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psnet.ahrq.gov/node/47143/psn-pdf
January 30, 2019 - E-learning on risk management. An opportunity for
sharing knowledge and experiences in patient safety.
January 30, 2019
Agra Y, García-Álvarez V, Aibar-Remón C, et al. E-learning on risk management. An opportunity for
sharing knowledge and experiences in patient safety. Int J Health Care Qual. 2019;31(8):639-646.
…
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psnet.ahrq.gov/node/45105/psn-pdf
May 11, 2016 - Medicines management, medication errors and adverse
medication events in older people referred to a
community nursing service: a retrospective observational
study.
May 11, 2016
Elliott RA, Lee CY, Beanland C, et al. Medicines Management, Medication Errors and Adverse Medication
Events in Older People Referred to …
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psnet.ahrq.gov/node/36227/psn-pdf
August 30, 2006 - Does crew resource management training work? An
update, an extension, and some critical needs.
August 30, 2006
Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an
Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412.
doi:10.1518/001872006777724444.
https:…
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psnet.ahrq.gov/node/836822/psn-pdf
March 30, 2022 - Leveraging a safety event management system to
improve organizational learning and safety culture.
March 30, 2022
Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve
organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407-417. doi:10.1542/hpeds.2021-
006…
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psnet.ahrq.gov/node/864859/psn-pdf
March 20, 2024 - Team relations and role perceptions during anesthesia
crisis management in magnetic-resonance imaging
settings: a mixed-methods exploration.
March 20, 2024
Schroeck H, Whitty MA, Hatton B, et al. Team relations and role perceptions during anesthesia crisis
management in magnetic-resonance imaging settings: a mixed…
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psnet.ahrq.gov/node/74113/psn-pdf
September 15, 2015 - Racial disparities in pain management of children with
appendicitis in emergency departments.
September 15, 2015
Goyal MK, Kuppermann N, Cleary SD, et al. Racial disparities in pain management of children with
appendicitis in emergency departments. JAMA Pediatr. 2015;169(11):996-1002.
doi:10.1001/jamapediatrics.20…
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psnet.ahrq.gov/node/45250/psn-pdf
July 27, 2016 - Risk factors for i.v. compounding errors when using an
automated workflow management system.
July 27, 2016
Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow
management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:10.2146/ajhp150278.
https://psnet.…
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psnet.ahrq.gov/node/40800/psn-pdf
December 09, 2014 - 'Tempos' management in primary care: a key factor for
classifying adverse events, and improving quality and
safety.
December 9, 2014
Amalberti R, Brami J. 'Tempos' management in primary care: a key factor for classifying adverse events,
and improving quality and safety. BMJ Qual Saf. 2012;21(9):729-36. doi:10.1136…
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psnet.ahrq.gov/node/36989/psn-pdf
June 18, 2013 - Medication Management: Detailed Use Case.
June 18, 2013
Washington, DC: Office of the National Coordinator for Health Information Technology, US Department of
Health and Human Services; 2007.
https://psnet.ahrq.gov/issue/medication-management-detailed-use-case
This report provides two example scenarios—inpatient m…
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psnet.ahrq.gov/node/36128/psn-pdf
September 29, 2010 - Clinical risk management and patient safety education for
nurses: a critique.
September 29, 2010
Johnstone M-J, Kanitsaki O. Clinical risk management and patient safety education for nurses: a critique.
Nurse Educ Today. 2007;27(3):185-91.
https://psnet.ahrq.gov/issue/clinical-risk-management-and-patient-safety-ed…
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psnet.ahrq.gov/node/49828/psn-pdf
May 01, 2018 - Out of Sight, Out of Mind: Out-of-Office Test Result
Management
May 1, 2018
Poon EG. Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
Case Objectives
Recognize the general responsibilities of…
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
January 01, 2021 - and Debra
Bakerjian, PhD, APRN, RN
o Spotlight Editors: Ulfat Shaikh, MD, and Patrick Romano, MD
o Managing
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psnet.ahrq.gov/node/37502/psn-pdf
January 30, 2008 - Nursing management of medication errors.
January 30, 2008
Luk LA, Ng WIM, Ko KKS, et al. Nursing management of medication errors. Nurs Ethics. 2008;15(1):28-39.
https://psnet.ahrq.gov/issue/nursing-management-medication-errors
This qualitative study conducted in-depth interviews with seven nurses involved in medica…
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psnet.ahrq.gov/node/34038/psn-pdf
December 22, 2008 - Whither Challenger, wither Columbia: management
decision making and the knowledge analytic.
December 22, 2008
Garrett TM.
https://psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-
knowledge-analytic
The decision making of management for the Challenger and Columbia shuttle mis…
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psnet.ahrq.gov/node/60578/psn-pdf
June 10, 2020 - Patient safety threats in information management using
health information technology in ambulatory cancer care:
an exploratory, prospective study.
June 10, 2020
Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using
health information technology in ambulatory cancer care: …
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psnet.ahrq.gov/node/43798/psn-pdf
January 07, 2015 - Pharmacist-managed inpatient discharge medication
reconciliation: a combined onsite and telepharmacy
model.
January 7, 2015
Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation:
a combined onsite and telepharmacy model. Am J Health Syst Pharm. 2014;71(24):2159-66…
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psnet.ahrq.gov/node/855087/psn-pdf
November 08, 2023 - Middle manager responses to hospital co-workers'
unprofessional behaviours within the context of a
professional accountability culture change program: a
qualitative analysis.
November 8, 2023
Bagot KL, McInnes E, Mannion R, et al. Middle manager responses to hospital co-workers’ unprofessional
behaviours within t…
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psnet.ahrq.gov/node/73467/psn-pdf
July 07, 2021 - Burnout and sources of stress among health care risk
managers and patient safety personnel during the COVID-
19 pandemic: a pilot study.
July 7, 2021
Card AJ. Burnout and sources of stress among health care risk managers and patient safety personnel
during the COVID-19 pandemic: a pilot study. Disaster Med Public …
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psnet.ahrq.gov/node/862994/psn-pdf
February 21, 2024 - Impact of the primary care nurse manager on nurse intent
to leave and staff perception of patient safety.
February 21, 2024
Miller MJ, Johansen ML, de Cordova PB, et al. Impact of the primary care nurse manager on nurse intent
to leave and staff perception of patient safety. Nurs Manage. 2024;55(1):32-42.
doi:10.1…
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psnet.ahrq.gov/node/42960/psn-pdf
February 19, 2014 - Risk Management Pearls for Medication Safety: Part I and
Part II.
February 19, 2014
Chicago, IL: American Society for Healthcare Risk Management; 2014.
https://psnet.ahrq.gov/issue/risk-management-pearls-medication-safety-part-i-and-part-ii
These guides cover medication safety principles, common causes for errors,…