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psnet.ahrq.gov/node/72683/psn-pdf
January 27, 2021 - Analysis of patient safety risk management call data
during the COVID?19 pandemic.
January 27, 2021
Wessels R, McCorkle LM. Analysis of patient safety risk management call data during the COVID?19
pandemic. J Healthc Risk Manag. 2021;40(4):30-37. doi:10.1002/jhrm.21457.
https://psnet.ahrq.gov/issue/analysis-patien…
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psnet.ahrq.gov/node/47405/psn-pdf
January 27, 2019 - Robotic dispensing improves patient safety, inventory
management, and staff satisfaction in an outpatient
hospital pharmacy.
January 27, 2019
Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves
patient safety, inventory management, and staff satisfaction in an outpatie…
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psnet.ahrq.gov/node/855424/psn-pdf
November 15, 2023 - Medical students' experiences, perceptions, and
management of second victim: an interview study.
November 15, 2023
Krogh TB, Mielke-Christensen A, Madsen MD, et al. Medical students’ experiences, perceptions, and
management of second victim: an interview study. BMC Med Educ. 2023;23(1):786. doi:10.1186/s12909-
023…
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psnet.ahrq.gov/node/74101/psn-pdf
November 24, 2021 - Management of the deteriorating adult patient: does
simulation-based education improve patient safety?
November 24, 2021
Bennion J, Mansell SK. Management of the deteriorating adult patient: does simulation-based education
improve patient safety? Br J Hosp Med (Lond). 2021;82(8):1-8. doi:10.12968/hmed.2021.0293.
h…
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psnet.ahrq.gov/node/46378/psn-pdf
April 16, 2018 - Effect of sleep deprivation after a night shift duty on
simulated crisis management by residents in anaesthesia.
A randomised crossover study.
April 16, 2018
Arzalier-Daret S, Buléon C, Bocca M-L, et al. Effect of sleep deprivation after a night shift duty on simulated
crisis management by residents in anaesthesia…
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psnet.ahrq.gov/node/46072/psn-pdf
November 08, 2017 - Repeat prescribing of medications: a system-centred risk
management model for primary care organisations.
November 8, 2017
Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management
model for primary care organisations. J Eval Clin Pract. 2017;23(4):779-796. doi:10.1111/…
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psnet.ahrq.gov/node/44028/psn-pdf
April 01, 2015 - Alarm system management: evidence-based guidance
encouraging direct measurement of informativeness to
improve alarm response.
April 1, 2015
Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct
measurement of informativeness to improve alarm response. BMJ Qual Saf. 2015;24(…
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psnet.ahrq.gov/node/867753/psn-pdf
March 12, 2025 - Enhancing patient safety and risk management through
clinical pathways in oncology.
March 12, 2025
Milanesi M, Fiorito R, Caloccia L, et al. Enhancing patient safety and risk management through clinical
pathways in oncology. BMJ Open Qual. 2025;14(1):e003012. doi:10.1136/bmjoq-2024-003012.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/issue/making-fmea-work-you
July 01, 2019 - Commentary
Making FMEA work for you.
Citation Text:
Reams J. Making FMEA work for you. Nurs Manage. 2011;42(5):18-20. doi:10.1097/01.NUMA.0000396500.05462.6e.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/47223/psn-pdf
August 14, 2018 - Six Building Blocks: A Team-Based Approach to
Improving Opioid Management in Primary Care.
August 14, 2018
MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute,
University of Washington.
https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-op…
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psnet.ahrq.gov/node/74239/psn-pdf
January 12, 2022 - Evaluation of clinical practice guidelines on fall
prevention and management for older adults: a
systematic review.
January 12, 2022
Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, et al. Evaluation of clinical practice guidelines on fall
prevention and management for older adults: a systematic review. JAMA Netw …
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psnet.ahrq.gov/node/44092/psn-pdf
November 16, 2015 - Does lean management improve patient safety culture?
An extensive evaluation of safety culture in a
radiotherapy institute.
November 16, 2015
Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive
evaluation of safety culture in a radiotherapy institute. Eur J Oncol …
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psnet.ahrq.gov/node/45523/psn-pdf
September 28, 2016 - Impact of pharmacist-provided medication therapy
management on healthcare quality and utilization in
recently discharged elderly patients.
September 28, 2016
Haag JD, Davis AZ, Hoel RW, et al. Impact of Pharmacist-Provided Medication Therapy Management on
Healthcare Quality and Utilization in Recently Discharged E…
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psnet.ahrq.gov/node/44089/psn-pdf
April 22, 2015 - Learning from mistakes and near mistakes: using root
cause analysis as a risk management tool.
April 22, 2015
Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk
Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.2014.11.004.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/73697/psn-pdf
September 15, 2021 - Thematic analysis of nurses' experiences with The Joint
Commission's medication management titration
standards.
September 15, 2021
Davidson JE, Chechel L, Chavez J, et al. Thematic analysis of nurses' experiences with The Joint
Commission's medication management titration standards. Am J Crit Care. 2021;30(5):375-…
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psnet.ahrq.gov/node/46835/psn-pdf
February 28, 2018 - Errors detected in pediatric oral liquid medication doses
prepared in an automated workflow management system.
February 28, 2018
Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses
prepared in an automated workflow management system. Am J Health Syst Pharm. 2018;75…
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psnet.ahrq.gov/node/50802/psn-pdf
January 15, 2020 - Use of error management theory to quantify and
characterize residents' error recovery strategies.
January 15, 2020
Pugh CM, Law KE, Cohen ER, et al. Use of error management theory to quantify and characterize
residents’ error recovery strategies. Am J Surg. 2020;219(2):214-220. doi:10.1016/j.amjsurg.2019.11.013.
h…
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psnet.ahrq.gov/node/841477/psn-pdf
December 14, 2022 - Health system redesign of cardiac monitoring oversight
to optimize alarm management, safety, and staff
engagement.
December 14, 2022
Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize
alarm management, safety, and staff engagement. J Nurs Adm. 2022;52(10):511-…
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psnet.ahrq.gov/node/862150/psn-pdf
February 07, 2024 - Effectiveness of ChatGPT in clinical pharmacy and the
role of artificial intelligence in medication therapy
management.
February 7, 2024
Roosan D, Padua P, Khan R, et al. Effectiveness of ChatGPT in clinical pharmacy and the role of artificial
intelligence in medication therapy management. J Am Pharm Assoc (2003).…
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psnet.ahrq.gov/node/36120/psn-pdf
January 04, 2009 - Risk Management Pearls on Disclosure of Adverse
Events.
January 4, 2009
Amori GH. Chicago, IL: American Society for Healthcare Risk Management; 2006.
https://psnet.ahrq.gov/issue/risk-management-pearls-disclosure-adverse-events
This booklet shares scenarios and strategies for effective communication during disclos…