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psnet.ahrq.gov/node/41303/psn-pdf
March 11, 2013 - Clinical risk management in hospitals: strategy, central
coordination and dialogue as key enablers. … Clinical risk management in hospitals: strategy, central coordination and
dialogue as key enablers. … https://psnet.ahrq.gov/issue/clinical-risk-management-hospitals-strategy-central-coordination-and-dialogue … identifies key organizational factors that help hospitals establish a comprehensive
clinical risk management … https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
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psnet.ahrq.gov/node/846445/psn-pdf
March 22, 2023 - https://psnet.ahrq.gov/issue/formalizing-hidden-curriculum-performance-enhancing-errors
Error management … formalizing-hidden-curriculum-performance-enhancing-errors
https://psnet.ahrq.gov/issue/imperfect-practice-makes-perfect-error-management-training-improves-transfer-learning … https://psnet.ahrq.gov/issue/crisis-recovery-surgery-error-management-and-problem-solving-safety-critical-situations … https://psnet.ahrq.gov/issue/use-error-management-theory-quantify-and-characterize-residents-error-recovery-strategies
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psnet.ahrq.gov/node/836720/psn-pdf
March 09, 2022 - Reliability, uncertainty and the management of error: new
perspectives in the COVID-19 era. … Reliability, uncertainty and the management of error: new perspectives in the COVID?19
era. … https://psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era … https://psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era
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psnet.ahrq.gov/node/42109/psn-pdf
March 13, 2013 - Nursing crew resource management: a follow-up report
from the Veterans Health Administration. … Nursing crew resource management: a follow-up report from the
Veterans Health Administration. … https://psnet.ahrq.gov/issue/nursing-crew-resource-management-follow-report-veterans-health-
administration … This commentary describes an initiative that applied crew resource management techniques to nursing … https://psnet.ahrq.gov/issue/nursing-crew-resource-management-follow-report-veterans-health-administration
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psnet.ahrq.gov/issue/health-it-hazard-manager
August 01, 2012 - October 6, 2016
Findings and Lessons From the Improving Management of Individuals With … August 13, 2014
Findings and Lessons From the Improving Management of Individuals With
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psnet.ahrq.gov/node/43218/psn-pdf
July 28, 2014 - Risk management—learning from the mistakes of others.
July 28, 2014
Meydan C. … Risk management--learning from the mistakes of others. J Eval Clin Pract. 2014;20(4):505-7. … https://psnet.ahrq.gov/issue/risk-management-learning-mistakes-others
This commentary introduces a structured … https://psnet.ahrq.gov/issue/risk-management-learning-mistakes-others
https://psnet.ahrq.gov/issue/principles-risk-management-and-patient-safety … https://psnet.ahrq.gov/issue/principles-risk-management-and-patient-safety
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.443_slideshow.ppt
May 01, 2018 - Spotlight
Spotlight
Out of Sight, Out of Mind: Out-of-Office Test Result Management
1
Source … Identify handoffs between providers as an important aspect of inbasket management
Understand the role … of patient health records with regard to test results
3
Case: Out-of-Office Test Result Management … : dissatisfaction with test result management systems in primary care. … and test workflows
Inbasket management is time-consuming.
