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psnet.ahrq.gov/node/35116/psn-pdf
April 06, 2011 - Crises in clinical care: an approach to management. … many facets of crisis management in anesthesia care. … The authors
describe a previously published crisis management algorithm, explain why providers can fail … algorithms, and consideration of
similar algorithms in other clinical areas to optimize management of crisis … This commentary is
accompanied by a manual of 24 specific sub-algorithms in anesthesia crisis management
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psnet.ahrq.gov/issue/attacking-opioid-crisis-head-health-it
November 30, 2016 - November 30, 2016
Goals and Priorities for Health Care Organizations to Improve Safety … 27, 2011
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Hospitals
Ambulatory Care … Health Care Providers
Health Care Executives and Administrators
Medicine
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psnet.ahrq.gov/node/43163/psn-pdf
September 02, 2016 - Drug shortages: a complex health care crisis.
September 2, 2016
Fox ER, Sweet B, Jensen V. … Drug shortages: a complex health care crisis. … https://psnet.ahrq.gov/issue/drug-shortages-complex-health-care-crisis
National drug shortages in the … Spotlighting
the impact of drug shortages on the economy and health care, this review reveals underlying … https://psnet.ahrq.gov/issue/drug-shortages-complex-health-care-crisis
https://psnet.ahrq.gov/issue/drug-shortages
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psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
October 28, 2020 - Her parents took her to two hospital emergency departments, two urgent care centers, and her general … Two health care providers noted her tanned skin and inquired about use of tanning salons. … The family was advised to provide supportive care and counseled that it can take months to recover fully … The primary care provider in this case appropriately recommended a return visit, which unfortunately … Adrenal crisis: prevention and management in adult patients.
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psnet.ahrq.gov/node/72832/psn-pdf
March 10, 2021 - communication-and-transparency-means-strengthening-workplace-culture-
during-covid-19
Communication within teams is central to safe care … delivery, crisis management, and staff well-being. … enhance information-sharing as a
strategy to reduce clinician burnout in times of uncertainty and crisis … insights-and-countermeasures-team-science
https://psnet.ahrq.gov/issue/promoting-psychosocial-well-being-health-care-staff-during-crisis … https://psnet.ahrq.gov/issue/covid-19-peer-support-and-crisis-communication-strategies-promote-institutional-resilience
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psnet.ahrq.gov/node/73350/psn-pdf
June 02, 2021 - Learning during crisis: the impact of COVID-19 on
hospital-acquired pressure injury incidence. … Learning during crisis: the impact of COVID-19 on hospital-acquired
pressure injury incidence. … https://psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury … -
incidence
The COVID-19 pandemic has disrupted many aspects of health care delivery, including how … https://psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
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psnet.ahrq.gov/node/45963/psn-pdf
March 22, 2017 - Call to Action: Preventable Health Care Harm Is a Public
Health Crisis and Patient Safety Requires a … https://psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient … This report recommends
that health care draw from successes targeting health care–associated infections … https://psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient-safety-requires … https://psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient-safety-requires
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psnet.ahrq.gov/issue/identity-crisis-examination-costs-and-benefits-unique-patient-identifier-us-health-care
May 21, 2014 - Book/Report
Identity Crisis: An Examination of the Costs and Benefits of a Unique … Patient Identifier for the US Health Care System. … Citation Text:
Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier … for the US Health Care System. … Health Care System.
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psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-intentions-nursing-staff-report-near-miss
September 15, 2021 - safety culture and the intentions of the nursing staff to report a near-miss event during the COVID-19 crisis … safety culture and the intentions of the nursing staff to report a near-miss event during the COVID-19 crisis … J Nurs Care Qual. 2023;38(3):264-271. doi:10.1097/ncq.0000000000000695. … safety culture and the intentions of the nursing staff to report a near-miss event during the COVID-19 crisis … Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis
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psnet.ahrq.gov/issue/silence-unblown-whistle-nevada-hepatitis-c-public-health-crisis
July 19, 2023 - Commentary
The silence of the unblown whistle: the Nevada hepatitis C public health crisis … The silence of the unblown whistle: the Nevada hepatitis C public health crisis. … The silence of the unblown whistle: the Nevada hepatitis C public health crisis. … July 19, 2023
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … June 10, 2020
The coronavirus and the risks to the elderly in long-term care.
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psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
September 20, 2023 - one woman faced personal health risks due to clinician concerns stemming from barriers to abortion care … Cases of Poor-quality Care Since the Dobbs Decision. … April 12, 2023
Crisis in the Lakeshore Hospital ER. … August 10, 2022
Woman works to end Black maternal health crisis after daughter dies after … April 27, 2022
A crisis within a crisis.
