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psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - Annie Yang, PharmD, BCPS
Medication Safety Manager
NYU Langone Medical Center
New York, NY
Faculty
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psnet.ahrq.gov/node/33754/psn-pdf
September 01, 2013 - It becomes
too easy for a manager to rely on a punitive personal intervention, and say, "Well in that
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psnet.ahrq.gov/node/35104/psn-pdf
April 06, 2011 - Crisis management during anaesthesia: the development
of an anaesthetic crisis management manual.
April 6, 2011
Runciman WB, Kluger MT, Morris RW, et al. Crisis management during anaesthesia: the development of
an anaesthetic crisis management manual. Qual Saf Health Care. 2005;14(3):e1.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/37470/psn-pdf
January 16, 2008 - Iatrogenic disease management: moderating medication
errors and risks in a pharmacy benefit management
environment.
January 16, 2008
Nair V, Salmon JW, Kaul AF. Iatrogenic Disease Management: Moderating Medication Errors and Risks in
a Pharmacy Benefit Management Environment. Disease Management. 2007;10(6).
doi:1…
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psnet.ahrq.gov/node/45908/psn-pdf
April 05, 2017 - Towards a framework for managing risk associated with
technology-induced error.
April 5, 2017
Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced
Error. Stud Health Technol Inform. 2017;234:42-48.
https://psnet.ahrq.gov/issue/towards-framework-managing-risk-associated…
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psnet.ahrq.gov/node/867649/psn-pdf
January 01, 2015 - Improving Pain Management for Hospitalized Medical
Patients.
January 1, 2015
Society of Hospital Medicine. Improving Pain Management for Hospitalized Medical Patients.
https://psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients
Pain management presents complex patient safety concerns. Info…
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psnet.ahrq.gov/node/47030/psn-pdf
June 06, 2018 - Creating a safer operating room: groups, team dynamics
and crew resource management principles.
June 6, 2018
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource
management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008.
https://p…
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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/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/44434/psn-pdf
June 21, 2016 - Hospital board and management practices are strongly
related to hospital performance on clinical quality
metrics.
June 21, 2016
Tsai TC, Jha AK, Gawande AA, et al. Hospital board and management practices are strongly related to
hospital performance on clinical quality metrics. Health Aff (Millwood). 2015;34(8):130…
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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/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/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/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/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/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/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/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…