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6501. Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. | PSNet
      psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care
      February 18, 2009 - errors in primary healthcare: a questionnaire study of information search procedures, test request management … A questionnaire study of blood collection practices in primary health care. … Diagnostic Safety and Quality April 26, 2023 Laboratory test ordering and results management … errors in primary healthcare: a questionnaire study of information search procedures, test request management … Health Care Providers Health Care Executives and Administrators Family Medicine Primary Care

6502. Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. | PSNet
      psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new
      May 06, 2015 - May 24, 2015 Patient Safety Risk Management Playbook. … February 17, 2016 Risk Management Pearls for Medication Safety: Part I and Part II. … February 19, 2014 Risk Management Pearls on Disclosure of Adverse Events. … November 30, 2016 View More Related Resources Roadmap to Health Care … December 16, 2020 The Economics of Patient Safety Part III: Long-term Care: Valuing Safety

6503. Pathways for Patient Safety. | PSNet
      psnet.ahrq.gov/issue/pathways-patient-safety
      May 06, 2015 - , IL: Health Research and Educational Trust, Institute for Safe Medication Practices, Medical Group Management … , IL: Health Research and Educational Trust, Institute for Safe Medication Practices, Medical Group Management … , IL: Health Research and Educational Trust, Institute for Safe Medication Practices, Medical Group Management … July 9, 2019 Preventable Hospitalizations: A Window Into Primary and Preventive Care, … March 28, 2011 Patient safety climate in primary care: age matters.

6504. Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. | PSNet
      psnet.ahrq.gov/issue/strengthening-leadership-catalyst-enhanced-patient-safety-culture-repeated-cross-sectional
      June 28, 2011 - June 27, 2011 Surviving Sepsis Campaign: international guidelines for management of sepsis … November 21, 2021 Quality management and perceptions of teamwork and safety climate in … September 1, 2018 Health care workers as second victims of medical errors. … September 19, 2016 Critical incident stress management (CISM) in complex systems: cultural … : The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care

6505. What about doctors? The impact of medical errors. | PSNet
      psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors
      January 14, 2015 - January 14, 2015 Employee silence in health care: charting new avenues for leadership … and management. … August 3, 2022 Improving disclosure and management of medical error—an opportunity to … March 27, 2024 Missed nursing care in surgical care- a hazard to patient safety: a quantitative … December 3, 2018 Critical incident stress management (CISM) in complex systems: cultural

6506. Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. | PSNet
      psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system
      July 14, 2018 - Implementation of a high-reliability organization framework in a large integrated health care … Implementation of a high-reliability organization framework in a large integrated health care system: … Related Resources From the Same Author(s) The effects of crew resource management … August 12, 2015 Nursing crew resource management: a follow-up report from the Veterans … September 23, 2020 Health care risk managers' consensus on the management of inappropriate

6507. Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden. | PSNet
      psnet.ahrq.gov/issue/analysis-23364-patient-generated-physician-reviewed-malpractice-claims-non-tort-blame-free
      December 18, 2017 - Qual Saf Health Care. 2008;17(4):259-63. doi:10.1136/qshc.2007.022897. … Qual Saf Health Care . 2008; 17 (4) :259-63 . … Same Author(s) Safer paediatric surgical teams: a 5-year evaluation of crew resource management … October 9, 2019 Crew resource management training--clinicians' reactions and attitudes … December 21, 2014 'Tempos' management in primary care: a key factor for classifying adverse

6508. Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study. | PSNet
      psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective-patient-record
      November 03, 2015 - 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 … impact on the US health care system.

6509. How should U.S. hospitals prepare for Coronavirus disease 2019 (COVID-19)? | PSNet
      psnet.ahrq.gov/issue/how-should-us-hospitals-prepare-coronavirus-disease-2019-covid-19
      June 14, 2017 - May 20, 2019 A war on two fronts: cancer care in the time of COVID-19. … May 1, 2013 A human factors subsystems approach to trauma care. … August 19, 2020 Disaster ergonomics: human factors in COVID-19 pandemic emergency management … 2020 Recommendations of individualized medical treatment and common adverse events management … May 13, 2020 Pain management best practices from multispecialty organizations during

6510. Comparison of Broselow tape measurements versus physician estimations of pediatric weights. | PSNet
      psnet.ahrq.gov/issue/comparison-broselow-tape-measurements-versus-physician-estimations-pediatric-weights
      November 15, 2017 - life and death": the views of professional medical interpreters on their role in the delivery of safe care … August 28, 2024 Evidence-based guidelines for fatigue risk management in emergency medical … April 24, 2018 What is the return on investment for implementation of a crew resource management … 9, 2019 Dropping the baton during the handoff from emergency department to primary care … December 18, 2013 Medication errors in the management of anaphylaxis in a pediatric emergency

