IN THE EVER-CHANGING and increasingly complex health care environment, managing
risk to reduce error remains a priority in practice. Fast paced turbulent work environments …

IN MY FEBRUARY EDITORIAL, 1 I focused on what it means to be a nurse and the many
opportunities that the role provides. In this issue, I would like to focus on what it is that …

I WAS RECENTLY waiting in a plane to take off in Boston and I looked out of the window. In
a distance, I saw a row of lights. As my plane edged a little closer, I could see these lights …

Background SA is well-known within high-reliability organizations (HROs), such as aviation,
air-traffic control, nuclear facilities, and the military. These organizations operate within a …

ABSTRACT PREDICTORS OF SITUATION AWARENESS IN GRADUATE STUDENT
REGISTERED NURSE ANESTHETISTS Suzanne M. Wright, Ph. D. A dissertation submitted …

OVER THE YEARS health care providers have used aviation models in patient safety in an
effort to improve outcomes. Both industries involve complex systems which involve peoples' …

Failure to rescue continues to be a significant contributor to in-hospital deaths despite efforts
to the contrary. Failure to rescue is the failure to prevent death or permanent disability …

PATIENT SAFETY IS an important goal for all health care providers and administrators.
However, many barriers may impede this goal. An example can be wrong-site surgeries …

A collaborative approach to improvement is part of a culture change that is also necessary to
ensure safety. Although there is not yet published evidence that organizational culture is …

WHEN WATCHING FOOTBALL on TV, you may hear the commentator say the quarterback
has excellent situational awareness. What does this mean? In this case, it means that the …