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psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transitions-may-not-be-managed-all
December 09, 2020 - Book/Report
DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers.
Citation Text:
DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. Washington, DC: United States Government Accoun…
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psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era
January 12, 2022 - Commentary
Reliability, uncertainty and the management of error: new perspectives in the COVID-19 era.
Citation Text:
Schulman PR. Reliability, uncertainty and the management of error: new perspectives in the COVID‐19 era. J Contingencies Crisis Manage. 2022;30(1):92-101. doi:10.1111/146…
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psnet.ahrq.gov/issue/moving-towards-safety-ii-approach
May 18, 2022 - Commentary
Moving towards a Safety II approach.
Citation Text:
Woodward S. Moving towards a safety II approach. J Patient Saf Risk Manag. 2019;24(3):96-99. doi:10.1177/2516043519855264.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
January 01, 2003 - Making a Case for Organizational Change in Patient Safety Initiatives
455
Making a Case for Organizational
Change in Patient Safety Initiatives
Rangaraj Ramanujam, Donna J. Keyser, Carl A. Sirio
Abstract
Objectives: Widespread organizational change is indispensable for significantly
improved patient safety…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6h.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 9)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapter…
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psnet.ahrq.gov/node/36609/psn-pdf
January 14, 2011 - Anaesthetists' management of oxygen pipeline failure:
room for improvement.
January 14, 2011
Weller JM, Merry AF, Warman GR, et al. Anaesthetists' management of oxygen pipeline failure: room for
improvement. Anaesthesia. 2007;62(2):122-6.
https://psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failur…
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psnet.ahrq.gov/node/35164/psn-pdf
June 23, 2009 - Management of the difficult airway: a closed claims
analysis.
June 23, 2009
Peterson GN, Domino KB, Caplan RA, et al. Management of the difficult airway: a closed claims analysis.
Anesthesiology. 2005;103(1):33-39.
https://psnet.ahrq.gov/issue/management-difficult-airway-closed-claims-analysis
The authors analyze…
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psnet.ahrq.gov/node/40847/psn-pdf
October 12, 2011 - Human and organizational biases affecting the
management of safety.
October 12, 2011
Reiman T, Rollenhagen C. Human and organizational biases affecting the management of safety. Reliab
Eng Syst Saf. 2011;96(10). doi:10.1016/j.ress.2011.05.010.
https://psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-…
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year2-final-report-2018.pdf
January 01, 2018 - CDS Connect Final Report Year 2
CDS Connect
CDS Connect
Contract Year 2
Final Report
Final Report (Year 2)
CDS Connect
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No. HHSA290201600001U
Prepared by:
CMS Alliance to Moderniz…
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - Hyperglycemia and Switching to Subcutaneous Insulin
Citation Text:
Wetterneck TB. Hyperglycemia and Switching to Subcutaneous Insulin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - PowerPoint Presentation
Spotlight
A Lot of Pain (Medications)
1
This presentation is based on the September 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Shoshana J. Herzig, MD, MPH, Division of General Medicine, Beth Israel Deaconess Medic…
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psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - SNFs: Opening the Black Box
December 1, 2013
Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/snfs-opening-black-box
The Case
An 88-year-old woman was admitted to a skilled nursing facility (SNF) after a lengthy hospitalization for a
small bowel obstructio…
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psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration
December 11, 2024 - Study
The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities.
Citation Text:
Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facil…
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psnet.ahrq.gov/issue/engineering-care-transitions-clinician-perceptions-barriers-safe-medication-management-during
July 20, 2022 - Study
Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care.
Citation Text:
Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during t…
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psnet.ahrq.gov/issue/family-involvement-managing-medications-older-patients-across-transitions-care-systematic
May 26, 2021 - Review
Emerging Classic
Family involvement in managing medications of older patients across transitions of care: a systematic review.
Citation Text:
Manias E, Bucknall T, Hughes C, et al. Family involvement in managing medications of older patients across transi…
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psnet.ahrq.gov/issue/system-hazards-managing-laboratory-test-requests-and-results-primary-care-medical-protection
November 08, 2017 - Study
System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model.
Citation Text:
Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in primary care: medical p…
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psnet.ahrq.gov/issue/organizational-safety-climate-and-job-enjoyment-hospital-surgical-teams-and-without-crew
February 03, 2021 - Study
Organizational safety climate and job enjoyment in hospital surgical teams with and without crew resource management training,
Citation Text:
Bacon CT, McCoy TP, Henshaw DS, et al. Organizational safety climate and job enjoyment in hospital surgical teams with and without crew reso…
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psnet.ahrq.gov/issue/multi-facetted-patient-safety-resource-qualitative-interview-study-hospital-managers
September 20, 2023 - Study
A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team.
Citation Text:
Axelsen MS, Baumgarten M, Egholm CL, et al. A multi‐facetted patient safety resource—a qualitative interview study on hospit…
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digital.ahrq.gov/ahrq-funded-projects/improving-post-hospital-medication-management-older-adults-health-information/annual-summary/2010
January 01, 2010 - Improving Post-Hospital Medication Management of Older Adults with Health Information Technology - 2010
Project Name
Improving Post-Hospital Medication Management of Older Adults with Health Information Technology
Principal Investigator
Gurwitz, Jerry
Organization
University …
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psnet.ahrq.gov/issue/impact-health-information-technology-management-and-follow-test-results-systematic-review
August 19, 2020 - Review
The impact of health information technology on the management and follow-up of test results—a systematic review.
Citation Text:
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 A…