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psnet.ahrq.gov/issue/patient-safety-executive-hospital-management-wards-qualitative-study-identifying-factors
March 08, 2023 - Study
Patient safety from executive hospital management to wards: a qualitative study … Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing … Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing … May 12, 2021
Burnout and its relationship to self-reported quality of patient care and … on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement
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psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-management-paediatrics-scoping-review
April 24, 2018 - Review
Crying wolf, alarm safety and management in paediatrics: a scoping review. … Crying wolf, alarm safety and management in paediatrics: a scoping review. … Crying wolf, alarm safety and management in paediatrics: a scoping review. … 1, 2021
Smart pumps improve medication safety but increase alert burden in neonatal care … range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care
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psnet.ahrq.gov/issue/using-portable-digital-technology-clinical-care-and-critical-incidents-new-model
June 29, 2011 - Commentary
Using portable digital technology for clinical care and critical incidents … Using portable digital technology for clinical care and critical incidents: a new model. … Using portable digital technology for clinical care and critical incidents: a new model. … April 6, 2011
Narrativizing errors of care: critical incident reporting in clinical practice … September 21, 2005
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Hospitals
Health Care
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psnet.ahrq.gov/issue/concept-and-development-discharge-alert-filter-abnormal-laboratory-values-coupled
June 27, 2018 - values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management … values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management … validation, but it represents an innovation that leverages computerized systems to provide safer care … Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care … trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care
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psnet.ahrq.gov/issue/meta-analysis-effectiveness-crew-resource-management-training-acute-care-domains
July 24, 2013 - Review
A meta-analysis of the effectiveness of crew resource management training … in acute care domains. … A meta-analysis of the effectiveness of crew resource management training in acute care domains. … A meta-analysis of the effectiveness of crew resource management training in acute care domains. … for acute care medicine.
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psnet.ahrq.gov/node/867599/psn-pdf
January 22, 2025 - Assessing patient work system factors for medication
management during transition of care among older … Assessing patient work system factors for medication management
during transition of care among older … https://psnet.ahrq.gov/issue/assessing-patient-work-system-factors-medication-management-during-
transition-care-among … https://psnet.ahrq.gov/issue/assessing-patient-work-system-factors-medication-management-during-transition-care-among … https://psnet.ahrq.gov/issue/assessing-patient-work-system-factors-medication-management-during-transition-care-among
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psnet.ahrq.gov/issue/differential-impact-crew-resource-management-program-according-professional-specialty
July 31, 2013 - Study
Differential impact of a crew resource management program according to professional … Differential impact of a crew resource management program according to professional specialty. … Differential impact of a crew resource management program according to professional specialty. … July 31, 2013
Validity of unplanned admission to an intensive care unit as a measure … March 10, 2011
Improving patient safety in medicine: is the model of anaesthesia care
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psnet.ahrq.gov/issue/effect-cognitive-aids-adherence-best-practice-treatment-deteriorating-surgical-patients
September 30, 2020 - symptom-specific checklists, flowcharts, and clinical guidelines), could improve timely recognition and effective management … Use of cognitive aids significantly reduced omitted critical management steps and failure to adhere to … January 18, 2023
Failure to rescue following emergency surgery: a FRAM analysis of the management … February 2, 2022
Cognitive bias impact on management of postoperative complications, … medical error, and standard of care.
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psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-program
January 19, 2022 - Risk management can contribute to proactive process improvement. … 23, 2020
Information and power: women of color's experiences interacting with health care … September 25, 2024
Addressing bias in acute postoperative pain management. … December 7, 2022
Opportunities to mine EHRs for malpractice risk management and patient … July 7, 2021
A new argument for no-fault compensation in health care: the introduction
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psnet.ahrq.gov/issue/scoping-review-distributed-cognition-acute-care-clinical-decision-making
April 08, 2020 - A scoping review of distributed cognition in acute care clinical decision-making. … A scoping review of distributed cognition in acute care clinical decision-making. … View More
Related Resources
The nature of the response to airway management … : a systematic review, meta-analysis, and practice management guideline from the Eastern Association … Safety Innovations
Remote Response Team and Customized Alert Settings Help Improve Management
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psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event-analysis-and
December 31, 2014 - the ADE scorecards as a decision support tool for adverse drug event analysis and medication safety management … the ADE scorecards as a decision support tool for adverse drug event analysis and medication safety management … the ADE scorecards as a decision support tool for adverse drug event analysis and medication safety management … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care … Innovation Summary
July 23, 2024
WebM&M Cases
Management
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psnet.ahrq.gov/issue/quality-improvement-implementation-and-hospital-performance-patient-safety-indicators
January 12, 2022 - Med Care Res Rev. 2006;63(1):29-57. … Involvement of senior management and multiple hospital units in a QI effort failed to demonstrate a significant … Med Care Res Rev. 2006;63(1):29-57. … February 4, 2009
Patient safety climate in US hospitals: variation by management level … October 21, 2010
Care management implementation and patient safety.
