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psnet.ahrq.gov/issue/safety-i-and-safety-ii-past-and-future-safety-management
July 22, 2019 - Classic
Safety-I and Safety-II: The Past and Future of Safety Management … Citation Text:
Safety-I and Safety-II: The Past and Future of Safety Management. Hollnagel E. … The author discusses how each approach has been applied in health care and other high-risk industries … A PSNet perspective explored what health care can learn from aviation, another high-risk industry. … Copy Citation
Related Resources From the Same Author(s)
Resilient Health Care
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psnet.ahrq.gov/issue/management-difficult-airway-closed-claims-analysis
July 13, 2010 - Study
Management of the difficult airway: a closed claims analysis. … Management of the difficult airway: a closed claims analysis. Anesthesiology. 2005;103(1):33-39. … Management of the difficult airway: a closed claims analysis. … June 8, 2022
Validity of unplanned admission to an intensive care unit as a measure of … September 29, 2010
Injury and liability associated with monitored anesthesia care: a
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psnet.ahrq.gov/issue/safer-out-hours-primary-care
March 14, 2022 - Commentary
Safer out of hours primary care. … Safer out of hours primary care. BMJ. 2010;340:c3194. doi:10.1136/bmj.c3194. … February 2, 2011
Microsystems in health care: Part 2. … December 12, 2014
Incidence and root cause analysis of wrong-site pain management procedures … errors in primary healthcare: a questionnaire study of information search procedures, test request management
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psnet.ahrq.gov/issue/employee-silence-health-care-charting-new-avenues-leadership-and-management
May 04, 2022 - management. … Employee silence in health care: Charting new avenues for leadership and management. … Employee silence in health care: Charting new avenues for leadership and management. … care units and hospital emergency services. … victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management
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psnet.ahrq.gov/issue/integrating-safety-i-and-safety-ii-conceptual-frameworks-enhance-safety-measurement-and
September 27, 2023 - Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management … January 22, 2025
Patient safety of virtual primary care: a qualitative study examining … February 26, 2025
Seroprevalence of SARS-CoV-2 among frontline health care personnel … 23, 2011
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See More About The Topic
Hospitals
Ambulatory Care … Medicine
Nurse Care
Error Analysis
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psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-opioid-use-pain-control-and
February 11, 2015 - Study
Impact of a pharmacist-directed pain management service on inpatient opioid … Citation Text:
Impact of a pharmacist-directed pain management service on inpatient opioid use, pain … Related Resources From the Same Author(s)
Cognitive Systems Engineering in Health Care … July 5, 2006
Training health care professionals for patient safety. … Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care
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psnet.ahrq.gov/issue/effect-multidisciplinary-care-teams-intensive-care-unit-mortality
January 17, 2018 - The effect of multidisciplinary care teams on intensive care unit mortality. … Efforts to improve the care of complex patients in intensive care units (ICUs) focus on many factors … The effect of multidisciplinary care teams on intensive care unit mortality. … June 2, 2019
Surviving Sepsis Campaign: international guidelines for management of sepsis … Safety Innovations
Remote Response Team and Customized Alert Settings Help Improve Management
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psnet.ahrq.gov/issue/miscoding-misclassification-and-misdiagnosis-diabetes-primary-care
September 23, 2020 - Miscoding, misclassification and misdiagnosis of diabetes in primary care. … August 4, 2021
Evaluation of clinical practice guidelines on fall prevention and management … January 17, 2024
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'Tempos' management … June 16, 2011
Effect of crew resource management on diabetes care and patient outcomes … in an inner-city primary care clinic.
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psnet.ahrq.gov/issue/design-and-implementation-infection-prevention-program-risk-management-managing-high-level
December 18, 2014 - Study
Design and implementation of the infection prevention program into risk management … Design and implementation of the infection prevention program into risk management: Managing high level … Design and implementation of the infection prevention program into risk management: Managing high level … December 18, 2014
Artificial intelligence in the provision of health care: an American … April 27, 2019
Drug shortages: a complex health care crisis.
