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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/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…
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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/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/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/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/43013/psn-pdf
March 12, 2014 - Laboratory test ordering and results management
systems: a qualitative study of safety risks identified by
administrators in general practice.
March 12, 2014
Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study
of safety risks identified by administrators in gene…
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psnet.ahrq.gov/node/42109/psn-pdf
March 13, 2013 - Nursing crew resource management: a follow-up report
from the Veterans Health Administration.
March 13, 2013
Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the
Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1097/NNA.0b013e318283dafa.
https://psnet…
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psnet.ahrq.gov/node/41303/psn-pdf
March 11, 2013 - Clinical risk management in hospitals: strategy, central
coordination and dialogue as key enablers.
March 11, 2013
Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and
dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-369. doi:10.1111/j.1365-2753.2012.01…
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psnet.ahrq.gov/node/43218/psn-pdf
July 28, 2014 - Risk management—learning from the mistakes of others.
July 28, 2014
Meydan C. Risk management--learning from the mistakes of others. J Eval Clin Pract. 2014;20(4):505-7.
doi:10.1111/jep.12165.
https://psnet.ahrq.gov/issue/risk-management-learning-mistakes-others
This commentary introduces a structured process for …
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psnet.ahrq.gov/node/36705/psn-pdf
July 25, 2011 - Managed care penetration and other factors affecting
computerized physician order entry in the ambulatory
setting.
July 25, 2011
Menachemi N, Ford E, Chukmaitov A, et al. Managed care penetration and other factors affecting
computerized physician order entry in the ambulatory setting. Am J Manag Care. 2006;12(12):…
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psnet.ahrq.gov/node/38217/psn-pdf
April 26, 2017 - Patient safety climate in US hospitals: variation by
management level.
April 26, 2017
Singer SJ, Falwell A, Gaba DM, et al. Patient safety climate in US hospitals: variation by management
level. Med Care. 2008;46(11):1149-56. doi:10.1097/MLR.0b013e31817925c1.
https://psnet.ahrq.gov/issue/patient-safety-climate-us-…
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psnet.ahrq.gov/node/47281/psn-pdf
August 22, 2018 - The dilemma of patient safety work: perceptions of
hospital middle managers.
August 22, 2018
Sanner M, Halford C, Vengberg S, et al. The dilemma of patient safety work: Perceptions of hospital middle
managers. J Healthc Risk Manag. 2018;38(2):47-55. doi:10.1002/jhrm.21325.
https://psnet.ahrq.gov/issue/dilemma-pati…
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psnet.ahrq.gov/node/37687/psn-pdf
February 22, 2011 - Use of an interactive, telephone-based self-management
support program to identify adverse events among
ambulatory diabetes patients.
February 22, 2011
Sarkar U, Handley MA, Gupta R, et al. Use of an interactive, telephone-based self-management support
program to identify adverse events among ambulatory diabetes p…
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psnet.ahrq.gov/node/40557/psn-pdf
June 29, 2011 - A systemic methodology for risk management in
healthcare sector.
June 29, 2011
Cagliano AC, Grimaldi S, Rafele C. A systemic methodology for risk management in healthcare sector. Saf
Sci. 2011;49(5). doi:10.1016/j.ssci.2011.01.006.
https://psnet.ahrq.gov/issue/systemic-methodology-risk-management-healthcare-sector…
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psnet.ahrq.gov/node/43528/psn-pdf
October 01, 2014 - Critical incident stress management (CISM) in complex
systems: cultural adaptation and safety impacts in
healthcare.
October 1, 2014
Müller-Leonhardt A, Mitchell SG, Vogt J, et al. Critical Incident Stress Management (CISM) in complex
systems: cultural adaptation and safety impacts in healthcare. Accid Anal Prev. …
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psnet.ahrq.gov/node/45092/psn-pdf
May 11, 2016 - The experiences of risk managers in providing emotional
support for health care workers after adverse events.
May 11, 2016
Edrees HH, Brock DM, Wu AW, et al. The experiences of risk managers in providing emotional support for
health care workers after adverse events. J Healthc Risk Manag. 2016;35(4):14-21.
doi:10.…
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psnet.ahrq.gov/node/44267/psn-pdf
October 13, 2015 - Crew resource management in the intensive care unit: a
prospective 3-year cohort study.
October 13, 2015
Haerkens MHTM, Kox M, Lemson J, et al. Crew Resource Management in the Intensive Care Unit: a
prospective 3-year cohort study. Acta Anaesthesiol Scand. 2015;59(10):1319-29. doi:10.1111/aas.12573.
https://psnet.…
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psnet.ahrq.gov/node/41582/psn-pdf
August 08, 2012 - Safety management in different high-risk domains--all the
same?
August 8, 2012
Grote G. Safety management in different high-risk domains – All the same? Safety Sci. 2011;50(10):1983-
1992. doi:10.1016/j.ssci.2011.07.017.
https://psnet.ahrq.gov/issue/safety-management-different-high-risk-domains-all-same
This comm…