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psnet.ahrq.gov/node/42357/psn-pdf
December 04, 2016 - Disclosing medical mistakes: a communication
management plan for physicians.
December 4, 2016
Petronio S, Torke A, Bosslet G, et al. Disclosing medical mistakes: a communication management plan for
physicians. Perm J. 2013;17(2):73-9. doi:10.7812/TPP/12-106.
https://psnet.ahrq.gov/issue/disclosing-medical-mistakes…
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psnet.ahrq.gov/node/44583/psn-pdf
February 17, 2016 - Root Cause Analysis Playbook.
February 17, 2016
Chicago, IL: American Society for Healthcare Risk Management; 2015.
https://psnet.ahrq.gov/issue/root-cause-analysis-playbook
Risk management has recently focused on organization-wide improvement in patient safety. This
publication discusses root cause analysis metho…
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psnet.ahrq.gov/node/39180/psn-pdf
December 16, 2009 - Description of inpatient medication management using
cognitive work analysis.
December 16, 2009
Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using
cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181bcad2f.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/41114/psn-pdf
February 01, 2012 - Rapid response systems: identification and management
of the "prearrest state."
February 1, 2012
McCurdy MT, Wood SL. Rapid response systems: identification and management of the "prearrest state".
Emerg Med Clin North Am. 2012;30(1):141-52. doi:10.1016/j.emc.2011.09.012.
https://psnet.ahrq.gov/issue/rapid-respons…
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psnet.ahrq.gov/node/41992/psn-pdf
May 23, 2013 - Errors as allies: error management training in health
professions education.
May 23, 2013
King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions
education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945.
https://psnet.ahrq.gov/issue/errors-allies-error-managem…
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psnet.ahrq.gov/node/35049/psn-pdf
June 22, 2009 - Theoretical approaches for investigating patient safety.
June 22, 2009
Thomas MB, Houston S. Theoretical approaches for investigating patient safety. Clin Nurse Spec.
2005;19(3):129-134.
https://psnet.ahrq.gov/issue/theoretical-approaches-investigating-patient-safety
The authors offer a brief introduction to thr…
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psnet.ahrq.gov/node/61031/psn-pdf
October 14, 2020 - Special Section: Event Analysis and Risk Management.
October 14, 2020
Alemi F ed. Qual Manag Health Care. 2020;29(4):232-278.
https://psnet.ahrq.gov/issue/special-section-event-analysis-and-risk-management
Adverse event analysis is core for organizational learning from poor performance. This special section
d…
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psnet.ahrq.gov/node/47049/psn-pdf
July 10, 2019 - Injectable Opioid Shortages: Suggestions for
Management and Conservation.
July 10, 2019
University of Utah Drug Information Service; ASHP; American Society of Health-System Pharmacists.
https://psnet.ahrq.gov/issue/injectable-opioid-shortages-suggestions-management-and-conservation
Efforts to limit the availabilit…
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psnet.ahrq.gov/node/72484/psn-pdf
November 18, 2020 - Management of Operating Room Critical Events.
November 18, 2020
Hannenberg AA, ed. Anesthesiol Clin. 2020;38(4):727-922.
https://psnet.ahrq.gov/issue/management-operating-room-critical-events
Anesthesiology critical events are uncommon, and yet they have great potential for harm. This special
issue focuses on mana…
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psnet.ahrq.gov/node/35301/psn-pdf
December 01, 2022 - Guiding Principles to Achieve Continuity in Medication
Management.
December 1, 2022
Department of Health and Aged Care. Canberra ACT: Commonwealth of Australia; 2022. ISBN 978-1-
76007-471-5.
https://psnet.ahrq.gov/issue/guiding-principles-achieve-continuity-medication-management
Originally published in 2005, the…
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psnet.ahrq.gov/node/42290/psn-pdf
May 22, 2013 - Safety in Numbers: Evidence-based Development of a
Medicine Management Learning Tool.
May 22, 2013
Holland K, ed. Nurse Educ Pract. 2013;13(2):e1-e87.
https://psnet.ahrq.gov/issue/safety-numbers-evidence-based-development-medicine-management-
learning-tool
Articles in this special issue outline the developm…
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psnet.ahrq.gov/node/34679/psn-pdf
February 09, 2011 - Patient complaints and malpractice risk.
February 9, 2011
Hickson GB, Federspiel CF, Pichert JW, et al. Patient complaints and malpractice risk. JAMA.
2002;287(22):2951-7.
https://psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk
This study examines the association between physicians’ patient complaint …
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psnet.ahrq.gov/node/42951/psn-pdf
September 16, 2014 - Novel approach to cardiac alarm management on
telemetry units.
September 16, 2014
Whalen DA, Covelle PM, Piepenbrink JC, et al. Novel approach to cardiac alarm management on telemetry
units. J Cardiovasc Nurs. 2014;29(5):E13-22. doi:10.1097/JCN.0000000000000114.
https://psnet.ahrq.gov/issue/novel-approach-cardiac-…
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psnet.ahrq.gov/node/36260/psn-pdf
May 27, 2011 - The effect of physicians' long-term use of CPOE on their
test management work practices.
May 27, 2011
Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test
management work practices. J Am Med Inform Assoc. 2006;13(6):643-52.
https://psnet.ahrq.gov/issue/effect-physic…
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psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - Care Managers Use Software-Aided Medication Review
Protocol for Frail, Community-Dwelling Seniors, Leading
to More Appropriate Medication Use
March 31, 2021
https://psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-
community-dwelling
Summary
Care management staff (such …
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psnet.ahrq.gov/node/47812/psn-pdf
April 17, 2019 - Are more experienced clinicians better able to tolerate
uncertainty and manage risks? A vignette study of
doctors in three NHS emergency departments in England.
April 17, 2019
Lawton R, Robinson O, Harrison R, et al. Are more experienced clinicians better able to tolerate uncertainty
and manage risks? A vignette s…
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psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families
November 19, 2015 - Audiovisual
When Things Go Wrong: Voices of Patients and Families.
Citation Text:
When Things Go Wrong: Voices of Patients and Families. CRICO/RMF; Harvard Risk Management Foundation
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psnet.ahrq.gov/issue/nursing-crew-resource-management-follow-report-veterans-health-administration
September 27, 2016 - Commentary
Nursing crew resource management: a follow-up report from the Veterans Health Administration.
Citation Text:
Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1…
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psnet.ahrq.gov/issue/nursing-home-administrators-opinions-resident-safety-culture-nursing-homes
April 06, 2011 - Study
Nursing home administrators' opinions of the resident safety culture in nursing homes.
Citation Text:
Castle NG, Handler S, Engberg J, et al. Nursing home administrators' opinions of the resident safety culture in nursing homes. Health Care Manage Rev. 2007;32(1):66-76.
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psnet.ahrq.gov/issue/literature-review-individual-and-systems-factors-contribute-medication-errors-nursing
April 22, 2011 - Review
A literature review of the individual and systems factors that contribute to medication errors in nursing practice.
Citation Text:
Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice…