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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.
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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…
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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…
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psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - Elsevier Performance Manager.
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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.
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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
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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
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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
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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…
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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…
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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…
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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:…
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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.…
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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…
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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…
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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…
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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…
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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.
…
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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…
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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…