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psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - management at Fletcher Allen Health Care in Burlington, VT. … His response was, "Why do you care? It's not your money." … Since its creation in 1976, Risk Management Foundation (RMF) has created a robust program of risk management … , why the care did or did not met that standard. … CRICO/RMF Breast Care Management Algorithm: Improving Breast Patient Safety.
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psnet.ahrq.gov/issue/engineering-foundation-partnership-improve-medication-safety-during-care-transitions
July 20, 2022 - Engineering a Foundation for Partnership to Improve Medication Safety during Care Transitions. … July 20, 2022
Assessing patient work system factors for medication management during … transition of care among older adults: an observational study. … November 20, 2024
Medication management strategies by community-dwelling older adults … medication management during transitions of patient care.
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psnet.ahrq.gov/issue/practice-advisory-prevention-and-management-operating-room-fires
December 14, 2010 - Commentary
Practice advisory for the prevention and management of operating room … Practice advisory for the prevention and management of operating room fires. … Practice advisory for the prevention and management of operating room fires. … October 18, 2023
Medication errors and processes to reduce them in care homes in the … 4, 2012
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See More About The Topic
Operating Room
Health Care
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psnet.ahrq.gov/issue/safety-numbers-evidence-based-development-medicine-management-learning-tool
June 30, 2013 - Special or Theme Issue
Safety in Numbers: Evidence-based Development of a Medicine Management … Citation Text:
Safety in Numbers: Evidence-based Development of a Medicine Management Learning Tool … June 15, 2011
Risk Management in Obstetrics and Gynaecology. … Effects of individual nurse and hospital characteristics on patient adverse events and quality of care … See More About The Topic
Hospitals
Nurses
Nurse Managers
Educators
Nurse Care
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psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-diagnosed-prostate-cancer-hampton-va-medical
July 26, 2023 - Seven recommendations are included for improving abnormal test result communication and error management … January 24, 2024
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. … February 7, 2024
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.
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psnet.ahrq.gov/issue/interventions-improve-team-effectiveness-systematic-review
September 29, 2021 - The landmark IOM report emphasized the role of high-functioning teams in promoting safe care. … systematic review analyzed 48 studies that evaluated the impact of simulation training, crew resource management … May 20, 2016
What do we really know about crew resource management in healthcare? … : An umbrella review on crew resource management and its effectiveness. … August 22, 2012
Speaking up about patient safety concerns: the influence of safety management
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psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature
April 01, 2010 - Review
Safety and risk management interventions in hospitals: a systematic review … Safety and risk management interventions in hospitals: a systematic review of the literature. … Med Care Res Rev. 2009;66(6 Suppl):90S-119S. doi:10.1177/1077558709345870. … Med Care Res Rev . 2009; 66 (6 Suppl) :90S-119S . … Safety and risk management interventions in hospitals: a systematic review of the literature.
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psnet.ahrq.gov/issue/missed-opportunities-primary-care-management-early-acute-ischemic-heart-disease
January 08, 2016 - Study
Missed opportunities in the primary care management of early acute ischemic … Missed opportunities in the primary care management of early acute ischemic heart disease. … Missed opportunities in the primary care management of early acute ischemic heart disease. … April 12, 2011
Cascades of care after incidental findings in a US national survey of … November 3, 2015
Optimizing Pediatric Patient Safety in the Emergency Care Setting.