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psnet.ahrq.gov/node/37687/psn-pdf
February 22, 2011 - Use of an interactive, telephone-based self-management
support program to identify adverse events among … Use of an interactive, telephone-based self-management support
program to identify adverse events among … https://psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify … -
adverse-events-among
Chronic disease care increasingly involves patients engaging in self-management … This study
used retrospective analysis of data from an interactive telephone-based diabetes self-management
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psnet.ahrq.gov/node/842759/psn-pdf
January 18, 2023 - Cognitive aids in the management of clinical
emergencies: a systematic review. … Cognitive aids in the management of clinical emergencies: a
systematic review. … https://psnet.ahrq.gov/issue/cognitive-aids-management-clinical-emergencies-systematic-review
Cognitive … https://psnet.ahrq.gov/issue/cognitive-aids-management-clinical-emergencies-systematic-review
https:/
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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 … The effects of crew resource management on teamwork and
safety climate at Veterans Health Administration … https://psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans- … In the field of aviation, crew resource
management is used to teach teamwork and effective communication … Veterans Health Administration National Center for
Patient Safety and modeled after crew resource management
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psnet.ahrq.gov/node/44267/psn-pdf
October 13, 2015 - Crew resource management in the intensive care unit: a
prospective 3-year cohort study. … Crew Resource Management in the Intensive Care Unit: a
prospective 3-year cohort study. … https://psnet.ahrq.gov/issue/crew-resource-management-intensive-care-unit-prospective-3-year-cohort- … study
Following crew resource management training for intensive care unit staff and implementation … https://psnet.ahrq.gov/issue/crew-resource-management-intensive-care-unit-prospective-3-year-cohort-study
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psnet.ahrq.gov/node/44578/psn-pdf
February 24, 2016 - A new frontier in healthcare risk management: working to
reduce avoidable patient suffering. … A new frontier in healthcare risk management: Working to reduce avoidable patient
suffering. … https://psnet.ahrq.gov/issue/new-frontier-healthcare-risk-management-working-reduce-avoidable-patient … This commentary discusses the
role of risk management in reducing avoidable patient harm and solutions … https://psnet.ahrq.gov/issue/new-frontier-healthcare-risk-management-working-reduce-avoidable-patient-suffering
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psnet.ahrq.gov/node/841764/psn-pdf
December 21, 2022 - Lessons learned in implementing a chronic opioid
therapy management system. … Lessons learned in implementing a chronic opioid therapy
management system. … https://psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
The … https://psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
https
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psnet.ahrq.gov/node/849122/psn-pdf
May 17, 2023 - Structural racism in behavioral health presentation and
management. … Structural racism in behavioral health presentation and management. … https://psnet.ahrq.gov/issue/structural-racism-behavioral-health-presentation-and-management
Structural … https://psnet.ahrq.gov/issue/structural-racism-behavioral-health-presentation-and-management
https://
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psnet.ahrq.gov/node/61101/psn-pdf
November 04, 2020 - Investigation into Management of Venous
Thromboembolism Risk in Patients Following
Thrombolysis for … October 2020
https://psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following … https://psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following-thrombolysis-acute … https://psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following-thrombolysis-acute
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psnet.ahrq.gov/node/72683/psn-pdf
January 27, 2021 - Analysis of patient safety risk management call data
during the COVID?19 pandemic. … Analysis of patient safety risk management call data during the COVID?19
pandemic. … https://psnet.ahrq.gov/issue/analysis-patient-safety-risk-management-call-data-during-covid-19-pandemic … https://psnet.ahrq.gov/issue/analysis-patient-safety-risk-management-call-data-during-covid-19-pandemic
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psnet.ahrq.gov/node/50408/psn-pdf
October 02, 2019 - Admissions to the Pediatric Intensive Care Unit:
Progression of Disease or Errors in Emergency
Department Management … Admissions to the Pediatric Intensive Care Unit:
Progression of Disease or Errors in Emergency Department Management … This study evaluated the impact of errors in the emergency department management of pediatric
patients … PICU transfers after an ED management error had significantly shorter floor length of stay, longer PICU
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psnet.ahrq.gov/node/41201/psn-pdf
March 07, 2012 - Crisis resource management in emergency medicine.
March 7, 2012
Carne B, Kennedy M, Gray T. … Review article: Crisis resource management in emergency medicine. … https://psnet.ahrq.gov/issue/crisis-resource-management-emergency-medicine
This review highlights how … elements of crew resource management adapted from aviation can help
enhance care delivery in emergency … /soaring-success-taking-crew-resource-management-cockpit-nursing-unit
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psnet.ahrq.gov/node/45100/psn-pdf
June 15, 2016 - Impact of errors in paper-based and computerized
diabetes management with decision support for
hospitalized … Impact of errors in paper-based and computerized diabetes management
with decision support for hospitalized … https://psnet.ahrq.gov/issue/impact-errors-paper-based-and-computerized-diabetes-management-decision- … support-hospitalized
A computerized clinical decision support system for inpatient glucose management … A WebM&M commentary discusses a case in which misuse of a computerized glucose management
system resulted
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psnet.ahrq.gov/node/45412/psn-pdf
November 18, 2016 - The multidisciplinary approach to GI cancer results in
change of diagnosis and management of patients … Multidisciplinary care impacts diagnosis and
management of patients. … The Multidisciplinary Approach to GI Cancer Results in Change
of Diagnosis and Management of Patients … Multidisciplinary Care Impacts Diagnosis and Management of
Patients. … https://psnet.ahrq.gov/issue/multidisciplinary-approach-gi-cancer-results-change-diagnosis-and-
management-patients