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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42916/psn-pdf
    February 05, 2014 - Are autopsy findings still relevant to the management of critically ill patients in the modern era? … Are autopsy findings still relevant to the management of critically ill patients in the modern era? … https://psnet.ahrq.gov/issue/are-autopsy-findings-still-relevant-management-critically-ill-patients-modern … https://psnet.ahrq.gov/issue/are-autopsy-findings-still-relevant-management-critically-ill-patients-modern-era … https://psnet.ahrq.gov/issue/are-autopsy-findings-still-relevant-management-critically-ill-patients-modern-era
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44941/psn-pdf
    October 05, 2016 - An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction … An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction … https://psnet.ahrq.gov/issue/embedded-checklist-anesthesia-information-management-system-improves- pre-anaesthetic … https://psnet.ahrq.gov/issue/embedded-checklist-anesthesia-information-management-system-improves-pre-anaesthetic … https://psnet.ahrq.gov/issue/embedded-checklist-anesthesia-information-management-system-improves-pre-anaesthetic
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47380/psn-pdf
    September 05, 2018 - Operating management system for high reliability: leadership, accountability, learning and innovation … Operating management system for high reliability: Leadership, accountability, learning and innovation … https://psnet.ahrq.gov/issue/operating-management-system-high-reliability-leadership-accountability- … https://psnet.ahrq.gov/issue/operating-management-system-high-reliability-leadership-accountability-learning-and … https://psnet.ahrq.gov/issue/operating-management-system-high-reliability-leadership-accountability-learning-and
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45505/psn-pdf
    July 01, 2017 - A model for the departmental quality management infrastructure within an academic health system. … A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. … https://psnet.ahrq.gov/issue/model-departmental-quality-management-infrastructure-within-academic- health-system … https://psnet.ahrq.gov/issue/model-departmental-quality-management-infrastructure-within-academic-health-system … https://psnet.ahrq.gov/issue/model-departmental-quality-management-infrastructure-within-academic-health-system
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    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
  15. Psn-Pdf (pdf file)

    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
  16. Psn-Pdf (pdf file)

    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
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    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.
  19. Psn-Pdf (pdf file)

    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
  20. Psn-Pdf (pdf file)

    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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