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psnet.ahrq.gov/node/46715/psn-pdf
May 02, 2018 - Filling the gap: simulation-based crisis resource
management training for emergency medicine residents.
May 2, 2018
Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management
training for emergency medicine residents. West J Emerg Med. 2018;19(1):205-210.
doi:10.5811/wes…
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psnet.ahrq.gov/node/35116/psn-pdf
April 06, 2011 - Crises in clinical care: an approach to management.
April 6, 2011
Runciman WB. Crises in clinical care: an approach to management. Quality and Safety in Health Care.
2005;14(3). doi:10.1136/qshc.2004.012856.
https://psnet.ahrq.gov/issue/crises-clinical-care-approach-management
This commentary discusses the many fa…
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psnet.ahrq.gov/node/45252/psn-pdf
September 04, 2016 - Pediatric airway management and prehospital patient
safety: results of a national Delphi survey by the
Children's Safety Initiative-Emergency Medical Services
for Children.
September 4, 2016
Hansen M, Meckler G, O?Brien K, et al. Pediatric Airway Management and Prehospital Patient Safety:
Results of a National De…
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psnet.ahrq.gov/node/40260/psn-pdf
February 08, 2017 - A case for safety leadership team training of hospital
managers.
February 8, 2017
Singer SJ, Hayes J, Cooper JB, et al. A case for safety leadership team training of hospital managers.
Health Care Manage Rev. 2011;36(2):188-200. doi:10.1097/HMR.0b013e318208cd1d.
https://psnet.ahrq.gov/issue/case-safety-leadership-…
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psnet.ahrq.gov/node/46583/psn-pdf
December 18, 2017 - Safer paediatric surgical teams: a 5-year evaluation of
crew resource management implementation and
outcomes.
December 18, 2017
Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of
crew resource management implementation and outcomes. Int J Health Care Qual. 2017…
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psnet.ahrq.gov/node/46476/psn-pdf
October 04, 2017 - The effectiveness of nurse education and training for
clinical alarm response and management: a systematic
review.
October 4, 2017
Yue L, Plummer V, Cross W. The effectiveness of nurse education and training for clinical alarm response
and management: a systematic review. J Clin Nurs. 2017;26(17-18):2511-2526. doi…
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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
facilities.
July 14, 2018
Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and
safety climate at Veterans Health Administration facilities. J Healthc Risk Manag. 2018;…
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psnet.ahrq.gov/issue/disruptive-behavior-affects-hospital-financial-health
February 03, 2010 - Newspaper/Magazine Article
Disruptive behavior affects hospital financial health.
Citation Text:
Rosenstein AH. Measuring and managing the economic impact of disruptive behaviors in the hospital. Journal of healthcare risk management : the journal of the American Society for Healthcare…
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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.
February 24, 2016
Card AJ, Klein VR. A new frontier in healthcare risk management: Working to reduce avoidable patient
suffering. J Healthc Risk Manag. 2016;35(3):31-7. doi:10.1002/jhrm.21207.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - the team should include an ICU physician, as well as representatives from ICU nursing (both the nurse manager
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psnet.ahrq.gov/node/43727/psn-pdf
January 28, 2015 - Pediatric crisis resource management training improves
emergency medicine trainees' perceived ability to manage
emergencies and ability to identify teamwork errors.
January 28, 2015
Bank I, Snell L, Bhanji F. Pediatric crisis resource management training improves emergency medicine
trainees' perceived ability to m…
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psnet.ahrq.gov/node/44581/psn-pdf
January 20, 2016 - Quality management and perceptions of teamwork and
safety climate in European hospitals.
January 20, 2016
Kristensen S, Hammer A, Bartels P, et al. Quality management and perceptions of teamwork and safety
climate in European hospitals. Int J Qual Health Care. 2015;27(6):499-506. doi:10.1093/intqhc/mzv079.
https:/…
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psnet.ahrq.gov/node/43531/psn-pdf
September 17, 2014 - The role of hospital managers in quality and patient
safety: a systematic review.
September 17, 2014
Parand A, Dopson S, Renz A, et al. The role of hospital managers in quality and patient safety: a
systematic review. BMJ Open. 2014;4(9):e005055. doi:10.1136/bmjopen-2014-005055.
https://psnet.ahrq.gov/issue/role-h…
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psnet.ahrq.gov/node/49701/psn-pdf
February 01, 2014 - An Easily Forgotten Tube
February 1, 2014
Ousey K. An Easily Forgotten Tube. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/easily-forgotten-tube
The Case
A 45-year-old man was admitted to the intensive care unit (ICU) for acute liver failure secondary to alcohol
abuse. His illness was complicated by acute…
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psnet.ahrq.gov/node/46824/psn-pdf
June 26, 2018 - Management reasoning: beyond the diagnosis.
June 26, 2018
Cook DA, Sherbino J, Durning SJ. Management Reasoning: Beyond the Diagnosis. JAMA.
2018;319(22):2267-2268. doi:10.1001/jama.2018.4385.
https://psnet.ahrq.gov/issue/management-reasoning-beyond-diagnosis
This commentary reviews five differences between diagno…
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psnet.ahrq.gov/issue/serious-safety-events-getting-zero-second-edition
February 19, 2014 - Book/Report
Serious Safety Events: Getting to Zero. Second Edition.
Citation Text:
Serious Safety Events: Getting to Zero. Second Edition. Hoppes M, Mitchell JL. Chicago, IL: American Society for Healthcare Risk Management; October 2014.
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psnet.ahrq.gov/node/36294/psn-pdf
July 14, 2010 - Care management implementation and patient safety.
July 14, 2010
Alexander JA; Weiner BJ; Baker LC; et al. J Patient Saf. 2006;2(2):83-96.
https://psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety
The Institute of Medicine's Crossing the Quality Chasm report endorsed care management, defined as…
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psnet.ahrq.gov/node/47380/psn-pdf
September 05, 2018 - Operating management system for high reliability:
leadership, accountability, learning and innovation in
healthcare.
September 5, 2018
Day RM, Demski RJ, Pronovost PJ, et al. Operating management system for high reliability: Leadership,
accountability, learning and innovation in healthcare. J Patient Saf Risk Mana…
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psnet.ahrq.gov/node/45574/psn-pdf
November 23, 2016 - Patient safety events in out-of-hospital paediatric airway
management: a medical record review by the CSI-EMS.
November 23, 2016
Hansen M, Meckler G, Lambert W, et al. Patient safety events in out-of-hospital paediatric airway
management: a medical record review by the CSI-EMS. BMJ Open. 2016;6(11):e012259.
doi:10…
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psnet.ahrq.gov/node/44678/psn-pdf
July 05, 2017 - Patient Safety Risk Management Playbook.
July 5, 2017
Chicago, IL: American Society for Healthcare Risk Management; 2015.
https://psnet.ahrq.gov/issue/patient-safety-risk-management-playbook
Proactive risk management is an important component to improving the safety of care. Exploring principles
of high reliabilit…