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Related Concept Videos

Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:

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Related Experiment Video

Updated: May 29, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

Exploring situational awareness in diagnostic errors in primary care.

Hardeep Singh1, Traber Davis Giardina, Laura A Petersen

  • 1VA Medical Center, 2002 Holcombe Blvd, Houston, TX 77030, USA. hardeeps@bcm.edu

BMJ Quality & Safety
|September 6, 2011
PubMed
Summary

Diagnostic errors in primary care are common, affecting over 30% of lung and colorectal cancer cases. Applying the situational awareness (SA) framework helps understand these errors in electronic health record (EHR) systems.

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Area of Science:

  • Medical Informatics
  • Human Factors Engineering
  • Primary Care Medicine

Background:

  • Diagnostic errors in primary care are a significant concern but remain understudied.
  • Electronic health records (EHRs) are increasingly used in primary care, influencing diagnostic processes.
  • The situational awareness (SA) framework, originating from aviation human factors, offers a potential lens to understand these errors.

Purpose of the Study:

  • To explore the utility of the SA framework in analyzing diagnostic errors within primary care settings utilizing EHRs.
  • To identify how a lack of situational awareness contributes to diagnostic errors in real-world clinical practice.

Main Methods:

  • A mixed-methods approach combining EHR data review and semi-structured interviews.
  • Inclusion of 254 patients with lung and colorectal cancers diagnosed between 2008-2009.
  • Interviews with 26 providers to assess situational awareness in cases with and without diagnostic errors.

Main Results:

  • Diagnostic errors were identified in 32.6% of lung cancer and 33.5% of colorectal cancer cases.
  • Analysis revealed deficits in SA levels (information perception, comprehension, forecasting, action selection) in error cases.
  • The SA framework provided insights into attention management in non-error cases.

Conclusions:

  • The situational awareness framework is a valuable tool for analyzing and understanding diagnostic errors in primary care EHR environments.
  • Understanding SA deficits can inform strategies to reduce diagnostic errors and improve patient safety.