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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. 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 …
  6. 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. …
  7. 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. Copy Citation Format: DOI G…
  8. 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. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
  9. 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. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  10. 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. Copy Citation …
  11. Psn-Pdf (pdf file)

    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 …
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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 …
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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 …

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