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psnet.ahrq.gov/node/42697/psn-pdf
December 05, 2013 - An initiative to improve the management of clinically
significant test results in a large health care network.
December 5, 2013
Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant
test results in a large health care network. Jt Comm J Qual Patient Saf. 2013;39(1…
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psnet.ahrq.gov/node/866855/psn-pdf
October 02, 2024 - Reduction in preventable time-critical dose omissions:
impact of electronic medication management systems on
in-patients.
October 2, 2024
Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of
electronic medication management systems on in-patients. Contemp Nurse. 2…
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psnet.ahrq.gov/issue/economic-outcomes-associated-safety-interventions-pharmacist-adjudicated-prior-authorization
September 23, 2020 - Study
Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service.
Citation Text:
Jacob S, Britt RB, Bryan WE, et al. Economic Outcomes Associated with Safety Interventions by a Pharmacist-Adjudicated Prior Authorization Consult …
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psnet.ahrq.gov/issue/crew-resource-management-training-intensive-care-unit-multisite-controlled-after-study
July 10, 2013 - Study
Crew resource management training in the intensive care unit. A multisite controlled before-after study.
Citation Text:
Kemper PF, de Bruijne M, van Dyck C, et al. Crew resource management training in the intensive care unit. A multisite controlled before-after study. BMJ Qual Saf.…
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psnet.ahrq.gov/node/49660/psn-pdf
August 01, 2012 - No News May Not Be Good News
August 1, 2012
Moore CR. No News May Not Be Good News. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
Case Objectives
Describe the frequency with which ambulatory test results are not followed up by providers.
Appreciate that inadequate follow-up of…
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psnet.ahrq.gov/node/47510/psn-pdf
June 30, 2019 - Rethinking high reliability in healthcare: the role of error
management theory towards advancing high reliability
organizing.
June 30, 2019
Guttman O, Keebler JR, Lazzara EH, et al. J Patient Saf Risk Manag. 2019;24:127–133.
https://psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-…
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psnet.ahrq.gov/node/72722/psn-pdf
February 10, 2021 - Knowledge, attitudes, and expectations of medical staff
toward medical error management policies in
humanitarian medicine: a qualitative study.
February 10, 2021
Biquet J-M, Schopper D, Sprumont D, et al. Knowledge, attitudes, and Expectations of Medical Staff
Toward Medical Error Management Policies in Humanitari…
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psnet.ahrq.gov/node/837674/psn-pdf
July 13, 2022 - Differences between managers’ and safety professionals’
perceptions of upwards influence attempts within safety
practice.
July 13, 2022
Madigan C, Way KA, Johnstone K, et al. Differences between managers’ and safety professionals’
perceptions of upwards influence attempts within safety practice. J Safety Res. 2022…
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psnet.ahrq.gov/node/47366/psn-pdf
October 31, 2018 - Patient and family engagement in incident investigations:
exploring hospital manager and incident investigators'
experiences and challenges.
October 31, 2018
Kok J, Leistikow I, Bal R. Patient and family engagement in incident investigations: exploring hospital
manager and incident investigators' experiences and c…
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psnet.ahrq.gov/node/60920/psn-pdf
September 16, 2020 - Emergency department monitor alarms rarely change
clinical management: an observational study.
September 16, 2020
Fleischman W, Ciliberto B, Rozanski N, et al. Emergency department monitor alarms rarely change clinical
management: an observational study. Am J Emerg Med. 2020;38(6):1072-1076.
doi:10.1016/j.ajem.201…
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psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
January 29, 2021 - Good communication between team members is vital when diagnosing and managing an operative emergency,
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psnet.ahrq.gov/node/36296/psn-pdf
October 22, 2010 - Crew resource management: applications in healthcare
organizations.
October 22, 2010
Oriol MD. Crew resource management: applications in healthcare organizations. J Nurs Adm.
2006;36(9):402-406.
https://psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
The author describes the pr…
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psnet.ahrq.gov/node/45674/psn-pdf
September 29, 2017 - Pain Management and Prescription Opioid-related Harms:
Exploring the State of the Evidence: Proceedings of a
Workshop—in Brief.
September 29, 2017
Forstag EH; Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid
Abuse; Health and Medicine Division. Washington, DC: National Academy …
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psnet.ahrq.gov/node/73116/psn-pdf
April 07, 2021 - Communication on safe caregiving between community
nurse case managers and family caregivers.
April 7, 2021
Macías-Colorado ME, Rodríguez-Pérez M, Rojas-Ocaña MJ, et al. Communication on safe caregiving
between community nurse case managers and family caregivers. Healthcare (Basel). 2021;9(2):205.
doi:10.3390/heal…
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psnet.ahrq.gov/node/60966/psn-pdf
January 01, 2021 - Expanding frontiers of risk management: care safety in
nursing home during COVID-19 pandemic.
September 30, 2020
Scopetti M, Santurro A, Tartaglia R, et al. Expanding frontiers of risk management: care safety in nursing
home during COVID-19 pandemic. Int J Qual Health Care. 2021;33(1):mzaa085.
doi:10.1093/intqhc/m…
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psnet.ahrq.gov/node/60605/psn-pdf
June 17, 2020 - Optimizing Medication Management During the Covid-19
Pandemic: Implementation Guide for Post-acute and Long
Term Care.
June 17, 2020
Brandt N, Steinman MA. Optimizing Medication Management During the COVID?19 Pandemic: An
Implementation Guide for Post?Acute and Long?Term Care. J American Geriatrics Society.
2020;…
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psnet.ahrq.gov/node/866194/psn-pdf
June 26, 2024 - Patient safety and satisfaction with fully remote
management of radiation oncology care.
June 26, 2024
Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of
radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570.
doi:10.1001/jamanetworkopen.2024.16570.
https://…
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psnet.ahrq.gov/node/838131/psn-pdf
January 01, 2023 - What I wish I’d known: how experienced physician
managers diagnose, treat and prevent disruptive
behaviour.
September 21, 2022
Goodwin C, Haas S, Berry WR. What I wish I’d known: how experienced physician managers diagnose,
treat and prevent disruptive behaviour. BMJ Lead. 2023;7(2):128-132. doi:10.1136/leader-202…
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psnet.ahrq.gov/node/837699/psn-pdf
July 20, 2022 - Influence of a general practice pharmacist on medication
management for patients at risk of medicine-related harm:
a qualitative evaluation.
July 20, 2022
Jordan M, Young-Whitford M, Mullan J, et al. Influence of a general practice pharmacist on medication
management for patients at risk of medicine-related harm: …
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psnet.ahrq.gov/node/37047/psn-pdf
September 30, 2011 - Briefing and debriefing in the operating room using
fighter pilot crew resource management.
September 30, 2011
McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource
management. J Am Coll Surg. 2007;205(1):169-76.
https://psnet.ahrq.gov/issue/briefing-and-debriefing-…