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  1. psnet.ahrq.gov/issue/risk-management-pearls-medication-safety-part-i-and-part-ii
    September 30, 2015 - Book/Report Risk Management Pearls for Medication Safety: Part I and Part II. Citation Text: Risk Management Pearls for Medication Safety: Part I and Part II. Chicago, IL: American Society for Healthcare Risk Management; 2014. Copy Citation Save Save to your li…
  2. psnet.ahrq.gov/issue/design-and-implementation-infection-prevention-program-risk-management-managing-high-level
    December 18, 2014 - Study Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. Citation Text: Sweet W, Snyder D, Raymond M. Design and implementation of the infection prevention program into risk man…
  3. psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective
    April 24, 2018 - Commentary From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. Citation Text: Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…
  4. psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
    March 15, 2023 - Elsevier Performance Manager.
  5. psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
    May 19, 2021 - A case manager intervention to reduce readmissions. Arch Intern Med. 1994;154:1721-1729.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838197/psn-pdf
    September 28, 2022 - Reese, BSN, RN, VABC Assistant Nurse Manager Vascular Access Team UC Davis Health sreese@ucdavis.edu
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49624/psn-pdf
    May 01, 2011 - o Consider using the word "error" or "mistake", after consultation with a disclosure coach or risk manager
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33718/psn-pdf
    October 01, 2011 - Let's say I was the manager of patient safety in the VA and I was reading about some new great thing
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867599/psn-pdf
    January 22, 2025 - Assessing patient work system factors for medication management during transition of care among older adults: an observational study. January 22, 2025 Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among older adults: an observational st…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856638/psn-pdf
    November 29, 2023 - Safety Management Systems - an Introduction for Healthcare. November 29, 2023 Dorset, UK:  Health Services Safety Investigations Body; October 2023. https://psnet.ahrq.gov/issue/safety-management-systems-introduction-healthcare Safety management systems (SMS) are employed in many high-risk industries, yet are…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865663/psn-pdf
    April 24, 2024 - Medication management strategies by community- dwelling older adults: a multisite qualitative analysis. April 24, 2024 Jallow F, Stehling E, Sajwani-Merchant Z, et al. Medication management strategies by community-dwelling older adults: a multisite qualitative analysis. J Patient Saf. 2024;20(3):192-197. doi:10.10…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867226/psn-pdf
    December 04, 2024 - The nature of the response to airway management incident reports in high income countries: a scoping review. December 4, 2024 Endlich Y, Davies EL, Kelly J. The nature of the response to airway management incident reports in high income countries: a scoping review. Anaesth Intensive Care. 2024;52(5):283-301. doi:…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47409/psn-pdf
    April 16, 2019 - Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. April 16, 2019 Zadeh SE, Haussmann R, Barton CD. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. J Healthc Risk Manag. 2019;38(4):32-42. doi:10.1002/jhrm.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60338/psn-pdf
    May 20, 2020 - The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. May 20, 2020 Li Y, Wang H, Jiao J. The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. Crit Care. 2020;24(1):157. doi:10.1186/s13054-020-02871-0. https://p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60621/psn-pdf
    June 24, 2020 - Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. June 24, 2020 Sweet W, Snyder D, Raymond M. Design and implementation of the infection prevention program into risk management: Managing high level disin…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867147/psn-pdf
    November 13, 2024 - Opioid prescribing for acute pain management in children and adolescents in outpatient settings: clinical practice guideline. November 13, 2024 Hadland SE, Agarwal R, Raman SR, et al. Opioid Prescribing for Acute Pain Management in Children and Adolescents in Outpatient Settings: Clinical Practice Guideline. Pedia…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863750/psn-pdf
    March 06, 2024 - "Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation. March 6, 2024 Call RC, Espiritu SG, Barrows DA. “Plans are worthless, but planning is everything”: advancing patient safety by better managing the paradox of planning versus ada…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865704/psn-pdf
    May 01, 2024 - Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. May 1, 2024 Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-322. doi:10.1097/pts.0000000000001225. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865967/psn-pdf
    May 29, 2024 - Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. May 29, 2024 Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. Diagnosis…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854381/psn-pdf
    October 11, 2023 - Addressing bias in acute postoperative pain management. October 11, 2023 Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management. Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0. https://psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pa…

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