Table 2Omissions for single RN observation (RN #3)

OmissionTimeDescription of OmissionCognitive stacking measure: # activities
Omission 10813RN did not manage patient elimination problem16
Omission 20908RN did not increase patient fluid intake18
Omission 30949RN did not increase patient activity by moving patient into chair to improve lung expansion17
Omission 41320RN did not report patient's perception of neck irritation16

From: An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors

Cover of Advances in Patient Safety: From Research to Implementation (Volume 1: Research Findings)
Advances in Patient Safety: From Research to Implementation (Volume 1: Research Findings).
Henriksen K, Battles JB, Marks ES, et al., editors.

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