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psnet.ahrq.gov/issue/reductions-sepsis-mortality-and-costs-after-design-and-implementation-nurse-based-early
March 09, 2016 - A protocolized early warning system to improve sepsis recognition and management was associated with … An AHRQ WebM&M commentary describes common errors in the early management of sepsis. … Safety Innovations
Remote Response Team and Customized Alert Settings Help Improve Management … November 6, 2015
The effect of multidisciplinary care teams on intensive care unit mortality … Nurses
Nurse Managers
Nurse Care
Infectious Diseases
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psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
December 01, 2010 - The authors describe a risk management strategy using closed claims data to identify risk exposures and … Related Resources From the Same Author(s)
Perspective
Risk Management … March 3, 2021
Omissions of care in nursing home settings: a narrative review. … June 3, 2020
Evaluation of clinical practice guidelines on fall prevention and management … June 22, 2009
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Health Care Providers
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psnet.ahrq.gov/issue/concept-analysis-situational-awareness-nursing
August 12, 2015 - August 12, 2015
Using crew resource management and a 'read-and-do checklist' to reduce … September 12, 2016
Nursing crew resource management: a follow-up report from the Veterans … September 27, 2016
A high-reliability organization framework for health care: a multiyear … Implementation of a high-reliability organization framework in a large integrated health care … May 9, 2018
The effects of crew resource management on teamwork and safety climate at
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psnet.ahrq.gov/issue/program-provide-clinicians-feedback-their-diagnostic-performance-learning-health-system
October 12, 2022 - the development of a learning health system around diagnostic safety at one large, integrated health care … identified missed opportunities in diagnosis based on clinician reports, patient complaints, and risk management … Author(s)
Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care … paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management … July 12, 2017
'Tempos' management in primary care: a key factor for classifying adverse
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psnet.ahrq.gov/node/60578/psn-pdf
June 10, 2020 - Patient safety threats in information management using
health information technology in ambulatory cancer … care:
an exploratory, prospective study. … Patient safety threats in information management using
health information technology in ambulatory cancer … care: an exploratory, prospective study. … https://psnet.ahrq.gov/issue/patient-safety-threats-information-management-using-health-information-
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psnet.ahrq.gov/issue/reducing-medical-error-military-health-system-how-can-team-training-help
March 29, 2007 - Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006. … Human Resource Management Review . 2006; 16 (3) . … The program was based on two prior military crew resource management (CRM) programs and prior evidence … Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006. … February 15, 2011
The anatomy of health care team training and the state of practice:
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psnet.ahrq.gov/issue/web-based-tool-comprehensive-unit-based-safety-program-cusp
January 02, 2017 - The authors discuss a project management tracking program to help promote a safety culture through … January 2, 2017
A model for the departmental quality management infrastructure within … January 22, 2017
Operating management system for high reliability: leadership, accountability … January 6, 2017
Latent risk assessment tool for health care leaders. … May 21, 2019
Intensive care medicine in 2050: preventing harm.
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psnet.ahrq.gov/issue/hospital-cultural-competency-and-attributes-patient-safety-culture-study-us-hospitals
October 20, 2021 - indicate that hospitals with higher levels of engagement in diversity programs had higher perceptions of management … September 29, 2021
Patient safety monitoring in acute care in a decentralized national … health care system: conceptual framework and initial set of actionable indicators. … May 31, 2023
Structural racism in behavioral health presentation and management. … experiences with patient safety incident management: a qualitative study.
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psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk
November 08, 2013 - Both patient complaints and risk management events were higher for surgeons than nonsurgeons. … Both complaint and risk management data were positively correlated with clinical volume. … Risk management file openings, openings with expenditures, and lawsuits were significantly related to … July 31, 2024
As college students return, a crisis in campus care awaits. … August 27, 2008
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Health Care Providers
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psnet.ahrq.gov/issue/impact-commercial-computerized-provider-order-entry-cpoe-and-clinical-decision-support
August 26, 2020 - clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care … found an 85% decrease in prescribing errors and a 12% reduction in ICU mortality rates in critical care … May 22, 2013
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
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psnet.ahrq.gov/issue/ambulatory-safety-and-quality-program-health-it-portfolio-2007-2013
August 01, 2012 - July 9, 2013
Taking Care of Myself: A Guide for When I Leave the Hospital. … 2019
Promoting Patient Safety Through Effective Health Information Technology Risk Management … July 23, 2014
Findings and Lessons From the Improving Management of Individuals With … Complex Health Care Needs Through Health IT Grant Initiative. … November 27, 2013
Medication Management: Detailed Use Case.
