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psnet.ahrq.gov/node/36474/psn-pdf
May 26, 2011 - The checklist--a tool for error management and
performance improvement.
May 26, 2011
Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit
Care. 2006;21(3):231-5.
https://psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
This commentar…
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psnet.ahrq.gov/node/36066/psn-pdf
January 05, 2017 - Using an MET service to manage an acute
thromboembolic stroke.
January 5, 2017
Jones D, Bellomo R, Leong T. Using an MET service to manage an acute thromboembolic stroke. Jt Comm
J Qual Patient Saf. 2006;32(7):361-5, 357.
https://psnet.ahrq.gov/issue/using-met-service-manage-acute-thromboembolic-stroke
The author…
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psnet.ahrq.gov/node/37521/psn-pdf
January 06, 2017 - Implementing computerized physician order management
at a community hospital.
January 6, 2017
Kraus S, Barber TR, Briggs B, et al. Implementing computerized physician order management at a
community hospital. Jt Comm J Qual Patient Saf. 2008;34(2):74-84.
https://psnet.ahrq.gov/issue/implementing-computerized-physi…
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psnet.ahrq.gov/node/35025/psn-pdf
September 21, 2005 - A mediation skills model to manage disclosure of errors
and adverse events to patients.
September 21, 2005
Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events
To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.23.4.22.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/issue/adverse-incidents-patient-flow-and-nursing-workforce-variables-acute-psychiatric-wards
April 03, 2019 - Study
Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study.
Citation Text:
Bowers L, Allan T, Simpson A, et al. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins …
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psnet.ahrq.gov/issue/engineering-foundation-partnership-improve-medication-safety-during-care-transitions
July 20, 2022 - Commentary
Engineering a foundation for partnership to improve medication safety during care transitions.
Citation Text:
Xiao Y, Abebe E, Gurses AP. Engineering a Foundation for Partnership to Improve Medication Safety during Care Transitions. J Patient Saf Risk Manag. 2019;24(1):30-36. …
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psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
April 29, 2018 - Commentary
Unintended errors with EHR-based result management: a case series.
Citation Text:
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.
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psnet.ahrq.gov/issue/patient-safety-public-health
July 19, 2023 - Commentary
Patient safety: this is public health.
Citation Text:
Card AJ. Patient safety: this is public health. J Healthc Risk Manag. 2014;34(1):6-12. doi:10.1002/jhrm.21145.
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psnet.ahrq.gov/issue/apology-errors-whose-responsibility
September 27, 2016 - Commentary
Apology for errors: whose responsibility?
Citation Text:
Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12.
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psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2
March 22, 2017 - Special or Theme Issue
High-Performance Work Systems in Health Care Management: Parts 1-5.
Citation Text:
High-Performance Work Systems in Health Care Management: Parts 1-5. Garman AN, McAlearney AS, Harrison MI, et al. Health Care Manag Rev. 2011-2020.
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psnet.ahrq.gov/node/37804/psn-pdf
January 06, 2017 - Using a medical emergency team to manage anaphylactic
shock.
January 6, 2017
Burns B, Beckett J, Jones D, et al. Using a medical emergency team to manage anaphylactic shock. Jt
Comm J Qual Patient Saf. 2008;34(6):360-3.
https://psnet.ahrq.gov/issue/using-medical-emergency-team-manage-anaphylactic-shock
This case …
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psnet.ahrq.gov/node/38808/psn-pdf
January 01, 2013 - Patient Safety Organizations: a new paradigm in quality
management and communication systems in healthcare.
July 22, 2009
Dotan DB. Patient safety organizations. J Clin Engineer. 2013;34(3):142-146.
doi:10.1097/jce.0b013e3181aae4b2.
https://psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-man…
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psnet.ahrq.gov/node/42367/psn-pdf
July 24, 2013 - Risk Management in Obstetrics and Gynaecology.
July 24, 2013
Edozien LC, ed. Best Pract Res Clin Obstet Gynaecol. 2013;27:A1-A14,479-640.
https://psnet.ahrq.gov/issue/risk-management-obstetrics-and-gynaecology
Articles in this special issue explore risk management topics in obstetrics and gynecology, s…
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psnet.ahrq.gov/node/37749/psn-pdf
July 16, 2018 - Practice advisory for the prevention and management of
operating room fires.
July 16, 2018
Fires AS of ATF on OR, Caplan RA, Barker SJ, et al. Practice advisory for the prevention and management
of operating room fires. Anesthesiology. 2008;108(5):786-801; quiz 971-2.
doi:10.1097/01.anes.0000299343.87119.a9.
htt…
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psnet.ahrq.gov/node/844044/psn-pdf
January 01, 2024 - Effect of contextual factors on the prevalence of
diagnostic errors among patients managed by physicians
of the same specialty: a single-centre retrospective
observational study.
February 8, 2023
Harada Y, Otaka Y, Katsukura S, et al. Effect of contextual factors on the prevalence of diagnostic errors
among patie…
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psnet.ahrq.gov/node/866246/psn-pdf
July 10, 2024 - "They say they listen. But do they really listen?": A
qualitative study of hospital doctors' experiences of
organisational deafness, disconnect and denial.
July 10, 2024
Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of
hospital doctors’ experiences of …
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psnet.ahrq.gov/node/39063/psn-pdf
December 17, 2009 - Safety and risk management interventions in hospitals: a
systematic review of the literature.
December 17, 2009
Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a
systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):90S-119S.
doi:10.1177/10775587093…
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psnet.ahrq.gov/node/37771/psn-pdf
June 29, 2011 - Effect of crew resource management training in a
multidisciplinary obstetrical setting.
June 29, 2011
Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary
obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:10.1093/intqhc/mzn018.
https://psnet…
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psnet.ahrq.gov/node/73134/psn-pdf
April 14, 2021 - Management and patient safety of complex elderly
patients in primary care during the COVID-19 pandemic in
the UK-Qualitative assessment.
April 14, 2021
Alboksmaty A, Kumar S, Parekh R, et al. Management and patient safety of complex elderly patients in
primary care during the COVID-19 pandemic in the UK - qualitat…
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psnet.ahrq.gov/node/47045/psn-pdf
January 21, 2019 - Information management goals and process failures
during home visits for middle-aged and older adults
receiving skilled home healthcare services after hospital
discharge: a multisite, qualitative study.
January 21, 2019
Arbaje AI, Hughes A, Werner N, et al. Information management goals and process failures during …