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psnet.ahrq.gov/node/74028/psn-pdf
November 03, 2021 - Survey of nurses' experiences applying The Joint
Commission's medication management titration
standards.
November 3, 2021
Davidson JE, Doran N, Petty A, et al. Survey of nurses' experiences applying The Joint Commission's
medication management titration standards. Am J Crit Care. 2021;30(5):365-374.
doi:10.4037/a…
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psnet.ahrq.gov/node/44741/psn-pdf
January 20, 2016 - System hazards in managing laboratory test requests and
results in primary care: medical protection database
analysis and conceptual model.
January 20, 2016
Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in
primary care: medical protection database analysis and…
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psnet.ahrq.gov/node/60210/psn-pdf
April 08, 2020 - Patient safety and staff competence in managing
challenging behavior based on feedback from former
psychiatric patients.
April 8, 2020
Tölli S, Kontio R, Partanen P, et al. Patient safety and staff competence in managing challenging behavior
based on feedback from former psychiatric patients. Perspect Psychiatr Ca…
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psnet.ahrq.gov/node/46186/psn-pdf
August 02, 2017 - Pain Management and the Opioid Epidemic: Balancing
Societal and Individual Benefits and Risks of Prescription
Opioid Use.
August 2, 2017
Bonnie RJ, Ford MA, Pillips JK, eds. Washington, DC: National Academies Press; 2017.
https://psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-indiv…
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psnet.ahrq.gov/node/37029/psn-pdf
April 18, 2011 - Assessment of healthcare professionals' knowledge of
managing emergency complications in patients with a
tracheostomy.
April 18, 2011
Casserly P, Lang E, Fenton JE, et al. Assessment of healthcare professionals' knowledge of managing
emergency complications in patients with a tracheostomy. Br J Anaesth. 2007;99(3)…
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - between OSA and morbid obesity, it is prudent to consider all such patients as having sleep apnea and to manage
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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
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psnet.ahrq.gov/node/36074/psn-pdf
September 28, 2010 - Matching nurse skill with patient acuity in the intensive
care units: a risk management mandate.
September 28, 2010
Rischbieth A. Matching nurse skill with patient acuity in the intensive care units: a risk management
mandate. J Nurs Manag. 2006;14(5):397-404.
https://psnet.ahrq.gov/issue/matching-nurse-skill-pati…
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psnet.ahrq.gov/node/35615/psn-pdf
March 11, 2011 - The development and evaluation of an integrated
electronic prescribing and drug management system for
primary care.
March 11, 2011
Tamblyn R, Huang A, Kawasumi Y, et al. The development and evaluation of an integrated electronic
prescribing and drug management system for primary care. J Am Med Inform Assoc. 2006;1…
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psnet.ahrq.gov/node/37094/psn-pdf
February 01, 2011 - Improving patient care by linking evidence-based
medicine and evidence-based management.
February 1, 2011
Shortell SM, Rundall TG, Hsu J. Improving Patient Care by Linking Evidence-Based Medicine and
Evidence-Based Management. JAMA. 2007;298(6). doi:10.1001/jama.298.6.673.
https://psnet.ahrq.gov/issue/improving-pa…
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psnet.ahrq.gov/node/35798/psn-pdf
April 11, 2011 - Using video recording to identify management errors in
pediatric trauma resuscitation.
April 11, 2011
Oakley E, Stocker S, Staubli G, et al. Using video recording to identify management errors in pediatric
trauma resuscitation. Pediatrics. 2006;117(3):658-664.
https://psnet.ahrq.gov/issue/using-video-recording-ide…
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psnet.ahrq.gov/node/36158/psn-pdf
September 29, 2010 - Medication therapy management programs: forming a
new cornerstone for quality and safety in Medicare.
September 29, 2010
Smith SR, Clancy CM. Medication therapy management programs: forming a new cornerstone for quality
and safety in medicare. Am J Med Qual. 2006;21(4):276-9.
https://psnet.ahrq.gov/issue/medicatio…
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psnet.ahrq.gov/node/46598/psn-pdf
March 20, 2018 - Fatigue risk management: the impact of anesthesiology
residents' work schedules on job performance and a
review of potential countermeasures.
March 20, 2018
Wong LR, Flynn-Evans E, Ruskin KJ. Fatigue Risk Management: The Impact of Anesthesiology Residents'
Work Schedules on Job Performance and a Review of Potentia…
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psnet.ahrq.gov/node/852749/psn-pdf
January 01, 2024 - A multi-facetted patient safety resource--a qualitative
interview study on hospital managers' perception of the
nurse-led Rapid Response Team.
August 23, 2023
Axelsen MS, Baumgarten M, Egholm CL, et al. A multi?facetted patient safety resource—a qualitative
interview study on hospital managers' perception of the n…
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psnet.ahrq.gov/node/39253/psn-pdf
January 27, 2010 - Acquisition of critical intraoperative event management
skills in novice anesthesiology residents by using high-
fidelity simulation-based training.
January 27, 2010
Park C, Rochlen LR, Yaghmour E, et al. Acquisition of critical intraoperative event management skills in
novice anesthesiology residents by using hig…
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psnet.ahrq.gov/node/838139/psn-pdf
September 21, 2022 - Error traps in acute pain management in children.
September 21, 2022
Vecchione TM, Agarwal R, Monitto CL. Error traps in acute pain management in children. Paediatr
Anaesth. 2022;32(9):982-992. doi:10.1111/pan.14514.
https://psnet.ahrq.gov/issue/error-traps-acute-pain-management-children
Appropriate pediatric pain…
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psnet.ahrq.gov/node/37286/psn-pdf
December 23, 2011 - Different roles, same goal: risk and quality management
partnering for patient safety. By the ASHRM Monographs
Task Force.
December 23, 2011
Bokar V, Perry DG. Different Roles, Same Goal: Risk And Quality Management Partnering For Patient
Safety. By The Ashrm Monographs Task Force.; 2007:17-23, 25. doi:10.1002/jhr…
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psnet.ahrq.gov/node/38812/psn-pdf
April 12, 2011 - Management of test results in family medicine offices.
April 12, 2011
Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam
Med. 2009;7(4):343-51. doi:10.1370/afm.961.
https://psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
This study evaluated co…
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psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
September 12, 2016 - Newspaper/Magazine Article
Taking risky business out of the MRI suite.
Citation Text:
Rozovsky FA, Gilk TB, Latina RJ. Managing liability exposure and safety. Taking risky business out of the MRI suite. Materials management in health care. 2006;15(1):18-23.
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psnet.ahrq.gov/issue/new-frontier-healthcare-risk-management-working-reduce-avoidable-patient-suffering
September 26, 2012 - Commentary
A new frontier in healthcare risk management: working to reduce avoidable patient suffering.
Citation Text:
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.2…