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psnet.ahrq.gov/node/40158/psn-pdf
January 17, 2012 - Patient safety in dentistry: dental care risk management
plan. … Patient safety in dentistry: dental care risk
management plan. … https://psnet.ahrq.gov/issue/patient-safety-dentistry-dental-care-risk-management-plan
This commentary … describes a risk management plan to help prevent errors and patient harm in dental care. … https://psnet.ahrq.gov/issue/patient-safety-dentistry-dental-care-risk-management-plan
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/41122/psn-pdf
February 08, 2012 - Can we make airway management (even) safer?—lessons
from national audit. … Can we make airway management (even) safer?--lessons from national
audit. … https://psnet.ahrq.gov/issue/can-we-make-airway-management-even-safer-lessons-national-audit
This commentary … summarizes a report on airway management safety in the United Kingdom and suggests
tactics to generate … https://psnet.ahrq.gov/issue/can-we-make-airway-management-even-safer-lessons-national-audit
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psnet.ahrq.gov/node/42214/psn-pdf
April 17, 2013 - The impact of accurate identity
management on patient safety.
April 17, 2013
Garcia R. … The impact of accurate identity management on patient safety. … Health
management technology. 2013;34(3):10-1. … https://psnet.ahrq.gov/issue/isnt-my-information-impact-accurate-identity-management-patient-safety … https://psnet.ahrq.gov/issue/isnt-my-information-impact-accurate-identity-management-patient-safety
https
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psnet.ahrq.gov/node/39726/psn-pdf
August 04, 2010 - Multiple accountabilities in incident reporting and
management. … Multiple accountabilities in incident reporting and management. … https://psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management
This ethnographic … study explored incident reporting systems and their management practices, and found
them to be intimately … https://psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/42088/psn-pdf
December 18, 2014 - A paradigm shift to balance safety and quality in pediatric
pain management. … A paradigm shift to balance safety and quality in pediatric pain
management. … https://psnet.ahrq.gov/issue/paradigm-shift-balance-safety-and-quality-pediatric-pain-management
This … study reports on a multidisciplinary quality improvement effort to optimize pain management in
children … https://psnet.ahrq.gov/issue/paradigm-shift-balance-safety-and-quality-pediatric-pain-management
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psnet.ahrq.gov/node/34038/psn-pdf
December 22, 2008 - Whither Challenger, wither Columbia: management
decision making and the knowledge analytic. … https://psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-
knowledge-analytic … The decision making of management for the Challenger and Columbia shuttle mission failures are
examined … https://psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-knowledge-analytic … https://psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-knowledge-analytic
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psnet.ahrq.gov/node/37064/psn-pdf
October 03, 2011 - Crisis resource management: evaluating outcomes of a
multidisciplinary team. … Crisis resource management: evaluating outcomes of a
multidisciplinary team. … https://psnet.ahrq.gov/issue/crisis-resource-management-evaluating-outcomes-multidisciplinary-team
This … study evaluated the effect of a crew resource management training intervention on the teamwork skills … https://psnet.ahrq.gov/issue/crisis-resource-management-evaluating-outcomes-multidisciplinary-team
https
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psnet.ahrq.gov/node/36148/psn-pdf
March 03, 2011 - Surgical crisis management skills training and
assessment: a stimulation-based approach to enhancing … Surgical Crisis Management Skills Training and Assessment. … https://psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based … https://psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-approach … https://psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-approach
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psnet.ahrq.gov/node/39262/psn-pdf
March 04, 2011 - Unintended errors with EHR-based result management: a
case series. … Unintended errors with EHR-based result management: a case series. … https://psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
The authors identify … https://psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
https://psnet.ahrq.gov … /issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
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psnet.ahrq.gov/node/36412/psn-pdf
December 22, 2010 - Ambiguities of chronic illness management and
challenges to the medical error paradigm. … Ambiguities of chronic illness management and challenges to the medical error
paradigm. … https://psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error-
paradigm … https://psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error-paradigm … https://psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error-paradigm
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psnet.ahrq.gov/node/40382/psn-pdf
May 25, 2011 - What has change management in industry got to do with
improving patient safety? … What has change management in industry got to do with improving patient
safety? … https://psnet.ahrq.gov/issue/what-has-change-management-industry-got-do-improving-patient-safety
This … commentary discusses how change management can be adapted to health care and improve patient
safety … https://psnet.ahrq.gov/issue/what-has-change-management-industry-got-do-improving-patient-safety
https
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psnet.ahrq.gov/node/47214/psn-pdf
June 20, 2018 - Journal of Patient Safety and Risk Management.
