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psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - ICU level care may be a limited resource in busy hospitals, and ED staff are expected to help manage
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - Nurs Manage. 2009;40:50-52. [go to PubMed] 15. Averch TD, Stoffe, J, Goldman HB, et al.
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - Attempts to intubate him to manage his respiratory distress were unsuccessful and he underwent emergency
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psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - not obvious, the case provides an opportunity to explore the potential hazards when non-psychiatrists manage
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - Because the frontalis muscle is very resistant to the effect of NMBAs, patients still manage to frown
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - liquidity now grows, we need to build the processes so that we can not just expect information, but manage
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psnet.ahrq.gov/issue/managing-risks-organizational-accidents
May 13, 2011 - Book/Report
Classic
Managing the Risks of Organizational Accidents.
Citation Text:
Managing the Risks of Organizational Accidents. Reason JT. Aldershot, Hants, England: Ashgate: 1997. ISBN: 9781840141047
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psnet.ahrq.gov/issue/human-error-models-and-management
November 18, 2015 - Commentary
Classic
Human error: models and management.
Citation Text:
Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770.
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psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
April 24, 2024 - Health Care Manage Rev . 2023;48(4):352-362. doi:10.1097/HMR.0000000000000383 Travel nursing: a bad deal
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - harm, the role of the leader is to help the organization pick itself up, learn from that event, and manage
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psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - process for each hospital should be readily available in writing and communicated to all staff who manage
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - result or a radiology report with something concerning and they see that before the provider, how do you manage
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psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - Health Care Manage Rev . 2023;48(4):352-362. doi:10.1097/HMR.0000000000000383 Travel nursing: a bad deal
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - spheres—some paths to failure are closed off, but new ones open up that may be harder to detect and manage
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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - The intern, who had not been given instructions on how to manage such a scenario, did not know how to
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - October 24, 2018
Intervening in interruptions: what exactly is the risk we are trying to manage
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - Health Care Manage Rev. 1990;15:63-71. [go to PubMed]
3. Blegen MA, Goode CJ, Reed L.
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - It would have been safer to manage with short-acting oxycodone.
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psnet.ahrq.gov/issue/design-and-testing-safety-agenda-mobile-app-managing-health-care-managers-patient-safety
July 12, 2017 - Study
Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities.
Citation Text:
Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers' Patient Safety Respon…
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psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
September 27, 2023 - points made in this Commentary, ED staff should follow the steps contained within this acronym to safely manage