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Commentary

Learning from non-routine events and teamwork in intensive care units: challenges and opportunities.

Gong Y, Chen Y. Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. Stud Health Technol Inform. 2024;310:324-328. doi:10.3233/shti230980.

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February 28, 2024
Gong Y, Chen Y. Stud Health Technol Inform. 2024;310:324-328.
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Non-routine events (NRE), or deviations from optimal care, are latent safety threats, and their early identification and elimination can improve patient safety. This article uses an example of a medication error in the intensive care unit presented in a PSNet WebM&M case and commentary to describe NRE in the context of time-dependent tasks and teamwork, the use of real-world data to investigate them, and the challenges of identifying NRE.

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Gong Y, Chen Y. Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. Stud Health Technol Inform. 2024;310:324-328. doi:10.3233/shti230980.