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psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture
August 01, 2018 - Study
Leveraging a safety event management system to improve organizational learning … Leveraging a safety event management system to improve organizational learning and safety culture. … This pediatric health system implemented a new safety event management system (SEMS) aimed at increased … Leveraging a safety event management system to improve organizational learning and safety culture. … September 30, 2020
Why accountability sharing in health care organizational cultures
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - Most of the valid studies were in the areas of airway management, endoscopic procedures, central venous … professions involved in risk management … Around the same time, David had translated aviation crew resource management into anesthesia crisis … resource management . … About 25% to 30% of the individuals did what the raters viewed as a poor management of one or more aspects
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psnet.ahrq.gov/issue/institutional-covid-19-protocols-focused-preparation-safety-and-care-consolidation
September 30, 2020 - September 23, 2020
Management and patient safety of complex elderly patients in primary … care units and hospital emergency services. … February 24, 2021
Expanding frontiers of risk management: care safety in nursing home … July 29, 2020
Optimizing Medication Management During the Covid-19 Pandemic: Implementation … Guide for Post-acute and Long Term Care.
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psnet.ahrq.gov/issue/economic-evaluation-pharmacist-led-medication-reviews-residential-aged-care-facilities
September 21, 2022 - Review
Economic evaluation of pharmacist-led medication reviews in residential aged care … Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. … facilities and the cost-effectiveness of this risk management strategy to substantiate the value of … October 3, 2012
Evaluation of clinical practice guidelines on fall prevention and management … admission medication reconciliation before and after the implementation of an electronic medication management
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psnet.ahrq.gov/issue/computer-visualisation-patient-safety-primary-care-systems-approach-adapted-management
October 06, 2011 - adapted from management science and engineering. … Computer visualisation of patient safety in primary care: a systems approach adapted from management … Inform Prim Care. 2005;13(2):135-144. … Computer visualisation of patient safety in primary care: a systems approach adapted from management … Inform Prim Care. 2005;13(2):135-144.
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psnet.ahrq.gov/issue/improving-patient-safety-and-optimizing-nursing-teamwork-using-crew-resource-management
March 13, 2013 - Study
Improving patient safety and optimizing nursing teamwork using crew resource management … Improving patient safety and optimizing nursing teamwork using crew resource management techniques. … nursing activities, with the goal of minimizing interruptions in collection of vital signs and point-of-care … Improving patient safety and optimizing nursing teamwork using crew resource management techniques. … November 11, 2020
Balancing patient-centered and safe pain care for nonsurgical inpatients
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psnet.ahrq.gov/issue/electronic-health-record-nudges-and-health-care-quality-and-outcomes-primary-care-systematic
March 09, 2022 - care: a systematic review. … Electronic health record nudges and health care quality and outcomes in primary care: a systematic review … December 9, 2020
Evaluation of clinical practice guidelines on fall prevention and management … View More
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Opioid prescribing for acute pain management … Potentiality of algorithms and artificial intelligence adoption to improve medication management
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psnet.ahrq.gov/issue/building-simulation-based-crisis-resource-management-course-emergency-medicine-phase-1
September 26, 2016 - Study
Building a simulation-based crisis resource management course for emergency … Building a simulation-based crisis resource management course for emergency medicine, phase 1: Results … survey of staff physicians, residents, and nurses identified substantial interest in crew resource management … Building a simulation-based crisis resource management course for emergency medicine, phase 1: Results … February 3, 2011
Pediatric medication errors in the postanesthesia care unit: analysis
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psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-community-hospital
August 15, 2012 - Description and factors associated with missed nursing care in an acute care community hospital. … Description and factors associated with missed nursing care in an acute care community hospital. … Organizational safety climate and job enjoyment in hospital surgical teams with and without crew resource management … January 16, 2008
Health system redesign of cardiac monitoring oversight to optimize alarm management … intensive care unit.
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psnet.ahrq.gov/issue/evidence-and-consensus-based-definition-second-victim-strategic-topic-healthcare-quality
September 13, 2023 - victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management … victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management … victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management … homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement … and management.
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psnet.ahrq.gov/issue/effect-residential-care-pharmacist-medication-administration-practices-aged-care-controlled
August 31, 2016 - in aged care: a controlled trial. … The effect of a residential care pharmacist on medication administration practices in aged care: A controlled … August 31, 2016
Care quality and safety in long-term aged care settings: a systematic … and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management … December 13, 2017
Impact of pharmacist-provided medication therapy management on healthcare