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psnet.ahrq.gov/node/44018/psn-pdf
November 16, 2015 - Targeted communication intervention using nursing crew
resource management principles.
November 16, 2015
Tschannen D, McClish D, Aebersold M, et al. Targeted communication intervention using nursing crew
resource management principles. J Nurs Care Qual. 2015;30(1):7-11.
doi:10.1097/NCQ.0000000000000073.
https://p…
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psnet.ahrq.gov/node/42205/psn-pdf
April 24, 2013 - Reported medication errors after introducing an
electronic medication management system.
April 24, 2013
Redley B, Botti M. Reported medication errors after introducing an electronic medication management
system. J Clin Nurs. 2013;22(3-4):579-89. doi:10.1111/j.1365-2702.2012.04326.x.
https://psnet.ahrq.gov/issue/re…
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psnet.ahrq.gov/node/44745/psn-pdf
February 17, 2016 - Implications of case managers' perceptions and attitude
on safety of home-delivered care.
February 17, 2016
Jones S. Implications of case managers' perceptions and attitude on safety of home-delivered care. Br J
Community Nurs. 2015;20(12):602-7. doi:10.12968/bjcn.2015.20.12.602.
https://psnet.ahrq.gov/issue/impli…
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psnet.ahrq.gov/node/42168/psn-pdf
November 21, 2021 - Surviving Sepsis Campaign: international guidelines for
management of sepsis and septic shock: 2021.
November 21, 2021
Evans L, Rhodes A, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for
Management of Sepsis and Septic Shock 2021. Crit Care Med. 2021;49(11):e1063-e1143.
doi:10.1097/ccm.0…
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psnet.ahrq.gov/node/43303/psn-pdf
August 21, 2014 - Barriers and facilitators for taking action after classroom-
based crew resource management training at three ICUs.
August 21, 2014
Kemper PE, van Dyck C, Wagner C, et al. Barriers and facilitators for taking action after classroom-based
crew resource management training at three ICUs. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/node/47951/psn-pdf
April 24, 2019 - Safe medication management at ambulatory surgery
centers.
April 24, 2019
Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442.
doi:10.1002/aorn.12635.
https://psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
Safe medication use can be challengin…
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psnet.ahrq.gov/node/36458/psn-pdf
May 27, 2011 - A cognitive task analysis of information management
strategies in a computerized provider order entry
environment.
May 27, 2011
Weir C, Nebeker JJR, Hicken BL, et al. A cognitive task analysis of information management strategies in a
computerized provider order entry environment. J Am Med Inform Assoc. 2007;14(1)…
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psnet.ahrq.gov/node/37347/psn-pdf
March 28, 2012 - Recognition and management of potential drug-drug
interactions in patients on internal medicine wards.
March 28, 2012
Vonbach P, Dubied A, Beer JH, et al. Recognition and management of potential drug-drug interactions in
patients on internal medicine wards. Eur J Clin Pharmacol. 2007;63(11):1075-83.
https://psnet.…
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psnet.ahrq.gov/node/38365/psn-pdf
July 24, 2009 - Electronic results management in pediatric ambulatory
care: qualitative assessment.
July 24, 2009
Ferris T, Johnson SA, Co JPT, et al. Electronic results management in pediatric ambulatory care:
qualitative assessment. Pediatrics. 2009;123 Suppl 2:S85-91. doi:10.1542/peds.2008-1755G.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/47188/psn-pdf
August 08, 2018 - Disclosure and apology: nursing and risk management
working together.
August 8, 2018
Russell D. Disclosure and apology: Nursing and risk management working together. Nurs Manage.
2018;49(6):17-19. doi:10.1097/01.NUMA.0000533773.14544.e2.
https://psnet.ahrq.gov/issue/disclosure-and-apology-nursing-and-risk-manageme…
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psnet.ahrq.gov/node/44175/psn-pdf
October 13, 2015 - Impact of crisis resource management simulation-based
training for interprofessional and interdisciplinary teams:
a systematic review.
October 13, 2015
Fung L, Boet S, Bould D, et al. Impact of crisis resource management simulation-based training for
interprofessional and interdisciplinary teams: A systematic revi…
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psnet.ahrq.gov/node/34770/psn-pdf
April 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd
ed.
April 17, 2017
Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920.
https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
Vincent has updated his text on risk management, infusing it with concepts directly rela…
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - 2020
WebM&M Cases
Lost in Transitions of Care: Managing
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psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-organization
January 13, 2016 - Book/Report
Strategies and tips for maximizing failure mode and effect analysis in your organization.
Citation Text:
Strategies and tips for maximizing failure mode and effect analysis in your organization. Chicago, IL: American Society of Healthcare Risk Management; 2002.
Copy Citat…
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psnet.ahrq.gov/issue/risk-managers-descriptions-programs-support-second-victims-after-adverse-events
May 11, 2016 - Study
Risk managers' descriptions of programs to support second victims after adverse events.
Citation Text:
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…
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psnet.ahrq.gov/issue/managed-care-penetration-and-other-factors-affecting-computerized-physician-order-entry
October 06, 2011 - Study
Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting.
Citation Text:
Menachemi N, Ford E, Chukmaitov A, et al. Managed care penetration and other factors affecting computerized physician order entry in the ambulatory se…
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psnet.ahrq.gov/issue/opportunities-mine-ehrs-malpractice-risk-management-and-patient-safety
October 28, 2020 - Commentary
Opportunities to mine EHRs for malpractice risk management and patient safety.
Citation Text:
Adler-Milstein J, Sarkar U, Wachter RM. Opportunities to mine EHRs for malpractice risk management and patient safety. J Patient Saf Risk Manag. 2022;27(4):160-162. doi:10.1177/251604…
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psnet.ahrq.gov/node/34650/psn-pdf
April 21, 2015 - Human error: models and management.
April 21, 2015
Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770.
https://psnet.ahrq.gov/issue/human-error-models-and-management
The author discusses concepts of human error, contrasting the person approach with a system approach in
understanding the diff…
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psnet.ahrq.gov/node/50400/psn-pdf
October 02, 2019 - The role of personal health information management in
promoting patient safety in the home: a qualitative
analysis
October 2, 2019
Demiris G, Lin S-Y, Turner AM. The role of personal health information management in promoting patient
safety in the home: a qualitative analysis. Stud Health Technol Inform . 2019;264…
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psnet.ahrq.gov/node/37134/psn-pdf
March 23, 2011 - Effect of crew resource management on diabetes care
and patient outcomes in an inner-city primary care clinic.
March 23, 2011
Taylor CR, Hepworth JT, Buerhaus P, et al. Effect of crew resource management on diabetes care and
patient outcomes in an inner-city primary care clinic. Qual Saf Health Care. 2007;16(4):244…