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psnet.ahrq.gov/node/35235/psn-pdf
September 27, 2017 - What is the measure of a safe hospital? Medication errors
missed by risk management, clinical staff, and surveyors.
September 27, 2017
Grasso BC, Rothschild JM, Jordan CW, et al. What is the measure of a safe hospital? Medication errors
missed by risk management, clinical staff, and surveyors. J Psychiatr Pract. 20…
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psnet.ahrq.gov/node/39404/psn-pdf
March 31, 2010 - Incidence and root cause analysis of wrong-site pain
management procedures: a multicenter study.
March 31, 2010
Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management
procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. doi:10.1097/ALN.0b013e3181cf892d.
h…
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psnet.ahrq.gov/node/46110/psn-pdf
January 01, 2019 - Examination of the relationship between management and
clinician perception of patient safety climate and patient
satisfaction.
December 21, 2018
Mazurenko O, Richter J, Kazley AS, et al. Examination of the relationship between management and
clinician perception of patient safety climate and patient satisfaction.…
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psnet.ahrq.gov/node/43157/psn-pdf
May 07, 2014 - Governing board, C-suite, and clinical management
perceptions of quality and safety structures, processes,
and priorities in US hospitals.
May 7, 2014
Vaughn T, Koepke M, Levey S, et al. Governing board, C-suite, and clinical management perceptions of
quality and safety structures, processes, and priorities in U.S…
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psnet.ahrq.gov/node/42133/psn-pdf
March 27, 2013 - Acceptance of recommendations by inpatient pharmacy
case managers: unintended consequences of hospitalist
and specialist care.
March 27, 2013
Anderegg S, Demik DE, Carter BL, et al. Acceptance of recommendations by inpatient pharmacy case
managers: unintended consequences of hospitalist and specialist care. Pharma…
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psnet.ahrq.gov/node/42635/psn-pdf
December 06, 2013 - Improving disclosure and management of medical
error—an opportunity to transform the surgeons of
tomorrow.
December 6, 2013
Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to
transform the surgeons of tomorrow. Surgeon. 2013;11(6):338-43. doi:10.1016/j.surge.20…
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psnet.ahrq.gov/node/39597/psn-pdf
July 14, 2010 - Ten strategies to improve management of abnormal test
result alerts in the electronic health record.
July 14, 2010
Singh H, Wilson L, Reis B, et al. Ten strategies to improve management of abnormal test result alerts in the
electronic health record. J Patient Saf. 2010;6(2):121-123. doi:10.1097/PTS.0b013e3181ddf652…
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psnet.ahrq.gov/node/38867/psn-pdf
March 01, 2011 - Management of anesthesia equipment failure: a
simulation-based resident skill assessment.
March 1, 2011
Waldrop WB, Murray DJ, Boulet JR, et al. Management of Anesthesia Equipment Failure: A Simulation-
Based Resident Skill Assessment. Anesthesia & Analgesia. 2009;109(2).
doi:10.1213/ane.0b013e3181aa3079.
https:/…
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psnet.ahrq.gov/node/50556/psn-pdf
January 01, 2021 - The compliance with a patient safety bundle for
management of placenta accreta spectrum.
October 16, 2019
Quist-Nelson J, Crank A, Oliver EA, et al. The compliance with a patient-safety bundle for management of
placenta accreta spectrum†. J Matern Fetal Neonatal Med. 2021;34(17):2880-2886.
doi:10.1080/14767058.201…
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psnet.ahrq.gov/node/43133/psn-pdf
February 25, 2015 - The effectiveness of management-by-walking-around: a
randomized field study.
February 25, 2015
Tucker AL, Singer SJ. The Effectiveness of Management-By-Walking-Around: A Randomized Field Study.
Prod Oper Manag. 2014;24(2). doi:10.1111/poms.12226.
https://psnet.ahrq.gov/issue/effectiveness-management-walking-around…
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psnet.ahrq.gov/node/854634/psn-pdf
January 01, 2024 - Elopement: evidence-based mitigation and management.
October 18, 2023
Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence?based mitigation and management.
Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683.
https://psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
…
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psnet.ahrq.gov/node/46742/psn-pdf
March 14, 2018 - Evidence-based guidelines for fatigue risk management in
emergency medical services.
March 14, 2018
Patterson D, Higgins S, Van Dongen HPA, et al. Evidence-Based Guidelines for Fatigue Risk Management
in Emergency Medical Services. Prehosp Emerg Care. 2018;22(sup1):89-101.
doi:10.1080/10903127.2017.1376137.
https…
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psnet.ahrq.gov/node/46458/psn-pdf
May 30, 2018 - Development of the Huddle Observation Tool for
structured case management discussions to improve
situation awareness on inpatient clinical wards.
May 30, 2018
Edbrooke-Childs J, Hayes J, Sharples E, et al. Development of the Huddle Observation Tool for structured
case management discussions to improve situation aw…
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psnet.ahrq.gov/issue/pediatric-airway-management-and-prehospital-patient-safety-results-national-delphi-survey
March 22, 2017 - Study
Pediatric airway management and prehospital patient safety: results of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children.
Citation Text:
Hansen M, Meckler G, OʼBrien K, et al. Pediatric Airway Management and Prehospital Patient Saf…
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psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among
June 11, 2010 - Study
Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients.
Citation Text:
Sarkar U, Handley MA, Gupta R, et al. Use of an interactive, telephone-based self-management support program to identify adverse ev…
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psnet.ahrq.gov/issue/role-hospital-managers-quality-and-patient-safety-systematic-review
December 30, 2014 - Review
The role of hospital managers in quality and patient safety: a systematic review.
Citation Text:
Parand A, Dopson S, Renz A, et al. The role of hospital managers in quality and patient safety: a systematic review. BMJ Open. 2014;4(9):e005055. doi:10.1136/bmjopen-2014-005055.
Cop…
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psnet.ahrq.gov/issue/how-induce-error-management-climate-experimental-evidence-newly-formed-teams
August 24, 2022 - Study
How to induce an error management climate: experimental evidence from newly formed teams.
Citation Text:
Horvath D, Keith N, Klamar A, et al. How to induce an error management climate: experimental evidence from newly formed teams. J Bus Psychol. 2023;38:763–775. doi:10.1007/s10869…
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psnet.ahrq.gov/issue/pain-management-best-practices-multispecialty-organizations-during-covid-19-pandemic-and
November 16, 2022 - Commentary
Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises.
Citation Text:
Cohen SP, Baber ZB, Buvanendran A, et al. Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Pu…
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psnet.ahrq.gov/node/45234/psn-pdf
November 18, 2016 - Recommended responsibilities for management of MR
safety.
November 18, 2016
Calamante F, Ittermann B, Kanal E, et al. Recommended responsibilities for management of MR safety. J
Magn Reson Imaging. 2016;44(5):1067-1069. doi:10.1002/jmri.25282.
https://psnet.ahrq.gov/issue/recommended-responsibilities-management-mr…
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psnet.ahrq.gov/node/43749/psn-pdf
December 10, 2014 - Alarm management: first things first: using reliable data
to eliminate unnecessary alarms.
December 10, 2014
Vanderveen T. Patient Saf Qual Healthc. November/December 2014;11:38-40,42-45.
https://psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary-
alarms
Spotlightin…