June 20, 2018
Wu AW, ed. … https://psnet.ahrq.gov/issue/journal-patient-safety-and-risk-management
Risk management and legal issues … https://psnet.ahrq.gov/issue/journal-patient-safety-and-risk-management
https://psnet.ahrq.gov/issue/ … patient-safety-risk-management-playbook
https://psnet.ahrq.gov/issue/legal-and-policy-interventions-improve-patient-safety
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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. … Matching nurse skill with patient acuity in the intensive care units: a risk management
mandate. … https://psnet.ahrq.gov/issue/matching-nurse-skill-patient-acuity-intensive-care-units-risk-management … https://psnet.ahrq.gov/issue/matching-nurse-skill-patient-acuity-intensive-care-units-risk-management-mandate … https://psnet.ahrq.gov/issue/matching-nurse-skill-patient-acuity-intensive-care-units-risk-management-mandate
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psnet.ahrq.gov/node/37957/psn-pdf
August 06, 2008 - Surgical management and outcomes of 165 colonoscopic
perforations from a single institution. … Surgical management and outcomes of 165 colonoscopic
perforations from a single institution. … https://psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single- … https://psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution … https://psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution
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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 … Acquisition of critical intraoperative event management skills in
novice anesthesiology residents by … https://psnet.ahrq.gov/issue/acquisition-critical-intraoperative-event-management-skills-novice-
anesthesiology-residents … https://psnet.ahrq.gov/issue/acquisition-critical-intraoperative-event-management-skills-novice-anesthesiology-residents … https://psnet.ahrq.gov/issue/acquisition-critical-intraoperative-event-management-skills-novice-anesthesiology-residents
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psnet.ahrq.gov/node/42195/psn-pdf
October 08, 2013 - Medication errors in the management of anaphylaxis in a
pediatric emergency department. … Medication errors in the management of anaphylaxis in a pediatric
emergency department. … https://psnet.ahrq.gov/issue/medication-errors-management-anaphylaxis-pediatric-emergency-department … Medication errors were common in the emergency department management of anaphylaxis (severe, life- … https://psnet.ahrq.gov/issue/medication-errors-management-anaphylaxis-pediatric-emergency-department
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psnet.ahrq.gov/node/44223/psn-pdf
November 22, 2016 - Patient Safety and Incident Management Toolkit. … https://psnet.ahrq.gov/issue/patient-safety-and-incident-management-toolkit
Engaging patients and families … This three-
component toolkit provides resources that focus on incident management, patient safety management … https://psnet.ahrq.gov/issue/patient-safety-and-incident-management-toolkit
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/45535/psn-pdf
January 23, 2017 - Surgical specimen management: a descriptive study of
648 adverse events and near misses. … Surgical specimen management: a descriptive study of 648
adverse events and near misses. … https://psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and- … review, researchers looked at
648 reported adverse events and near misses involving surgical specimen management … https://psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
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psnet.ahrq.gov/node/36909/psn-pdf
January 05, 2017 - Medical team training: applying crew resource
management in the Veterans Health Administration. … Medical team training: applying crew resource management in the
Veterans Health Administration. … https://psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health- … Effective communication and
teamwork are taught in aviation through crew resource management (CRM), … https://psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration
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psnet.ahrq.gov/node/42444/psn-pdf
August 08, 2013 - The evolution of error: error management, cognitive
constraints, and adaptive decision-making biases … The evolution of error: error management, cognitive
constraints, and adaptive decision-making biases … https://psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision … https://psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases … https://psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases