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psnet.ahrq.gov/node/60721/psn-pdf
July 21, 2020 - in before, so we better be thinking of
how we're going to produce a hybrid-like system, capable of managing … Hall, MD, MS
Managing Director, IMPAQ Health
IMPAQ International
Columbia, MD
Bryan Gale, MA
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psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - In contrast, surveillance monitoring is much more like a safety net to back up clinicians who are managing … A nurse in general care managing five patients may be busy with one patient when another patient down
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - In contrast, surveillance monitoring is much more like a safety net to back up clinicians who are managing … A nurse in general care managing five patients may be busy with one patient when another patient down
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psnet.ahrq.gov/issue/effective-followership-standardized-algorithm-resolve-clinical-conflicts-and-improve-teamwork
March 13, 2013 - Commentary
Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork.
Citation Text:
Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork. J Healthc Risk Manag. 20…
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psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake
March 13, 2013 - Study
The Daily Plan: including patients for safety's sake.
Citation Text:
King BJ, Mills PD, Fore AM, et al. The Daily Plan®: Including patients for safety's sake. Nurs Manage. 2012;43(3):15-8. doi:10.1097/01.NUMA.0000412229.53136.3e.
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psnet.ahrq.gov/issue/barriers-and-facilitators-taking-action-after-classroom-based-crew-resource-management
July 10, 2013 - Study
Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs.
Citation Text:
Kemper PE, van Dyck C, Wagner C, et al. Barriers and facilitators for taking action after classroom-based crew resource management training at three ICU…
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psnet.ahrq.gov/issue/integrating-safety-i-and-safety-ii-conceptual-frameworks-enhance-safety-measurement-and
September 27, 2023 - Commentary
Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management.
Citation Text:
Lounsbury O, Brant K, Stockwell DC. Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. J Patient Saf Risk M…
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psnet.ahrq.gov/issue/improving-patient-safety-using-sterile-cockpit-principle-during-medication-administration
September 12, 2016 - Study
Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.
Citation Text:
Fore AM, Sculli GL, Albee D, et al. Improving patient safety using the sterile cockpit principle during medication administration: a…
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - SPOTLIGHT CASE
Dropping to New Lows
Citation Text:
Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/node/43614/psn-pdf
October 22, 2014 - Hardwiring patient blood management: harnessing
information technology to optimize transfusion practice.
October 22, 2014
Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information
technology to optimize transfusion practice. Curr Opin Hematol. 2014;21(6):515-20.
doi:10.1097/MOH.000…
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psnet.ahrq.gov/node/34649/psn-pdf
June 11, 2014 - On error management: lessons from aviation.
June 11, 2014
Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785.
https://psnet.ahrq.gov/issue/error-management-lessons-aviation
In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and
…
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psnet.ahrq.gov/node/45895/psn-pdf
February 22, 2017 - Opioids for pain management in older adults: strategies
for safe prescribing.
February 22, 2017
Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2).
doi:10.1097/01.npr.0000511772.62176.10.
https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing
Use…
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psnet.ahrq.gov/node/46152/psn-pdf
May 31, 2017 - Root cause analysis of adverse events in an outpatient
anticoagulation management consortium.
May 31, 2017
Graves CM, Haymart B, Kline-Rogers E, et al. Root Cause Analysis of Adverse Events in an Outpatient
Anticoagulation Management Consortium. Jt Comm J Qual Patient Saf. 2017;43(6):299-307.
doi:10.1016/j.jcjq.20…
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psnet.ahrq.gov/node/840475/psn-pdf
November 30, 2022 - Complexity and challenges of the clinical diagnosis and
management of Long COVID.
November 30, 2022
O’Hare AM, Vig EK, Iwashyna TJ, et al. Complexity and challenges of the clinical diagnosis and
management of Long COVID. JAMA Netw Open. 2022;5(11):e2240332.
doi:10.1001/jamanetworkopen.2022.40332.
https://psnet.ah…
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psnet.ahrq.gov/node/45727/psn-pdf
August 03, 2017 - Evidence-based guidelines for fatigue risk management in
EMS: formulating research questions and selecting
outcomes.
August 3, 2017
Patterson D, Higgins S, Lang ES, et al. Evidence-Based Guidelines for Fatigue Risk Management in EMS:
Formulating Research Questions and Selecting Outcomes. Prehosp Emerg Care. 2017;2…
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psnet.ahrq.gov/node/44010/psn-pdf
April 22, 2015 - Results of a survey among GP practices on how they
manage patient safety aspects related to point-of-care
testing in every day practice.
April 22, 2015
de Vries C, Doggen C, Hilbers E, et al. Results of a survey among GP practices on how they manage
patient safety aspects related to point-of-care testing in every …
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psnet.ahrq.gov/node/836994/psn-pdf
April 27, 2022 - Conversations on diagnostic uncertainty and its
management among pediatric acute care physicians.
April 27, 2022
Patel SJ, Ipsaro A, Brady PW. Conversations on diagnostic uncertainty and its management among
pediatric acute care physicians. Hosp Pediatr. 2022;12(3):317-324. doi:10.1542/hpeds.2021-006076.
https://p…
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psnet.ahrq.gov/node/42916/psn-pdf
February 05, 2014 - Are autopsy findings still relevant to the management of
critically ill patients in the modern era?
February 5, 2014
Fröhlich S, Ryan O, Murphy N, et al. Are autopsy findings still relevant to the management of critically ill
patients in the modern era? Crit Care Med. 2014;42(2):336-43. doi:10.1097/CCM.0b013e3182a2…
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psnet.ahrq.gov/node/73867/psn-pdf
September 22, 2021 - A dynamic risk management approach for reducing harm
from invasive bedside procedures performed during
residency.
September 22, 2021
Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from
invasive bedside procedures performed during residency. Acad Med. 2021;96(9):1268-1275.
…
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psnet.ahrq.gov/node/45505/psn-pdf
July 01, 2017 - A model for the departmental quality management
infrastructure within an academic health system.
July 1, 2017
Mathews SC, Demski R, Hooper JE, et al. A Model for the Departmental Quality Management
Infrastructure Within an Academic Health System. Acad Med. 2017;92(5):608-613.
doi:10.1097/ACM.0000000000001380.
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