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psnet.ahrq.gov/node/44844/psn-pdf
March 02, 2016 - From To Err Is Human to Improving Diagnosis in Health
Care: the risk management perspective. … From To Err Is Human to Improving Diagnosis in Health Care: The risk
management perspective. … https://psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective
This … safety—and reviews
recommendations from Improving Diagnosis in Health Care in the context of risk management … https://psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective
https
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psnet.ahrq.gov/node/46835/psn-pdf
February 28, 2018 - Errors detected in pediatric oral liquid medication doses
prepared in an automated workflow management … Errors detected in pediatric oral liquid medication doses
prepared in an automated workflow management … psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-
workflow-management … psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management … psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management
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psnet.ahrq.gov/node/47405/psn-pdf
January 27, 2019 - Robotic dispensing improves patient safety, inventory
management, and staff satisfaction in an outpatient … Robotic dispensing improves
patient safety, inventory management, and staff satisfaction in an outpatient … https://psnet.ahrq.gov/issue/robotic-dispensing-improves-patient-safety-inventory-management-and-staff … https://psnet.ahrq.gov/issue/robotic-dispensing-improves-patient-safety-inventory-management-and-staff-satisfaction … https://psnet.ahrq.gov/issue/robotic-dispensing-improves-patient-safety-inventory-management-and-staff-satisfaction
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psnet.ahrq.gov/node/46378/psn-pdf
April 16, 2018 - Effect of sleep deprivation after a night shift duty on
simulated crisis management by residents in … Effect of sleep deprivation after a night shift duty on simulated
crisis management by residents in … https://psnet.ahrq.gov/issue/effect-sleep-deprivation-after-night-shift-duty-simulated-crisis-management … https://psnet.ahrq.gov/issue/effect-sleep-deprivation-after-night-shift-duty-simulated-crisis-management-residents … https://psnet.ahrq.gov/issue/effect-sleep-deprivation-after-night-shift-duty-simulated-crisis-management-residents
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psnet.ahrq.gov/node/45627/psn-pdf
April 26, 2017 - Imperfect practice makes perfect: error management
training improves transfer of learning. … Imperfect practice makes perfect: error management training improves
transfer of learning. … https://psnet.ahrq.gov/issue/imperfect-practice-makes-perfect-error-management-training-improves-
transfer-learning … https://psnet.ahrq.gov/issue/imperfect-practice-makes-perfect-error-management-training-improves-transfer-learning … https://psnet.ahrq.gov/issue/imperfect-practice-makes-perfect-error-management-training-improves-transfer-learning
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psnet.ahrq.gov/node/33931/psn-pdf
June 23, 2015 - An analysis of major errors and equipment failures in
anesthesia management: considerations for prevention … An analysis of major errors and equipment failures in anesthesia
management: considerations for prevention … https://psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-
considerations-prevention … https://psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention … https://psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
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psnet.ahrq.gov/node/43689/psn-pdf
December 10, 2014 - A meta-analysis of the effectiveness of crew resource
management training in acute care domains. … A meta-analysis of the effectiveness of crew resource management training
in acute care domains. … https://psnet.ahrq.gov/issue/meta-analysis-effectiveness-crew-resource-management-training-acute-care … https://psnet.ahrq.gov/issue/meta-analysis-effectiveness-crew-resource-management-training-acute-care-domains … https://psnet.ahrq.gov/issue/meta-analysis-effectiveness-crew-resource-management-training-acute-care-domains
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psnet.ahrq.gov/node/44092/psn-pdf
November 16, 2015 - Does lean management improve patient safety culture? … Does lean management improve patient safety culture? … https://psnet.ahrq.gov/issue/does-lean-management-improve-patient-safety-culture-extensive-evaluation … https://psnet.ahrq.gov/issue/does-lean-management-improve-patient-safety-culture-extensive-evaluation-safety-culture … https://psnet.ahrq.gov/issue/does-lean-management-improve-patient-safety-culture-extensive-evaluation-safety-culture
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psnet.ahrq.gov/node/47334/psn-pdf
November 14, 2018 - Safety work and risk management as burdens of
treatment in primary care: insights from a focused
ethnographic … Safety work and risk management as burdens of treatment in
primary care: insights from a focused ethnographic … https://psnet.ahrq.gov/issue/safety-work-and-risk-management-burdens-treatment-primary-care-insights- … https://psnet.ahrq.gov/issue/safety-work-and-risk-management-burdens-treatment-primary-care-insights-focused-ethnographic … https://psnet.ahrq.gov/issue/safety-work-and-risk-management-burdens-treatment-primary-care-insights-focused-ethnographic
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psnet.ahrq.gov/node/44089/psn-pdf
April 22, 2015 - Learning from mistakes and near mistakes: using root
cause analysis as a risk management tool. … Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk
Management Tool. … https://psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-
management-tool … https://psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool … https://psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
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psnet.ahrq.gov/node/36120/psn-pdf
January 04, 2009 - Risk Management Pearls on Disclosure of Adverse
Events.
January 4, 2009
Amori GH. … Chicago, IL: American Society for Healthcare Risk Management; 2006. … https://psnet.ahrq.gov/issue/risk-management-pearls-disclosure-adverse-events
This booklet shares scenarios … https://psnet.ahrq.gov/issue/risk-management-pearls-disclosure-adverse-events
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psnet.ahrq.gov/node/34649/psn-pdf
June 11, 2014 - On error management: lessons from aviation.
June 11, 2014
Helmreich RL. … On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. … https://psnet.ahrq.gov/issue/error-management-lessons-aviation
In this perspective, the author draws … focusing on teamwork and communication
skills, Helmreich proposes a series of steps for creating error management … https://psnet.ahrq.gov/issue/error-management-lessons-aviation
https://psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
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psnet.ahrq.gov/node/40283/psn-pdf
February 15, 2017 - Principles of Risk Management and Patient Safety.
February 15, 2017
Youngberg BJ, ed. … https://psnet.ahrq.gov/issue/principles-risk-management-and-patient-safety
This textbook discusses claims … management, risk financing, and proactive risk reduction within the context
of patient safety improvement … https://psnet.ahrq.gov/issue/principles-risk-management-and-patient-safety
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psnet.ahrq.gov/node/49828/psn-pdf
May 01, 2018 - Out of Sight, Out of Mind: Out-of-Office Test Result
Management
May 1, 2018
Poon EG. … Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. 2018. … Teamwork plays a key role in ambulatory test result management. … Inbasket management is time-consuming. … : dissatisfaction with test result management systems in primary care.
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psnet.ahrq.gov/node/35791/psn-pdf
March 22, 2006 - Disease management: a mid-decade evolution toward
patient safety. … https://psnet.ahrq.gov/issue/disease-management-mid-decade-evolution-toward-patient-safety
The authors … describe the relationship between patient safety and chronic disease management and
discuss its evolution … https://psnet.ahrq.gov/issue/disease-management-mid-decade-evolution-toward-patient-safety
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psnet.ahrq.gov/node/49660/psn-pdf
August 01, 2012 - State how automated results management systems can help with ambulatory test results. … Understand the hazards of alert fatigue in automated results management systems. … She was given
insulin and specific instructions on management at home. … : dissatisfaction with test result management systems in primary care. … Understanding the management of electronic test result
notifications in the outpatient setting.
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psnet.ahrq.gov/node/35164/psn-pdf
June 23, 2009 - Management of the difficult airway: a closed claims
analysis. … Management of the difficult airway: a closed claims analysis.
Anesthesiology. 2005;103(1):33-39. … https://psnet.ahrq.gov/issue/management-difficult-airway-closed-claims-analysis
The authors analyzed … https://psnet.ahrq.gov/issue/management-difficult-airway-closed-claims-analysis
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psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-organization
January 13, 2016 - Chicago, IL: American Society of Healthcare Risk Management; 2002. … Chicago, IL: American Society of Healthcare Risk Management; 2002. … February 17, 2009
Patient Safety Risk Management Playbook. … February 17, 2016
Risk Management Pearls for Medication Safety: Part I and Part II. … February 19, 2014
Risk Management Pearls on Disclosure of Adverse Events.
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psnet.ahrq.gov/node/36609/psn-pdf
January 14, 2011 - Anaesthetists' management of oxygen pipeline failure:
room for improvement. … Anaesthetists' management of oxygen pipeline failure: room for
improvement. … https://psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement
The investigators … https://psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement
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psnet.ahrq.gov/node/40847/psn-pdf
October 12, 2011 - Human and organizational biases affecting the
management of safety. … Human and organizational biases affecting the management of safety. … https://psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-management-safety
This piece … https://psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-management-safety
https://psnet.ahrq.gov