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psnet.ahrq.gov/issue/emergency-department-monitor-alarms-rarely-change-clinical-management-observational-study
September 30, 2020 - Study
Emergency department monitor alarms rarely change clinical management: an observational … Emergency department monitor alarms rarely change clinical management: an observational study. … Department (ED) to determine whether and which ED monitor alarms led to observable changes in patients’ care … Emergency department monitor alarms rarely change clinical management: an observational study. … Perspective
Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care
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psnet.ahrq.gov/issue/effect-crew-resource-management-training-multidisciplinary-obstetrical-setting
March 06, 2005 - Study
Effect of crew resource management training in a multidisciplinary obstetrical … Effect of crew resource management training in a multidisciplinary obstetrical setting. … Int J Qual Health Care . 2008; 20 (4) :254-63 . … Health care organizations have tried to integrate crew resource management (CRM) methods into focused … Effect of crew resource management training in a multidisciplinary obstetrical setting.
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psnet.ahrq.gov/issue/effect-sleep-deprivation-after-night-shift-duty-simulated-crisis-management-residents
August 09, 2023 - Study
Effect of sleep deprivation after a night shift duty on simulated crisis management … Effect of sleep deprivation after a night shift duty on simulated crisis management by residents in anaesthesia … Anaesth Crit Care Pain Med. 2018;37(2):161-166. doi:10.1016/j.accpm.2017.05.010. … Anaesth Crit Care Pain Med . 2018; 37 (2) :161-166 . … Anaesth Crit Care Pain Med. 2018;37(2):161-166. doi:10.1016/j.accpm.2017.05.010.
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psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
December 22, 2021 - Study
Surgical specimen management: a descriptive study of 648 adverse events and … Surgical specimen management: a descriptive study of 648 adverse events and near misses. … Surgical specimen management: a descriptive study of 648 adverse events and near misses. … July 29, 2020
Urgent referrals from primary care to dermatology for lesions suspicious … June 7, 2017
Communicating findings of delayed diagnostic evaluation to primary care
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-risk-management-through-clinical-pathways-oncology
September 13, 2023 - Study
Enhancing patient safety and risk management through clinical pathways in oncology … Enhancing patient safety and risk management through clinical pathways in oncology. … Integrated care pathways (ICPs) are patient-centered and multidisciplinary. … Enhancing patient safety and risk management through clinical pathways in oncology. … technology in ambulatory cancer care: an exploratory, prospective study.
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psnet.ahrq.gov/issue/deficiencies-quality-management-processes-and-delays-communication-test-results-and-follow
March 01, 2023 - Book/Report
Deficiencies in Quality Management Processes and Delays in the Communication … Citation Text:
Deficiencies in Quality Management Processes and Delays in the Communication of Test … Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona. … Cite
Citation
Citation Text:
Deficiencies in Quality Management … Care System in Arizona.
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psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
November 26, 2014 - Study
An initiative to improve the management of clinically significant test results … in a large health care network. … An initiative to improve the management of clinically significant test results in a large health care … An initiative to improve the management of clinically significant test results in a large health care … Safety Innovations
Remote Response Team and Customized Alert Settings Help Improve Management
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - Tracheostomy Management Adult tracheostomy tubes usually include inner and outer cannulas. … Management of the first tracheostomy tube change is often based on the judgment of the physician who … In addition, all staff who care for tracheostomies should be trained in the emergency management of … AARC Clinical Practice Guideline: management of adult patients with tracheostomy in the acute care setting … Units
Long-Term Care
Allied Health Services
Critical Care
Critical Care Nursing
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psnet.ahrq.gov/issue/what-return-investment-implementation-crew-resource-management-program-academic-medical
April 24, 2018 - Study
What is the return on investment for implementation of a crew resource management … What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Academic … This study calculated the return on investment of a system-wide crew resource management training program … January 18, 2013
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … July 1, 2015
Health Care Simulation to Advance Safety: Responding to Ebola and Other
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psnet.ahrq.gov/issue/how-does-who-surgical-safety-checklist-fit-existing-perioperative-risk-management-strategies
March 18, 2020 - How does the WHO Surgical Safety Checklist fit with existing perioperative risk management … How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies … How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies … March 17, 2014
Effectiveness of the surgical safety checklist in a high standard care … July 24, 2013
Deviation from a preoperative surgical and anaesthetic care plan is associated
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psnet.ahrq.gov/issue/quality-management-and-perceptions-teamwork-and-safety-climate-european-hospitals
May 26, 2014 - Study
Quality management and perceptions of teamwork and safety climate in European … Quality management and perceptions of teamwork and safety climate in European hospitals. … Int J Qual Health Care. 2015;27(6):499-506. doi:10.1093/intqhc/mzv079. … Int J Qual Health Care . 2015; 27 (6) :499-506 . … In this study, health care organizations that have quality management systems in place had higher safety
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psnet.ahrq.gov/issue/effectiveness-integrated-health-information-technologies-across-phases-medication-management
October 19, 2022 - The effectiveness of integrated health information technologies across the phases of medication management … The effectiveness of integrated health information technologies across the phases of medication management … The effectiveness of integrated health information technologies across the phases of medication management … Resources From the Same Author(s)
Optimizing Pediatric Patient Safety in the Emergency Care … June 17, 2020
Operational failures detected by frontline acute care nurses.
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psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
June 18, 2013 - Book/Report
Learning from Disasters: A Management Approach. … Citation Text:
Learning from Disasters: A Management Approach. Third ed. Toft B, Reynolds S. … Thinking About Learning for Improvement in Health Care. … June 16, 2011
Creating a safer health care system: finding the constraint. … January 30, 2008
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Health Care Executives
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psnet.ahrq.gov/issue/using-artificial-intelligence-improve-primary-care-patients-and-clinicians
March 02, 2022 - such as supporting clinician documentation, between-visit management and communication, and individualized … July 31, 2024
"Good care is slow enough to be able to pay attention": primary care time … May 18, 2022
Opportunities to mine EHRs for malpractice risk management and patient safety … Potentiality of algorithms and artificial intelligence adoption to improve medication management … in primary care: a systematic review.
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psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
July 13, 2022 - Study
Lessons learned in implementing a chronic opioid therapy management system. … Lessons learned in implementing a chronic opioid therapy management system. … implementation, and sustainment of a toolkit for safer opioid prescribing for chronic pain in primary care … Lessons learned in implementing a chronic opioid therapy management system. … June 15, 2022
Building a program of expanded peer support for the entire health care
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psnet.ahrq.gov/issue/multidisciplinary-approach-gi-cancer-results-change-diagnosis-and-management-patients
December 21, 2014 - The multidisciplinary approach to GI cancer results in change of diagnosis and management … Multidisciplinary care impacts diagnosis and management of patients. … The Multidisciplinary Approach to GI Cancer Results in Change of Diagnosis and Management of Patients … Multidisciplinary Care Impacts Diagnosis and Management of Patients. … Multidisciplinary Care Impacts Diagnosis and Management of Patients.
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psnet.ahrq.gov/issue/safety-management-within-scope-teaching-practical-clinical-skills-framing-errors
December 21, 2022 - Study
Safety management within the scope of teaching practical clinical skills: framing … This randomized trial examined the difference between two error-framing strategies— Error Management … August 9, 2023
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … April 17, 2024
Adverse safety events in emergency medical services care of children with … Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care
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psnet.ahrq.gov/issue/equipped-overcoming-barriers-change-improve-quality-care-theories-change
May 23, 2018 - Equipped: overcoming barriers to change to improve quality of care (theories of change). … Change management has been promoted as a strategy to implement improvements in clinical settings. … management, systems thinking , and employee engagement are elements of successful quality improvement … March 15, 2017
Surviving Sepsis Campaign: international guidelines for management of … November 21, 2021
Practice advisory for the prevention and management of operating room
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psnet.ahrq.gov/issue/reduction-preventable-time-critical-dose-omissions-impact-electronic-medication-management
February 03, 2016 - Reduction in preventable time-critical dose omissions: impact of electronic medication management … Reduction in preventable time-critical dose omissions: impact of electronic medication management systems … August 7, 2024
Evaluating independent double checks in the pediatric intensive care unit … Impact of barcode medication administration technology on how nurses spend their time providing patient care … Hospitals
Medical/Surgical Nursing
Hospital Pharmacy
Administration Errors
Missed Care
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psnet.ahrq.gov/issue/cognitive-task-analysis-information-management-strategies-computerized-provider-order-entry
May 27, 2011 - Study
A cognitive task analysis of information management strategies in a computerized … A cognitive task analysis of information management strategies in a computerized provider order entry … This study interviewed primary care physicians to characterize the types of work strategies they used … range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care … system for primary care.