6511. Lessons learned from implementation of a computerized application for pending tests at hospital discharge. | PSNet
      psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-application-pending-tests-hospital-discharge
      March 04, 2015 - : dissatisfaction with test result management systems in primary care. … January 3, 2017 Medicines reconciliation using a shared electronic health care record … September 14, 2011 Management of test results in family medicine offices. … April 12, 2011 Unintended errors with EHR-based result management: a case series. … March 4, 2011 Trends in primary care clinician perceptions of a new electronic health

6512. Identifying high-alert medications in a university hospital by applying data from the medication error reporting system. | PSNet
      psnet.ahrq.gov/issue/identifying-high-alert-medications-university-hospital-applying-data-medication-error
      August 03, 2017 - Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management … in secondary care inpatient wards. … January 14, 2011 Organisational conditions for safety management practice in homecare … management. … and general care units.

6513. A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care. | PSNet
      psnet.ahrq.gov/issue/randomized-trial-effectiveness-demand-versus-computer-triggered-drug-decision-support-primary
      March 11, 2011 - Author(s) The development and evaluation of an integrated electronic prescribing and drug management … system for primary care. … values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management … 2011 The development and evaluation of an integrated electronic prescribing and drug management … system for primary care.

6514. Using simulation to teach patient safety behaviors in undergraduate nursing education. | PSNet
      psnet.ahrq.gov/issue/using-simulation-teach-patient-safety-behaviors-undergraduate-nursing-education
      March 23, 2011 - April 19, 2023 Opioid prescribing for acute pain management in children and adolescents … November 13, 2024 Diagnosis of physical and mental health conditions in primary care … February 19, 2020 Crisis management during anaesthesia: the development of an anaesthetic … crisis management manual. … December 9, 2020 Reporting of hazards and near-misses in the ambulatory care setting.

6515. IDEA4PS: the development of a research-oriented learning healthcare system. | PSNet
      psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system
      April 24, 2018 - April 24, 2018 What is the return on investment for implementation of a crew resource management … January 23, 2017 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … management processes. … May 27, 2021 Special Section: Event Analysis and Risk Management. … May 30, 2018 A learning health care system using computer-aided diagnosis.

6516. E-prescribing, efficiency, quality: lessons from the computerization of UK family practice. | PSNet
      psnet.ahrq.gov/issue/e-prescribing-efficiency-quality-lessons-computerization-uk-family-practice
      October 01, 2014 - June 26, 2019 Surviving Sepsis Campaign: international guidelines for management of sepsis … June 16, 2019 Reducing diagnostic error through medical home-based primary care reform … 2011 The development and evaluation of an integrated electronic prescribing and drug management … system for primary care. … March 11, 2011 Missed opportunities in the primary care management of early acute ischemic

6517. Four-year impact of an alert notification system on closed-loop communication of critical test results. | PSNet
      psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical-test-results
      June 21, 2016 - June 21, 2016 An initiative to improve the management of clinically significant test … results in a large health care network. … Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management … July 16, 2014 An initiative to improve the management of clinically significant test … results in a large health care network.

6518. Walking Patient, Missing Drain | PSNet
      psnet.ahrq.gov/web-mm/walking-patient-missing-drain
      April 01, 2006 - have included falls, line dislodgement, ventilator asynchrony, and exercise intolerance.( 5-7 ) The management … Clinical practice guidelines have been developed to improve management of patients with an external ventricular … Hoefnagel AL, Schloemerkemper N, et al; SNACC Task Force for Developing Guidelines for Perioperative Management … Perioperative management of adult patients with external ventricular and lumbar drains: guidelines from … The insertion and management of external ventricular drains: an evidence-based consensus statement: a

6519. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement | PSNet
      psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
      July 01, 2004 - medicine, radiology, cardiology, anesthesiology, nursing, case management, social work, and physical … Hospital leadership and data management support of this group are critical to success. … care, set team expectations, and improve quality. … June 21, 2006 WebM&M Cases Inpatient Stroke Management … August 30, 2023 WebM&M Cases Updates in the Management

6520. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33776/psn-pdf
      January 01, 2015 - He was the first American to work for Toyota in a management role, and he said it's both top-down and … He would say it's not laissez-faire management or "do whatever you want as long as you get results, … I don't care." … He still had moments where he would fall back into traditional management behaviors and sometimes he … The shift in mindset is that traditional management first blames a person.