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Showing results for "manage".

1521. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet
      psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
      October 31, 2023 - This case presents several patient safety issues: 1) failure of the operative team to appropriately manage

1522. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45908/psn-pdf
      April 05, 2017 - Towards a framework for managing risk associated with technology-induced error. April 5, 2017 Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. https://psnet.ahrq.gov/issue/towards-framework-managing-risk-associated…

1523. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867649/psn-pdf
      January 01, 2015 - Improving Pain Management for Hospitalized Medical Patients. January 1, 2015 Society of Hospital Medicine. Improving Pain Management for Hospitalized Medical Patients. https://psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients Pain management presents complex patient safety concerns. Info…

1524. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44434/psn-pdf
      June 21, 2016 - Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. June 21, 2016 Tsai TC, Jha AK, Gawande AA, et al. Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. Health Aff (Millwood). 2015;34(8):130…

1525. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47030/psn-pdf
      June 06, 2018 - Creating a safer operating room: groups, team dynamics and crew resource management principles. June 6, 2018 Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008. https://p…

1526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46715/psn-pdf
      May 02, 2018 - Filling the gap: simulation-based crisis resource management training for emergency medicine residents. May 2, 2018 Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. West J Emerg Med. 2018;19(1):205-210. doi:10.5811/wes…

1527. The growing role of the Patient Safety Officer: implications for risk managers. | PSNet
      psnet.ahrq.gov/issue/growing-role-patient-safety-officer-implications-risk-managers
      February 17, 2009 - Book/Report The growing role of the Patient Safety Officer: implications for risk managers. Citation Text: The growing role of the Patient Safety Officer: implications for risk managers. Chicago, IL: American Society of Healthcare Risk Management; 2004. Copy Citation Sa…

1528. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35116/psn-pdf
      April 06, 2011 - Crises in clinical care: an approach to management. April 6, 2011 Runciman WB. Crises in clinical care: an approach to management. Quality and Safety in Health Care. 2005;14(3). doi:10.1136/qshc.2004.012856. https://psnet.ahrq.gov/issue/crises-clinical-care-approach-management This commentary discusses the many fa…

1529. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45252/psn-pdf
      September 04, 2016 - Pediatric airway management and prehospital patient safety: results of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children. September 4, 2016 Hansen M, Meckler G, O?Brien K, et al. Pediatric Airway Management and Prehospital Patient Safety: Results of a National De…

1530. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46583/psn-pdf
      December 18, 2017 - Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. December 18, 2017 Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of crew resource management implementation and outcomes. Int J Health Care Qual. 2017…

1531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837042/psn-pdf
      April 04, 2022 - Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management. April 4, 2022 Institute for Healthcare Improvement. https://psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management Crisis management skills are valuable at both the organizational and clinical …

1532. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867599/psn-pdf
      January 22, 2025 - Assessing patient work system factors for medication management during transition of care among older adults: an observational study. January 22, 2025 Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among older adults: an observational st…

1533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46652/psn-pdf
      July 14, 2018 - The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. July 14, 2018 Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. J Healthc Risk Manag. 2018;…

1534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44578/psn-pdf
      February 24, 2016 - A new frontier in healthcare risk management: working to reduce avoidable patient suffering. February 24, 2016 Card AJ, Klein VR. A new frontier in healthcare risk management: Working to reduce avoidable patient suffering. J Healthc Risk Manag. 2016;35(3):31-7. doi:10.1002/jhrm.21207. https://psnet.ahrq.gov/issue/…

1535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46647/psn-pdf
      January 01, 2020 - How differences between manager and clinician perceptions of safety culture impact hospital processes of care. February 14, 2018 Richter J, Mazurenko O, Kazley AS, et al. How Differences Between Manager and Clinician Perceptions of Safety Culture Impact Hospital Processes of Care. J Patient Saf. 2020;16(4):289-293…

1536. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44581/psn-pdf
      January 20, 2016 - Quality management and perceptions of teamwork and safety climate in European hospitals. January 20, 2016 Kristensen S, Hammer A, Bartels P, et al. Quality management and perceptions of teamwork and safety climate in European hospitals. Int J Qual Health Care. 2015;27(6):499-506. doi:10.1093/intqhc/mzv079. https:/…

1537. Root Cause Analysis Playbook. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-playbook
      July 05, 2017 - Book/Report Root Cause Analysis Playbook. Citation Text: Root Cause Analysis Playbook. Chicago, IL: American Society for Healthcare Risk Management; 2015. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter…

1538. Serious Safety Events: Getting to Zero. Second Edition. | PSNet
      psnet.ahrq.gov/issue/serious-safety-events-getting-zero-second-edition
      February 19, 2014 - Book/Report Serious Safety Events: Getting to Zero. Second Edition. Citation Text: Serious Safety Events: Getting to Zero. Second Edition. Hoppes M, Mitchell JL. Chicago, IL: American Society for Healthcare Risk Management; October 2014. Copy Citation Save Save to…

1539. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60826/psn-pdf
      August 19, 2020 - Variation in electronic test results management and its implications for patient safety: a multisite investigation. August 19, 2020 Thomas J, Dahm MR, Li J, et al. Variation in electronic test results management and its implications for patient safety: a multisite investigation. J Am Med Inform Assoc. 2020;27(8):12…

1540. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60986/psn-pdf
      January 01, 2021 - Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. October 7, 2020 Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. BMJ Lea…