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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45535/psn-pdf
    January 23, 2017 - Surgical specimen management: a descriptive study of 648 adverse events and near misses. January 23, 2017 Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396. https://psnet.ahrq.gov/issue/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60342/psn-pdf
    May 20, 2020 - Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. May 20, 2020 Kisely S, Warren N, McMahon L, et al. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare wor…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36148/psn-pdf
    March 03, 2011 - Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance. March 3, 2011 Moorthy K, Munz Y, Forrest D, et al. Surgical Crisis Management Skills Training and Assessment. Ann Surg. 2006;244(1). doi:10.1097/01.sla.0000217618.30744.61. https://psne…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39262/psn-pdf
    March 04, 2011 - Unintended errors with EHR-based result management: a case series. March 4, 2011 Yackel TR, Embi P. Unintended errors with EHR-based result management: a case series. J Am Med Inform Assoc. 2010;17(1):104-7. doi:10.1197/jamia.M3294. https://psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-se…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37957/psn-pdf
    August 06, 2008 - Surgical management and outcomes of 165 colonoscopic perforations from a single institution. August 6, 2008 Iqbal CW, Cullinane DC, Schiller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg. 2008;143(7):701-6; discussion 706-7. doi:10.1001/archsurg.1…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42183/psn-pdf
    November 25, 2013 - Electronic prescribing in pediatrics: toward safer and more effective medication management. November 25, 2013 Committee 2011–2012 AA of PC on CITE. Electronic prescribing in pediatrics: toward safer and more effective medication management. Pediatrics. 2013;131(4):824-6. doi:10.1542/peds.2013-0192. https://psnet.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36771/psn-pdf
    January 22, 2017 - A pediatric medical emergency team manages a complex child with hypoxia and a worried parent. January 22, 2017 Shilkofski NA, Hunt EA. A pediatric medical emergency team manages a complex child with hypoxia and worried parent. Jt Comm J Qual Patient Saf. 2007;33(4):236-41, 185. https://psnet.ahrq.gov/issue/pediatr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47214/psn-pdf
    June 20, 2018 - Journal of Patient Safety and Risk Management. June 20, 2018 Wu AW, ed. Thousand Oaks, CA: SAGE Publications. ISSN: 2516-0435. https://psnet.ahrq.gov/issue/journal-patient-safety-and-risk-management Risk management and legal issues can affect safety responses throughout a health care system. Articles in this publi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39626/psn-pdf
    June 23, 2010 - The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution. June 23, 2010 Wagner D, Pasko D, Glenn D, et al. The Medication Manager. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181cb43b4. https://psnet.ahrq.gov/issue/medication-manager-results-medication-bedside-p…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49758/psn-pdf
    April 01, 2016 - Dropping to New Lows April 1, 2016 Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/dropping-new-lows Case Objectives State how to manage diabetes medications when patients are admitted to the hospital Describe a guideline-recommended insulin regimen for a hospitaliz…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35719/psn-pdf
    April 12, 2011 - Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. April 12, 2011 Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.089540. https://psnet.ahrq.gov/issue/ris…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35482/psn-pdf
    May 27, 2011 - The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. May 27, 2011 Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Pediatrics. 2005;116(5):e634-42. https:/…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41880/psn-pdf
    January 08, 2014 - DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. January 8, 2014 Washington, DC: United States Government Accountability Office; November 2, 2012. Publication GAO-13- 26.   https://psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transit…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36859/psn-pdf
    May 11, 2014 - High-risk, high-alert medication management practices in a regional state psychiatric facility. May 11, 2014 McKee J, Cleary S. High-Risk, High-Alert Medication Management Practices in a Regional State Psychiatric Facility. Hosp Pharm. 2007;42(4):323-330. doi:10.1310/hpj4204-323. https://psnet.ahrq.gov/issue/high-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44279/psn-pdf
    August 26, 2015 - Leadership style and patient safety: implications for nurse managers. August 26, 2015 Merrill KC. Leadership style and patient safety: implications for nurse managers. J Nurs Adm. 2015;45(6):319-324. doi:10.1097/NNA.0000000000000207. https://psnet.ahrq.gov/issue/leadership-style-and-patient-safety-implications-nur…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41134/psn-pdf
    July 06, 2012 - Differential impact of a crew resource management program according to professional specialty. July 6, 2012 Suva D, Haller G, Lübbeke A, et al. Differential impact of a crew resource management program according to professional specialty. Am J Med Qual. 2012;27(4):313-20. doi:10.1177/1062860611423805. https://psne…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35178/psn-pdf
    April 23, 2014 - Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. April 23, 2014 Singh R, Singh A, Fox C, et al. Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. Inform Prim Care…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44223/psn-pdf
    November 22, 2016 - Patient Safety and Incident Management Toolkit. November 22, 2016 Edmonton, AB: Canadian Patient Safety Institute. June 2015. https://psnet.ahrq.gov/issue/patient-safety-and-incident-management-toolkit Engaging patients and families in safety can uncover concerns and inform improvement efforts. This three- compone…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38279/psn-pdf
    April 09, 2009 - Quality management and patient safety: survey results from 102 Hungarian hospitals. April 9, 2009 Makai P, Klazinga NS, Wagner C, et al. Quality management and patient safety: survey results from 102 Hungarian hospitals. Health Policy (New York). 2009;90(2-3):175-80. doi:10.1016/j.healthpol.2008.09.009. https://ps…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42768/psn-pdf
    November 27, 2013 - Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative. November 27, 2013 Rockville, MD: Agency for Healthcare Research and Quality; September 2013. AHRQ Publication No. 13- 0058-EF.   https://psnet.ahrq.gov/issue/findings-and-lesso…

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