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psnet.ahrq.gov/node/45729/psn-pdf
September 20, 2017 - Maximize benefits of IV workflow management systems
by addressing workarounds and errors.
September 20, 2017
ISMP Medication Safety Alert! Acute care edition. September 7, 2017;22:1-4.
https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-
workarounds-and-errors
Workflow process…
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psnet.ahrq.gov/node/45412/psn-pdf
November 18, 2016 - The multidisciplinary approach to GI cancer results in
change of diagnosis and management of patients.
Multidisciplinary care impacts diagnosis and
management of patients.
November 18, 2016
Meguid C, Schulick RD, Schefter TE, et al. The Multidisciplinary Approach to GI Cancer Results in Change
of Diagnosis and Ma…
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psnet.ahrq.gov/node/44119/psn-pdf
September 19, 2016 - Risk managers' descriptions of programs to support
second victims after adverse events.
September 19, 2016
White AA, Brock DM, McCotter PI, et al. Risk managers' descriptions of programs to support second
victims after adverse events. J Healthc Risk Manag. 2015;34(4):30-40. doi:10.1002/jhrm.21169.
https://psnet.ah…
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psnet.ahrq.gov/node/40166/psn-pdf
April 03, 2017 - A strategic approach for managing conflict in hospitals:
responding to The Joint Commission leadership
standard—part 1 and part 2.
April 3, 2017
Scott C, Gerardi D. A strategic approach for managing conflict in hospitals: responding to the Joint
Commission leadership standard, Part 1. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/node/39839/psn-pdf
November 07, 2011 - The disparity of frontline clinical staff and managers'
perceptions of a quality and patient safety initiative.
November 7, 2011
Parand A, Burnett S, Benn J, et al. The disparity of frontline clinical staff and managers' perceptions of a
quality and patient safety initiative. J Eval Clin Pract. 2011;17(6):1184-90. …
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psnet.ahrq.gov/node/41201/psn-pdf
March 07, 2012 - Crisis resource management in emergency medicine.
March 7, 2012
Carne B, Kennedy M, Gray T. Review article: Crisis resource management in emergency medicine.
Emergency Medicine Australasia. 2011;24(1). doi:10.1111/j.1742-6723.2011.01495.x.
https://psnet.ahrq.gov/issue/crisis-resource-management-emergency-medicine
…
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psnet.ahrq.gov/node/35085/psn-pdf
July 24, 2018 - Working Knowledge: How Organizations Manage What
They Know.
July 24, 2018
Davenport TH, Prusak L. Boston MA: Harvard Business School Press; 1998. ISBN: 0875846556.
https://psnet.ahrq.gov/issue/working-knowledge-how-organizations-manage-what-they-know
Two innovators in management consulting introduce core concepts …
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psnet.ahrq.gov/node/37029/psn-pdf
April 18, 2011 - Assessment of healthcare professionals' knowledge of
managing emergency complications in patients with a
tracheostomy.
April 18, 2011
Casserly P, Lang E, Fenton JE, et al. Assessment of healthcare professionals' knowledge of managing
emergency complications in patients with a tracheostomy. Br J Anaesth. 2007;99(3)…
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psnet.ahrq.gov/node/46186/psn-pdf
August 02, 2017 - Pain Management and the Opioid Epidemic: Balancing
Societal and Individual Benefits and Risks of Prescription
Opioid Use.
August 2, 2017
Bonnie RJ, Ford MA, Pillips JK, eds. Washington, DC: National Academies Press; 2017.
https://psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-indiv…
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psnet.ahrq.gov/node/46665/psn-pdf
June 19, 2018 - A qualitative study of patient involvement in medicines
management after hospital discharge: an under-
recognised source of systems resilience.
June 19, 2018
Fylan B, Armitage G, Naylor D, et al. A qualitative study of patient involvement in medicines management
after hospital discharge: an under-recognised source…
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psnet.ahrq.gov/node/45100/psn-pdf
June 15, 2016 - Impact of errors in paper-based and computerized
diabetes management with decision support for
hospitalized patients with type 2 diabetes. A post-hoc
analysis of a before and after study.
June 15, 2016
Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerized diabetes management
with decisi…
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psnet.ahrq.gov/node/46429/psn-pdf
October 04, 2017 - Clinician perspectives on the management of abnormal
subcritical tests in an urban academic safety-net health
care system.
October 4, 2017
Clarity C, Sarkar U, Lee J, et al. Clinician Perspectives on the Management of Abnormal Subcritical Tests
in an Urban Academic Safety-Net Health Care System. Jt Comm J Qual Pat…
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psnet.ahrq.gov/node/44741/psn-pdf
January 20, 2016 - System hazards in managing laboratory test requests and
results in primary care: medical protection database
analysis and conceptual model.
January 20, 2016
Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in
primary care: medical protection database analysis and…
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psnet.ahrq.gov/node/44844/psn-pdf
March 02, 2016 - From To Err Is Human to Improving Diagnosis in Health
Care: the risk management perspective.
March 2, 2016
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:10.1002/jhrm.21205.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/issue/disclosure-unanticipated-events-next-step-better-communication-patients-part-1-3
January 13, 2016 - Book/Report
Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3).
Citation Text:
Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3). Chicago, IL; American Society of Healthcare Risk Ma…
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psnet.ahrq.gov/node/35615/psn-pdf
March 11, 2011 - The development and evaluation of an integrated
electronic prescribing and drug management system for
primary care.
March 11, 2011
Tamblyn R, Huang A, Kawasumi Y, et al. The development and evaluation of an integrated electronic
prescribing and drug management system for primary care. J Am Med Inform Assoc. 2006;1…
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psnet.ahrq.gov/node/36074/psn-pdf
September 28, 2010 - Matching nurse skill with patient acuity in the intensive
care units: a risk management mandate.
September 28, 2010
Rischbieth A. Matching nurse skill with patient acuity in the intensive care units: a risk management
mandate. J Nurs Manag. 2006;14(5):397-404.
https://psnet.ahrq.gov/issue/matching-nurse-skill-pati…
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psnet.ahrq.gov/node/37094/psn-pdf
February 01, 2011 - Improving patient care by linking evidence-based
medicine and evidence-based management.
February 1, 2011
Shortell SM, Rundall TG, Hsu J. Improving Patient Care by Linking Evidence-Based Medicine and
Evidence-Based Management. JAMA. 2007;298(6). doi:10.1001/jama.298.6.673.
https://psnet.ahrq.gov/issue/improving-pa…
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psnet.ahrq.gov/node/36158/psn-pdf
September 29, 2010 - Medication therapy management programs: forming a
new cornerstone for quality and safety in Medicare.
September 29, 2010
Smith SR, Clancy CM. Medication therapy management programs: forming a new cornerstone for quality
and safety in medicare. Am J Med Qual. 2006;21(4):276-9.
https://psnet.ahrq.gov/issue/medicatio…
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psnet.ahrq.gov/node/35798/psn-pdf
April 11, 2011 - Using video recording to identify management errors in
pediatric trauma resuscitation.
April 11, 2011
Oakley E, Stocker S, Staubli G, et al. Using video recording to identify management errors in pediatric
trauma resuscitation. Pediatrics. 2006;117(3):658-664.
https://psnet.ahrq.gov/issue/using-video-recording-ide…