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psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - The patient was transferred to an intensive care unit and resuscitative efforts were initiated, but the … of hemorrhagic shock.
10
10
MANAGEMENT OF INTRAOPERATIVE BLEEDING
11
Management of Intraoperative … J Trauma Acute Care Surg. 2024;96(2):179-185. [Free full text]
Inamasu J, Guiot BH. … Establishing a culture of highly reliable quality care. Surgery. 2024;175(4):1229-1231. … Intensive Care Med. 2017;43(10):1520-1522. [Free full text]
Ogilvie MP, Ryan ML, Proctor KG.
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psnet.ahrq.gov/node/865309/psn-pdf
May 29, 2024 - A
review of the physician, nursing, and respiratory therapy notes found no tracheostomy management plan … 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
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psnet.ahrq.gov/issue/evaluating-effect-safety-culture-error-reporting-comparison-managerial-and-staff-perspectives
January 20, 2016 - Some manager respondents did not seem to recognize the significance of perceived management support in … The influence of organizational factors on patient safety: examining successful handoffs in health care … December 18, 2017
What is the return on investment for implementation of a crew resource management … management processes. … September 26, 2017
Health care-associated infections among critically ill children in
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psnet.ahrq.gov/issue/how-identify-and-address-unsafe-conditions-associated-health-it
June 29, 2016 - This white paper details how health care organizations can identify health information technology concerns … 2016
Promoting Patient Safety Through Effective Health Information Technology Risk Management … February 20, 2019
Medication Management: Detailed Use Case. … November 30, 2016
Health IT and Patient Safety: Building Safer Systems for Better Care … July 17, 2013
Medication Management: Detailed Use Case.
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psnet.ahrq.gov/issue/specialized-nurses-role-ensuring-patient-safety-within-context-telehealth-home-care-scoping
October 11, 2017 - Specialized nurses' role in ensuring patient safety within the context of telehealth in home care … Specialized nurses’ role in ensuring patient safety within the context of telehealth in home care: a … As management of many acute and chronic conditions shifts to outpatient and community settings , … October 8, 2016
Ethical issues in patient safety: implications for nursing management … January 23, 2017
The influence of race and gender on pain management: a systematic literature
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psnet.ahrq.gov/issue/mitigating-hazards-through-continuing-design-birth-and-evolution-pediatric-intensive-care
April 06, 2011 - Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care … April 12, 2019
Medical students' experiences, perceptions, and management of second victim … August 8, 2018
Iatrogenic disease management: moderating medication errors and risks … in a pharmacy benefit management environment. … December 18, 2014
The high-reliability pediatric intensive care unit.
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psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care
February 18, 2009 - A questionnaire study of blood collection practices in primary health care. … A questionnaire study of blood collection practices in primary health care. … errors in primary healthcare: a questionnaire study of information search procedures, test request management … September 1, 2016
'Tempos' management in primary care: a key factor for classifying adverse … errors in primary healthcare: a questionnaire study of information search procedures, test request management
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psnet.ahrq.gov/node/865663/psn-pdf
April 24, 2024 - Medication management strategies by community-
dwelling older adults: a multisite qualitative analysis … Medication management strategies by community-dwelling
older adults: a multisite qualitative analysis … https://psnet.ahrq.gov/issue/medication-management-strategies-community-dwelling-older-adults-multisite … older adults on how to take their medications safely, and how closely
older adults' actual medication management … https://psnet.ahrq.gov/issue/seniors-managing-multiple-medications-using-mixed-methods-view-home-care-safety-lens
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - However, without long-term management to ensure health and wellness, young adults with chronic medical … Consequently, young adults must be much more active in their own case management when they transfer to … management to ensure a smooth transfer of care. … Consensus statement on the management of the GH-treated adolescent in the transition to adult care . … Evidence-based guidelines for management of attention-deficit/hyperactivity disorder in adolescents in