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psnet.ahrq.gov/node/34770/psn-pdf
April 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd
ed.
April 17, 2017
Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920.
https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
Vincent has updated his text on risk management, infusing it with concepts directly rela…
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psnet.ahrq.gov/node/34650/psn-pdf
April 21, 2015 - Human error: models and management.
April 21, 2015
Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770.
https://psnet.ahrq.gov/issue/human-error-models-and-management
The author discusses concepts of human error, contrasting the person approach with a system approach in
understanding the diff…
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psnet.ahrq.gov/node/50400/psn-pdf
October 02, 2019 - The role of personal health information management in
promoting patient safety in the home: a qualitative
analysis
October 2, 2019
Demiris G, Lin S-Y, Turner AM. The role of personal health information management in promoting patient
safety in the home: a qualitative analysis. Stud Health Technol Inform . 2019;264…
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psnet.ahrq.gov/node/37134/psn-pdf
March 23, 2011 - Effect of crew resource management on diabetes care
and patient outcomes in an inner-city primary care clinic.
March 23, 2011
Taylor CR, Hepworth JT, Buerhaus P, et al. Effect of crew resource management on diabetes care and
patient outcomes in an inner-city primary care clinic. Qual Saf Health Care. 2007;16(4):244…
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psnet.ahrq.gov/node/838025/psn-pdf
September 07, 2022 - Opportunities to mine EHRs for malpractice risk
management and patient safety.
September 7, 2022
Adler-Milstein J, Sarkar U, Wachter RM. Opportunities to mine EHRs for malpractice risk management and
patient safety. J Patient Saf Risk Manag. 2022;27(4):160-162. doi:10.1177/25160435221097422.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/43762/psn-pdf
November 21, 2017 - Implementation of crew resource management: a
qualitative study in 3 intensive care units.
November 21, 2017
Kemper PF, van Dyck C, Wagner C, et al. Implementation of Crew Resource Management: A Qualitative
Study in 3 Intensive Care Units. J Patient Saf. 2017;13(4):223-231. doi:10.1097/PTS.0000000000000145.
https:…
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psnet.ahrq.gov/node/37965/psn-pdf
December 01, 2008 - Building a simulation-based crisis resource management
course for emergency medicine, phase 1: results from an
interdisciplinary needs assessment survey.
December 1, 2008
Hicks CM, Bandiera GW, Denny CJ. Building a simulation-based crisis resource management course for
emergency medicine, phase 1: Results from an …
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psnet.ahrq.gov/node/42967/psn-pdf
February 26, 2014 - Managing competing demands through task-switching
and multitasking: a multi-setting observational study of
200 clinicians over 1000 hours.
February 26, 2014
Walter SR, Li L, Dunsmuir WTM, et al. Managing competing demands through task-switching and
multitasking: a multi-setting observational study of 200 clinician…
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psnet.ahrq.gov/node/37304/psn-pdf
January 04, 2012 - Characteristics of patient care management problems
identified in emergency department morbidity and
mortality investigations during 15 years.
January 4, 2012
Cosby K, Roberts R, Palivos L, et al. Characteristics of patient care management problems identified in
emergency department morbidity and mortality investi…
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psnet.ahrq.gov/node/49733/psn-pdf
May 01, 2015 - Make sure the patients know how to manage their disease and understand future contingencies for
which
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psnet.ahrq.gov/node/49690/psn-pdf
September 01, 2013 - It would have been safer to
manage with short-acting oxycodone.
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psnet.ahrq.gov/node/60946/psn-pdf
September 23, 2020 - Systems thinking for managing COVID-19 in health care
systems: seven key messages.
September 23, 2020
Phillips JM, Stalter AM. Systems thinking for managing COVID-19 in health care systems: seven key
messages. J Contin Educ Nurs. 2020;51(9):402-411. doi:10.3928/00220124-20200812-05.
https://psnet.ahrq.gov/issue/sy…
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psnet.ahrq.gov/node/60755/psn-pdf
August 05, 2020 - Patient safety from executive hospital management to
wards: a qualitative study identifying factors influencing
implementation.
August 5, 2020
Conner T, Unsworth J, Machin A. Patient safety from executive hospital management to wards: a
qualitative study identifying factors influencing implementation. J Nurs Manag…
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psnet.ahrq.gov/node/72854/psn-pdf
March 17, 2021 - Enabling sustained communication with patients for safe
and effective management of oral chemotherapy: a
longitudinal ethnography.
March 17, 2021
Mitchell G, Porter S, Manias E. Enabling sustained communication with patients for safe and effective
management of oral chemotherapy: a longitudinal ethnography. J Adv …
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psnet.ahrq.gov/node/42838/psn-pdf
January 08, 2014 - Management of arterial lines and blood sampling in
intensive care: a threat to patient safety.
January 8, 2014
Leslie RA, Gouldson S, Habib N, et al. Management of arterial lines and blood sampling in intensive care: a
threat to patient safety. Anaesthesia. 2013;68(11). doi:10.1111/anae.12389.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/47931/psn-pdf
January 01, 2020 - Managing risk in hazardous conditions: improvisation is
not enough.
July 24, 2019
Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual
Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443.
https://psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation…
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psnet.ahrq.gov/node/60343/psn-pdf
May 20, 2020 - Managing cognitive biases during disaster response: the
development of an aide memoire.
May 20, 2020
Brooks B, Curnin S, Owen C, et al. Managing cognitive biases during disaster response: the development
of an aide memoire. Cogn Tech Work. 2020;22(2):249–261. doi:10.1007/s10111-019-00564-5.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/61089/psn-pdf
January 01, 2021 - Cognitive bias impact on management of postoperative
complications, medical error, and standard of care.
November 4, 2020
Antonacci AC, Dechario SP, Antonacci C, et al. Cognitive bias impact on management of postoperative
complications, medical error, and standard of care. J Surg Res. 2021;258:47-53.
doi:10.1016/j…
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psnet.ahrq.gov/node/44997/psn-pdf
July 21, 2016 - Crew resource management training in the intensive care
unit. A multisite controlled before-after study.
July 21, 2016
Kemper PF, de Bruijne M, van Dyck C, et al. Crew resource management training in the intensive care unit.
A multisite controlled before-after study. BMJ Qual Saf. 2016;25(8):577-87. doi:10.1136/bmj…
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psnet.ahrq.gov/node/44402/psn-pdf
January 22, 2016 - "Mr Smith's been our problem child today...": anticipatory
management communication (AMC) in VA end-of-shift
medicine and nursing handoffs.
January 22, 2016
Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory
management communication (AMC) in VA end-of-shift medicin…