Let us start with a simple clinical example. You are an emergency physician and your next
patient to assess is an elderly patient with a fever and cough, and a HR of 120 and a BP of …

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 …

In dynamic, high-risk environments such as the modern operating theatre, healthcare
providers are required to identify a multitude of signals correctly and in time. Errors resulting …

The concept of situational awareness (SA) is well known in the field of aviation, human
factors and psychology. Understanding of its importance in the daily practice of …

Unrecognized clinical deterioration is a common and significant source of preventable harm.
An estimated 16% of serious harm events involve failed escalation of deterioration, but when …

Health care systems, including acute care hospitals, have historically been designed to
respond to, rather than predict and prevent, events. The move to a prevention-based health …

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 …

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 …

The publication in 2000 of two reports drawing attention to the problem of medical errors and
adverse events led to an increase in research and reporting systems designed to improve …

Situation awareness describes an individual's perception, comprehension and subsequent
projection of what is going on in the environment around them. The concept of situation …