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psnet.ahrq.gov/issue/delivery-safe-and-effective-test-result-communication-management-and-follow
August 19, 2020 - Study
The delivery of safe and effective test result communication, management and follow-up.
Citation Text:
Georgiou A, Li J, Thomas J, et al. The delivery of safe and effective test result communication, management and follow-up. Public Health Res Pract. 2023;33(3):e3332324. doi:10.170…
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psnet.ahrq.gov/issue/perioperative-covid-19-defense-evidence-based-approach-optimization-infection-control-and
November 30, 2012 - Commentary
Classic
Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management.
Citation Text:
Dexter F, Parra MC, Brown JR, et al. Perioperative COVID-19 defense: an evidence-based approach for …
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psnet.ahrq.gov/issue/cultural-transformation-after-implementation-crew-resource-management-it-really-possible
November 16, 2022 - Study
Cultural transformation after implementation of crew resource management: is it really possible?
Citation Text:
Hefner JL, Hilligoss B, Knupp A, et al. Cultural Transformation After Implementation of Crew Resource Management: Is It Really Possible? Am J Med Qual. 2017;32(4):384-390…
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psnet.ahrq.gov/issue/team-safety-and-innovation-learning-errors-long-term-care-settings
March 05, 2010 - Study
Team safety and innovation by learning from errors in long-term care settings.
Citation Text:
Buljac-Samardzic M, van Woerkom M, Paauwe J. Team safety and innovation by learning from errors in long-term care settings. Health Care Manage Rev. 2012;37(3):280-91. doi:10.1097/HMR.0b0…
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psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew
April 26, 2023 - Commentary
Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.
Citation Text:
Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …
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psnet.ahrq.gov/issue/impact-crisis-resource-management-simulation-based-training-interprofessional-and
November 13, 2019 - Review
Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review.
Citation Text:
Fung L, Boet S, Bould D, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisci…
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psnet.ahrq.gov/issue/improved-pain-resolution-hospitalized-patients-through-targeting-pain-mismanagement-medical
March 24, 2019 - Study
Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error.
Citation Text:
Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage.…
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psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-influence-safety-management-approaches-and-climate
August 12, 2020 - Study
Classic
Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up.
Citation Text:
Alingh CW, van Wijngaarden JDH, van de Voorde K, et al. Speaking up about patient safety concern…
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psnet.ahrq.gov/node/851053/psn-pdf
June 28, 2023 - In situ simulation as a quality improvement tool to identify
and mitigate latent safety threats for emergency
department SARS-CoV-2 airway management: a multi-
institutional initiative.
June 28, 2023
Yang CJ, Saggar V, Seneviratne N, et al. In situ simulation as a quality improvement tool to identify and
mitigate…
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psnet.ahrq.gov/node/43301/psn-pdf
May 01, 2015 - Walkrounds in practice: corrupting or enhancing a quality
improvement intervention? A qualitative study.
May 1, 2015
Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality
improvement intervention? A qualitative study. Jt Comm J Qual Patient Saf. 2014;40(7):303-310.
htt…
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psnet.ahrq.gov/node/37373/psn-pdf
July 15, 2010 - eHealth for Safety: Impact of ICT on Patient Safety and
Risk Management.
July 15, 2010
European Commission Information Society and Media. October 2007
https://psnet.ahrq.gov/issue/ehealth-safety-impact-ict-patient-safety-and-risk-management
This European report foresees the impact that new communication technologi…
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psnet.ahrq.gov/node/36573/psn-pdf
June 17, 2014 - Safety First: a Report for Patients, Clinicians and
Healthcare Managers.
June 17, 2014
National Patient Safety Agency. London, UK: Crown Publishing; 2006.
https://psnet.ahrq.gov/issue/safety-first-report-patients-clinicians-and-healthcare-managers
This report reviews the challenges of patient safety efforts of the…
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psnet.ahrq.gov/node/40888/psn-pdf
February 28, 2018 - Soaring to Success: Taking Crew Resource Management
from the Cockpit to the Nursing Unit.
February 28, 2018
Sculli GL, Sine DM. Danvers, MA: HCPro, Inc; 2011. ISBN: 9781601467836.
https://psnet.ahrq.gov/issue/soaring-success-taking-crew-resource-management-cockpit-nursing-unit
This book describes how to apply avia…
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psnet.ahrq.gov/node/73221/psn-pdf
May 05, 2021 - Learning Management System.
May 5, 2021
Patient Safety Authority.
https://psnet.ahrq.gov/issue/learning-management-system
This collection of educational modules covers both care delivery and administrative topics to enhance the
safety of healthcare delivery.
https://psnet.ahrq.gov/issue/learning-management-system…
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psnet.ahrq.gov/node/41505/psn-pdf
May 07, 2014 - Health IT Hazard Manager.
May 7, 2014
Rockville, MD: Agency for Healthcare Research and Quality. AHRQ Publication No. 12-0058-EF May 2012.
https://psnet.ahrq.gov/issue/health-it-hazard-manager
This Web site provides information associated with a software tool to identify and prevent hazards from
health information…
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psnet.ahrq.gov/node/867429/psn-pdf
December 18, 2024 - ://psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
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psnet.ahrq.gov/issue/patient-safety-through-eyes-your-peers
August 11, 2021 - Commentary
Patient safety: through the eyes of your peers.
Citation Text:
Bry K, Stettner B, Marks J. Patient safety: through the eyes of your peers. Nurs Manage. 2006;37(6):20-24.
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psnet.ahrq.gov/issue/criminalization-medical-error-who-draws-line
June 24, 2020 - Commentary
Criminalization of medical error: who draws the line?
Citation Text:
Dekker SWA. Criminalization of medical error: who draws the line? ANZ J Surg. 2007;77(10):831-7.
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psnet.ahrq.gov/issue/speaking-being-heard-registered-nurses-perceptions-workplace-communication
June 12, 2019 - Study
Speaking up, being heard: registered nurses' perceptions of workplace communication.
Citation Text:
Garon M. Speaking up, being heard: registered nurses' perceptions of workplace communication. J Nurs Manag. 2012;20(3):361-71. doi:10.1111/j.1365-2834.2011.01296.x.
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psnet.ahrq.gov/issue/employee-discipline-solution-patient-safety
September 15, 2011 - Commentary
Is employee discipline the solution for patient safety?
Citation Text:
Mace KA. Is employee discipline the solution for patient safety? Nurs Manag. 2005;36(12):57-59.
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