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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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. …
  6. Psn-Pdf (pdf file)

    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 …
  7. Psn-Pdf (pdf file)

    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 …
  8. Psn-Pdf (pdf file)

    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)…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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/…
  15. 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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…

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