  2021cites this paper
• Value improvement at the point of care: engaging and empowering front-line teams with a new quality improvement methodology

  2021cites this paper
• A Pediatric Resident Safety Council: A Framework for Developing Quality and Safety Leadership.

  2021cites this paper
• Training situational awareness for scrub nurses: Error recognition in a virtual operating room.

  2021cites this paper
• Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children.

  2021cites this paper
• Situational Awareness Huddles in a Pediatric Cardiac Intensive Care Unit During the COVID-19 Pandemic.

  2021cites this paper
• Perioperative Safety: Engage, Integrate, Empower, Sustain to Eliminate Patient Safety Events

  2021cites this paper
• Evaluation of a Theory-Informed Pediatric Rapid Response Training Program Using the Logic Model.

  2021cites this paper
• Modification of a children's hospital pediatric early warning score (EWS): An evaluation of inter-rater reliability, nurses' critical thinking and perceptions of the tool.

  2021cites this paper
• Characteristics and outcomes of children receiving intensive care therapy within 12 hours following a medical emergency team event

  2021cites this paper
• Huddles and their effectiveness at the frontlines of clinical care: a scoping review

  2021cites this paper
• Optimizing Situation Awareness to Reduce Emergency Transfers in Hospitalized Children

  2021cites this paper
• Characteristics of Pediatric Rapid Response Systems: Results From a Survey of PRIS Hospitals.

  2021cites this paper
• Accuracy and Monitoring of Pediatric Early Warning Score (PEWS) Scores Prior to Emergent Pediatric Intensive Care Unit (ICU) Transfer: Retrospective Analysis

  2021cites this paper
• Perspectives of paediatric hospital staff on factors influencing the sustainability and spread of a safety quality improvement programme

  2021cites this paper
• Situation awareness and the mitigation of risk associated with patient deterioration: A meta-narrative review of theories and models and their relevance to nursing practice.

  2021cites this paper
• Interhospital transport of children with bronchiolitis by a statewide emergency transport service

  2021cites this paper
• Improving Shared Situation Awareness for High-risk Therapies in Hospitalized Children.

  2021cites this paper
• Characteristics and Outcomes of Pediatric Rapid Response With a Respiratory Trigger.

  2021cites this paper
• An Acute Care Sepsis Response System Targeting Improved Antibiotic Administration.

  2021cites this paper
• Factors Related to Serious Safety Events in a Children’s Hospital Patient Safety Collaborative

  2021cites this paper
• Patient Deterioration on General Care Units

  2021cites this paper
• Building Inpatient Pediatric Readiness for the Clinically Deteriorating Child.

  2021cites this paper
• The Predictive Value of Vital Signs for Morbidity in Pregnancy: Evaluating and Optimizing Maternal Early Warning Systems

  2021cites this paper
• Implementation of a Multidisciplinary Debriefing Process for Pediatric Ward Deterioration Events.

  2021cites this paper
• Continued Supervision for the Common Pediatric Subspecialty Entrustable Professional Activities May Be Needed Following Fellowship Graduation

  2021cites this paper
• Assessment of a Situation Awareness Quality Improvement Intervention to Reduce Cardiac Arrests in the PICU

  2021cites this paper
• Diurnal Variation in Medical Emergency Team Calls at a Tertiary Care Children’s Hospital

  2020cites this paper
• Interventions and measurements of highly reliable/resilient organization implementations: A literature review.

  2020cites this paper
• Prognostic profiling of children with serious post-operative complications: A novel probability model for failure to rescue.

  2020cites this paper