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psnet.ahrq.gov/node/50824/psn-pdf
January 22, 2020 - Failure to rescue and 30-day in-hospital mortality in
hospitals with and without crew-resource-management
safety training.
January 22, 2020
Bacon CT, McCoy TP, Henshaw DS. Failure to rescue and 30?day in?hospital mortality in hospitals with
and without crew?resource?management safety training. Res Nurs Health. 201…
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psnet.ahrq.gov/node/74207/psn-pdf
December 22, 2021 - The impact of health information management
professionals on patient safety: a systematic review.
December 22, 2021
Kemp T, Butler?Henderson K, Allen P, et al. The impact of health information management professionals
on patient safety: a systematic review. Health Info Libr J. 2021;38(4):248-258. doi:10.1111/hir.12…
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psnet.ahrq.gov/node/46946/psn-pdf
January 01, 2019 - Speaking up about patient safety concerns: the influence
of safety management approaches and climate on nurses'
willingness to speak up.
December 31, 2018
Alingh CW, van Wijngaarden JDH, van de Voorde K, et al. Speaking up about patient safety concerns: the
influence of safety management approaches and climate on …
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psnet.ahrq.gov/node/47956/psn-pdf
June 26, 2019 - Family involvement in managing medications of older
patients across transitions of care: a systematic review.
June 26, 2019
Manias E, Bucknall T, Hughes C, et al. Family involvement in managing medications of older patients
across transitions of care: a systematic review. BMC Geriatr. 2019;19(1):95. doi:10.1186/s12…
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psnet.ahrq.gov/node/60823/psn-pdf
August 19, 2020 - Disaster ergonomics: human factors in COVID-19
pandemic emergency management.
August 19, 2020
Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic
emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428.
https://psnet.ahrq.gov/issue/disaster-e…
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psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
January 01, 2020 - Spotlight
Spotlight
Inpatient Stroke Management in a Patient
with Type 1 Diabetes and Home Insulin
Pump
Source and Credits
• This presentation is based on the October 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Berit B…
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psnet.ahrq.gov/node/47748/psn-pdf
June 14, 2019 - The impact of health information technology on the
management and follow-up of test results—a systematic
review.
June 14, 2019
Georgiou A, Li J, Thomas J, et al. The impact of health information technology on the management and
follow-up of test results - a systematic review. J Am Med Inform Assoc. 2019;26(7):678-…
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psnet.ahrq.gov/node/74028/psn-pdf
November 03, 2021 - Survey of nurses' experiences applying The Joint
Commission's medication management titration
standards.
November 3, 2021
Davidson JE, Doran N, Petty A, et al. Survey of nurses' experiences applying The Joint Commission's
medication management titration standards. Am J Crit Care. 2021;30(5):365-374.
doi:10.4037/a…
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psnet.ahrq.gov/node/850163/psn-pdf
June 07, 2023 - Managing near-miss reporting in hospitals: the dynamics
between staff members’ willingness to report and
management’s handling of near-miss events.
June 7, 2023
Caspi H, Perlman Y, Westreich S. Managing near-miss reporting in hospitals: the dynamics between staff
members’ willingness to report and management’s han…
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psnet.ahrq.gov/node/60210/psn-pdf
April 08, 2020 - Patient safety and staff competence in managing
challenging behavior based on feedback from former
psychiatric patients.
April 8, 2020
Tölli S, Kontio R, Partanen P, et al. Patient safety and staff competence in managing challenging behavior
based on feedback from former psychiatric patients. Perspect Psychiatr Ca…
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psnet.ahrq.gov/node/60869/psn-pdf
September 02, 2020 - A systematic review of trauma crew resource
management training: what can the United States and the
United Kingdom learn from each other?
September 2, 2020
Ashcroft J, Wilkinson A, Khan M. A systematic review of trauma crew resource management training: what
can the United States and the United Kingdom learn from …
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psnet.ahrq.gov/node/74719/psn-pdf
February 02, 2022 - Failure to rescue following emergency surgery: a FRAM
analysis of the management of the deteriorating patient.
February 2, 2022
Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the
management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…
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psnet.ahrq.gov/node/73088/psn-pdf
March 31, 2021 - Nurses’ perspectives on the impact of management
approaches on the blame culture in health-care
organizations.
March 31, 2021
Okpala P. Nurses’ perspectives on the impact of management approaches on the blame culture in health-
care organizations. Int J Healthc Manage. 2020;13(sup1):199-205. doi:10.1080/20479700.2…
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psnet.ahrq.gov/issue/root-cause-analysis-playbook
July 05, 2017 - Book/Report
Root Cause Analysis Playbook.
Citation Text:
Root Cause Analysis Playbook. Chicago, IL: American Society for Healthcare Risk Management; 2015.
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psnet.ahrq.gov/issue/crico-patient-safety-updates-medical-and-legal-perspectives
January 01, 2011 - Audiovisual Presentation
CRICO Patient Safety Updates: Medical and Legal Perspectives.
Citation Text:
Harvard Risk Management Foundation
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-
psnet.ahrq.gov/node/37276/psn-pdf
December 23, 2011 - Team management training using crisis resource
management results in perceived benefits by healthcare
workers.
December 23, 2011
Rudy SJ, Polomano R, Murray WB, et al. Team management training using crisis resource management
results in perceived benefits by healthcare workers. J Contin Educ Nurs. 2007;38(5):219-2…
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psnet.ahrq.gov/node/45698/psn-pdf
January 11, 2017 - Design and testing of the safety agenda mobile app for
managing health care managers' patient safety
responsibilities.
January 11, 2017
Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing
Health Care Managers' Patient Safety Responsibilities. JMIR MHealth UHealt…
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - o Consider using the word "error" or "mistake", after consultation with a disclosure coach or risk manager
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - The first option for this staff nurse was to discuss with the nurse manager or charge nurse his or her
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - Design and implementation of a comprehensive outpatient Results Manager.