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  1. psnet.ahrq.gov/issue/nurses-experiences-organizational-learning
    July 21, 2021 - Study Nurses' experiences of organizational learning. Citation Text: Lyman B, Biddulph ME, Hopper VG, et al. Nurses' experiences of organisational learning: a qualitative descriptive study. J Nurs Manag. 2020;28(6):1241-1249. doi:10.1111/jonm.13070. Copy Citation Format: DO…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46349/psn-pdf
    August 16, 2017 - Health Literacy Tools for Providers of Medication Therapy Management. August 16, 2017 Rockville, MD: Agency for Healthcare Research and Quality; July 2017. https://psnet.ahrq.gov/issue/health-literacy-tools-providers-medication-therapy-management Health literacy is important for effective care communications and s…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40644/psn-pdf
    October 04, 2020 - High-Performance Work Systems in Health Care Management: Parts 1-5. October 4, 2020 Garman AN, McAlearney AS, Harrison MI, et al. Health Care Manag Rev. 2011-2020. https://psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2 In this continuing series, high-performance work pr…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846445/psn-pdf
    March 22, 2023 - Formalizing the hidden curriculum of performance enhancing errors. March 22, 2023 Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009. https://psnet.ahrq.gov/issue/formalizing-hidden-curriculum-perform…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36122/psn-pdf
    January 05, 2017 - Using an MET service to manage hemorrhage post- percutaneous liver biopsy. January 5, 2017 Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417. https://psnet.ahrq.gov/issue/using-met-service-manage-hemorrhage-post…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45150/psn-pdf
    October 13, 2018 - Pain as the neglected patient safety concern: five years on. October 13, 2018 Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422. https://psnet.ahrq.gov/issue/pain-neglected-patient-safety-conce…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45711/psn-pdf
    March 27, 2017 - Management of a patient with a latex allergy. March 27, 2017 Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA. 2017;317(3):309-310. doi:10.1001/jama.2016.20034. https://psnet.ahrq.gov/issue/management-patient-latex-allergy This case analysis discusses the use of a latex cathet…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49739/psn-pdf
    August 21, 2015 - Breathe Easy: Safe Tracheostomy Management August 21, 2015 Russell MS, Russell MD. Breathe Easy: Safe Tracheostomy Management. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management The Case A 75-year-old man was admitted to the hospital with sepsis due to multilobar pneumo…
  9. psnet.ahrq.gov/issue/ehealth-safety-impact-ict-patient-safety-and-risk-management
    June 18, 2013 - Book/Report eHealth for Safety: Impact of ICT on Patient Safety and Risk Management. Citation Text: eHealth for Safety: Impact of ICT on Patient Safety and Risk Management. European Commission Information Society and Media. October 2007 Copy Citation Save Save…
  10. psnet.ahrq.gov/issue/tackling-disrespectful-unprofessional-provider-behaviors
    January 13, 2021 - Newspaper/Magazine Article Tackling disrespectful, unprofessional provider behaviors. Citation Text: Tackling Disrespectful, Unprofessional Provider Behaviors. ED Manage. 2016;28(6):S1-S4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44643/psn-pdf
    July 21, 2016 - Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. July 21, 2016 Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medic…
  12. psnet.ahrq.gov/issue/jcahos-safety-goals-clock-ticking-will-your-ed-be-compliant
    April 10, 2019 - Commentary JCAHO's safety goals—the clock is ticking, will your ED be compliant? Citation Text: JCAHO's safety goals--the clock is ticking, will your ED be compliant? ED Manag. 2005;17(7):73-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61050/psn-pdf
    October 21, 2020 - Health care management during Covid-19: insights from complexity science. October 21, 2020 Begun JW, Jiang HJ. NEJM Catalyst. October 9, 2020.  https://psnet.ahrq.gov/issue/health-care-management-during-covid-19-insights-complexity-science Complexity science provides a foundation to manage and learn from cris…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842759/psn-pdf
    January 18, 2023 - Cognitive aids in the management of clinical emergencies: a systematic review. January 18, 2023 Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia. 2023;78(3):343-355. doi:10.1111/anae.15939. https://psnet.ahrq.gov/issue/cognitive-aids…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40308/psn-pdf
    April 22, 2011 - Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers. April 22, 2011 Braithwaite J, Westbrook MT, Robinson M, et al. Improving patient safety: the comparative views of patient- safety specialists, workforce staff and managers. BMJ Qual Saf. 2011;20(5):424-31. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39960/psn-pdf
    September 19, 2016 - Respectful Management of Serious Clinical Adverse Events. Second Edition. September 19, 2016 Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Healthcare Improvement; 2011. https://psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition This white paper e…
  17. psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing-pharmacist-service
    August 05, 2020 - Study Improved medication management with introduction of a perioperative and prescribing pharmacist service. Citation Text: Nguyen AD, Lam A, Banakh I, et al. Improved medication management with introduction of a perioperative and prescribing pharmacist service. J Pharm Pract. 2020;33(3…
  18. psnet.ahrq.gov/issue/compliance-patient-safety-bundle-management-placenta-accreta-spectrum
    October 19, 2022 - Study The compliance with a patient safety bundle for management of placenta accreta spectrum. Citation Text: Quist-Nelson J, Crank A, Oliver EA, et al. The compliance with a patient-safety bundle for management of placenta accreta spectrum†. J Matern Fetal Neonatal Med. 2021;34(17):2880…
  19. psnet.ahrq.gov/issue/examining-nurses-decision-process-medication-management-home-care
    December 21, 2018 - Commentary Examining nurses' decision process for medication management in home care. Citation Text: Kovner C, Menezes J, Goldberg JD. Examining nurses' decision process for medication management in home care. Jt Comm J Qual Patient Saf. 2005;31(7):379-85. Copy Citation Format: …
  20. psnet.ahrq.gov/issue/approaches-improving-continuity-care-medication-management-systematic-review
    April 13, 2022 - Review Approaches for improving continuity of care in medication management: a systematic review. Citation Text: Spinewine A, Claeys C, Foulon V, et al. Approaches for improving continuity of care in medication management: a systematic review. Int J Qual Health Care. 2013;25(4):403-17. d…

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