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301. Drug, Healthcare and Patient Safety. | PSNet
     psnet.ahrq.gov/issue/drug-healthcare-and-patient-safety
     June 06, 2012 - This journal provides articles that cover a variety of safety issues in health care, including risk management … June 6, 2012 Journal of Patient Safety and Risk Management. … June 16, 2019 Journal of Patient Safety and Risk Management. … May 11, 2014 ISMP Long-Term Care Advise-ERR. … MD July 1, 2006 View More See More About The Topic Health Care

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60242/psn-pdf
     March 01, 2021 - Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result … in the primary care setting, including preventive services, chronic disease management, and management … Ongoing care coordination and case management: The support team provides ongoing care management and … GRACE was used as a care transitions and longitudinal care management model. … from_term=Cost+analysis+of+the+Geriatric+Resources+for+Assessment+and+Care+of+Elders+Care+management+

303. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. | PSNet
     psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban
     February 22, 2011 - Medication management was the most common domain identified, while 80% of all events had a combination … Related Resources From the Same Author(s) Use of an interactive, telephone-based self-management … June 24, 2009 Clinician perspectives on the management of abnormal subcritical tests … in an urban academic safety-net health care system. … June 16, 2011 Use of an interactive, telephone-based self-management support program

304. Language barriers and patient safety risks in hospital care. A mixed methods study. | PSNet
     psnet.ahrq.gov/issue/language-barriers-and-patient-safety-risks-hospital-care-mixed-methods-study
     May 18, 2016 - July 10, 2013 Crew resource management training in the intensive care unit. … July 21, 2016 Implementation of crew resource management: a qualitative study in 3 intensive … care units. … 2017 Barriers and facilitators for taking action after classroom-based crew resource management … : Implementing the Future of Health Care.

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42168/psn-pdf
     November 21, 2021 - Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2021. … Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. … Crit Care Med. 2021;49(11):e1063-e1143. doi:10.1097/ccm.0000000000005337. … https://psnet.ahrq.gov/issue/surviving-sepsis-campaign-international-guidelines-management-sepsis-and … to guide safe care for patients with sepsis or septic shock.

306. Criminalization of medical error: who draws the line? | PSNet
     psnet.ahrq.gov/issue/criminalization-medical-error-who-draws-line
     June 24, 2020 - The author  discusses the complexities of defining and responding to health care provider negligence … January 14, 2014 Patient safety in dentistry: dental care risk management plan. … January 17, 2012 Patient safety in intensive care medicine: the Declaration of Vienna … July 22, 2009 Iatrogenic disease management: moderating medication errors and risks in … a pharmacy benefit management environment.

307. Procedure Complications – Who is Responsible for Follow up? | PSNet
     psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
     July 31, 2023 - This led to confusion amongst the teams and delay in the patient’s care. … The handoff of care from the proceduralist to other services is important. … Timely diagnosis and management improve outcomes. … Endoscopic complications--avoidance and management. … Management and outcomes of esophageal perforation.

308. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. | PSNet
     psnet.ahrq.gov/issue/identifying-safe-care-processes-when-gps-work-or-alongside-emergency-departments-realist
     January 12, 2022 - Study Identifying safe care processes when GPs work in or alongside emergency departments … Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation … July 8, 2022 A systematic review of trauma crew resource management training: what … safety in the pediatric emergency department: teams, communication, and lessons from crew resource management … June 23, 2009 Building a simulation-based crisis resource management course for emergency

309. The safety implications of missed test results for hospitalised patients: a systematic review. | PSNet
     psnet.ahrq.gov/issue/safety-implications-missed-test-results-hospitalised-patients-systematic-review
     November 26, 2014 - Critical test results and results for patients moving across health care settings were highlighted as … December 19, 2018 The delivery of safe and effective test result communication, management … September 27, 2023 Variation in electronic test results management and its implications … August 19, 2020 The impact of health information technology on the management and follow-up … December 27, 2014 Laboratory medicine handoff gaps experienced by primary care practices

310. Out of the Crisis. | PSNet
     psnet.ahrq.gov/issue/out-crisis
     March 06, 2005 - Deming believes that American companies need to transform their method of management to engage and compete … Crisis , originally published in 1986, Deming presents his classic theory based on his 14 Points for Management … His thoughts on how to change management thinking in order to achieve success have been applied to the … health care quality movement. … May 24, 2015 Roadmap to Health Care Safety for Massachusetts.

311. The influence of organizational factors on patient safety: examining successful handoffs in health care. | PSNet
     psnet.ahrq.gov/issue/influence-organizational-factors-patient-safety-examining-successful-handoffs-health-care
     November 20, 2015 - Health Care Manage Rev . 2016; 41 (1) :32-41 . … Perceptions of staffing adequacy and management support for patient safety efforts were also related … Among frontline staff, open communication was associated with optimal handoffs, while among management … December 18, 2017 What is the return on investment for implementation of a crew resource management … management processes.

312. Infection prevention in the operating room anesthesia work area. | PSNet
     psnet.ahrq.gov/issue/infection-prevention-operating-room-anesthesia-work-area
     March 02, 2014 - health care–associated infections in the operating room. … May 27, 2010 Surviving Sepsis Campaign: international guidelines for management of sepsis … May 24, 2015 Crisis management during anaesthesia: the development of an anaesthetic … crisis management manual. … April 6, 2011 Crises in clinical care: an approach to management.

313. Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
     January 01, 2022 - (8) • The use of opioids for pain management in ambulatory care has come under intense scrutiny due … Approach to Improving Patient Safety: Management (7) 34 • How do primary care physicians, who are tasked … about multimodal pain management and empathic listening. … National Ambulatory Medical Care Survey: 2018 National Summary Tables, 2018. … Management of Low Back Pain: Getting From Evidence-Based Recommendations to High-Value Care.

314. Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. | PSNet
     psnet.ahrq.gov/issue/unscheduled-return-visits-emergency-department-icu-admission-trigger-tool-diagnostic-error
     December 02, 2020 - Implementing a standard diagnostic process of care framework to those 31 cases with a deviation in … care, 47.3% had a failure in the initial diagnostic pathway. … August 7, 2019 WebM&M Cases Updates in the Management … Medical professional liability insurance and its relation to medical error and healthcare risk management … Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management

315. Hyperglycemia and Switching to Subcutaneous Insulin | PSNet
     psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
     May 19, 2021 - ubiquitous technologies in the management of many different disease states. … Moreover, the attending physician's oversight of the new care plan is unclear. … Diabetes Care. 2005;28:2418-2423. [go to PubMed] 7. Karsh BT. … Fact Sheet—Report on the Operational Use of Flight Path Management Systems. … Qual Saf Health Care. 2006;15:i59-i65. [go to PubMed] 14. Wilson JR.

316. Preventable adverse drug events and their causes and contributing factors: the analysis of register data. | PSNet
     psnet.ahrq.gov/issue/preventable-adverse-drug-events-and-their-causes-and-contributing-factors-analysis-register
     August 01, 2016 - Int J Qual Health Care . 2011; 23 (2) :187-97 . … This study found that information management processes are a key area for improving medication safety … Resources From the Same Author(s) Adverse events and near misses relating to information management … events and serious medical errors in intensive care.  … March 3, 2011 eHealth for Safety: Impact of ICT on Patient Safety and Risk Management

317. Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment. | PSNet
     psnet.ahrq.gov/issue/identifying-and-encouraging-high-quality-healthcare-analysis-content-and-aims-patient-letters
     September 14, 2022 - the types of practices being complimented and how the letters varied between front-line staff and management … Front-line staff were more likely to receive letters acknowledging behavior, while management were … Getting the whole story: integrating patient complaints and staff reports of unsafe care … Reporting incidents involving the use of advanced medical technologies by nurses in home care … November 16, 2022 Patient safety from executive hospital management to wards: a qualitative

318. Airway carts: a systems-based approach to airway safety. | PSNet
     psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
     July 21, 2010 - The authors describe the development of an airway management process that includes training, airway management … July 29, 2020 Crew resource management improved perception of patient safety in the operating … Simulation-debriefing enhanced needs assessment to address quality markers in health care … March 18, 2010 Creating high reliability in health care organizations. … June 22, 2009 Fallible medicine: responding to errors in emergency care.

319. Improving hospital performance: culture change is not the answer. | PSNet
     psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
     September 27, 2016 - The authors suggest that people management qualities such as teamwork development, performance management … They argue that better people management leads to, rather than results from, an improved organizational … 2021 Missed acute coronary syndrome during telephone triage at out-of-hours primary care … February 3, 2021 Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods … December 31, 2014 Health care safety: what needs to be done?

320. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. | PSNet
     psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549
     February 23, 2009 - This commentary highlights how a culture of safety and teamwork can avert failure in health care … settings by employing crew resource management , simulation, and checklists. … February 23, 2009 Evaluation of clinical practice guidelines on fall prevention and management … December 18, 2014 Simulator-based crew resource management training for interhospital … Units Health Care Providers Risk Managers Quality and Safety Professionals Critical Care