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psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis
June 19, 2019 - Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis … Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management … Unconscious bias among clinicians can hinder the delivery of high-quality care and degrade diagnostic … Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management … March 2, 2011
Diagnosis of physical and mental health conditions in primary care during
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psnet.ahrq.gov/issue/team-management-training-using-crisis-resource-management-results-perceived-benefits
October 03, 2011 - Study
Team management training using crisis resource management results in perceived … Team management training using crisis resource management results in perceived benefits by healthcare … October 3, 2011
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care … February 25, 2009
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Health Care Providers
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psnet.ahrq.gov/issue/managing-intraoperative-stress-what-do-surgeons-want-crisis-training-program
February 10, 2010 - Study
Managing intraoperative stress: what do surgeons want from a crisis training … Managing intraoperative stress: what do surgeons want from a crisis training program? … Managing intraoperative stress: what do surgeons want from a crisis training program? … July 15, 2015
Patient safety skills in primary care: a national survey of GP educators … from repetitive training of operating room personnel using high-fidelity simulation at the point of care
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psnet.ahrq.gov/node/43727/psn-pdf
January 28, 2015 - Pediatric crisis resource management training improves
emergency medicine trainees' perceived ability … Pediatric crisis resource management training improves emergency medicine
trainees' perceived ability … Pediatr Emerg
Care. 2014;30(12):879-83. doi:10.1097/PEC.0000000000000302. … https://psnet.ahrq.gov/issue/pediatric-crisis-resource-management-training-improves-emergency-medicine … https://psnet.ahrq.gov/issue/pediatric-crisis-resource-management-training-improves-emergency-medicine-trainees-perceived
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psnet.ahrq.gov/issue/were-not-ready-i-dont-think-youre-ever-ready-clinician-perspectives-implementation-crisis
September 23, 2020 - Clinician perspectives on implementation of crisis standards of care. … Clinician perspectives on implementation of crisis standards of care. … Clinician perspectives on implementation of crisis standards of care. … delivery in critical care units and hospital emergency services. … Emergency Departments
Health Care Providers
Health Care Executives and Administrators
Risk
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psnet.ahrq.gov/node/72732/psn-pdf
February 10, 2021 - Health care workers in the midst of crisis.
February 10, 2021
Sentinel Event Alert. …
https://psnet.ahrq.gov/issue/health-care-workers-midst-crisis
Safe patient care is reliant on … organizational
conditions and supporting the wellbeing of clinicians under the stress of providing care … https://psnet.ahrq.gov/issue/health-care-workers-midst-crisis
https://psnet.ahrq.gov/issue/through-eyes-workforce-creating-joy-meaning-and-safer-health-care
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psnet.ahrq.gov/node/45919/psn-pdf
July 05, 2017 - Managing the patient identification crisis in healthcare
and laboratory medicine. … Managing the patient identification crisis in healthcare and laboratory
medicine. … https://psnet.ahrq.gov/issue/managing-patient-identification-crisis-healthcare-and-laboratory-medicine … https://psnet.ahrq.gov/issue/managing-patient-identification-crisis-healthcare-and-laboratory-medicine … surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
https://psnet.ahrq.gov/issue/identity-crisis-examination-costs-and-benefits-unique-patient-identifier-us-health-care
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psnet.ahrq.gov/node/46378/psn-pdf
April 16, 2018 - Effect of sleep deprivation after a night shift duty on
simulated crisis management by residents in … Effect of sleep deprivation after a night shift duty on simulated
crisis management by residents in … Anaesth Crit Care Pain
Med. 2018;37(2):161-166. doi:10.1016/j.accpm.2017.05.010. … https://psnet.ahrq.gov/issue/effect-sleep-deprivation-after-night-shift-duty-simulated-crisis-management … https://psnet.ahrq.gov/issue/effect-sleep-deprivation-after-night-shift-duty-simulated-crisis-management-residents
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psnet.ahrq.gov/node/74836/psn-pdf
February 16, 2022 - Outcomes-based nurse staffing during times of crisis and
beyond. … Outcomes-based nurse staffing during times of crisis and beyond. … https://psnet.ahrq.gov/issue/outcomes-based-nurse-staffing-during-times-crisis-and-beyond
Appropriate … https://psnet.ahrq.gov/issue/outcomes-based-nurse-staffing-during-times-crisis-and-beyond
https://psnet.ahrq.gov … association-nurse-engagement-and-nurse-staffing-patient-safety
https://psnet.ahrq.gov/issue/association-between-nurse-staffing-and-omissions-nursing-care-systematic-review