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Showing results for "managing".

7221. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838916/psn-pdf
      October 26, 2022 - Falling through the cracks: the invisible hospital cleaning workforce. October 26, 2022 Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035. https://psnet.ahrq.gov/issue/falling-throu…

7222. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60566/psn-pdf
      June 03, 2020 - Fear of Covid-19 leads other patients to decline critical treatment. June 3, 2020 Hafner K. Fear of Covid-19 leads other patients to decline critical treatment. New York Times. 2020;May 25. https://psnet.ahrq.gov/issue/fear-covid-19-leads-other-patients-decline-critical-treatment The uncertainties surrounding cor…

7223. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44420/psn-pdf
      August 26, 2015 - Obstetric safety and quality. August 26, 2015 Pettker CM, Grobman WA. Obstetric Safety and Quality. Obstet Gynecol. 2015;126(1):196-206. doi:10.1097/AOG.0000000000000918. https://psnet.ahrq.gov/issue/obstetric-safety-and-quality Obstetric hospital admission has substantial potential for harm should something go wr…

7224. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42962/psn-pdf
      September 07, 2016 - Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. September 7, 2016 Washington, DC: United States Government Accountability Office; February 10, 2014. Publication GAO-14- 194. https://psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-effor…

7225. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38246/psn-pdf
      January 02, 2009 - Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment. January 2, 2009 Markert A, Thierry V, Kleber M, et al. Chemotherapy safety and severe adverse events in cancer patients: Strategies to efficiently avoid chemotherap…

7226. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46208/psn-pdf
      July 12, 2017 - Improving patient safety by practicing in a just culture. July 12, 2017 Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005. https://psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture The importance of just culture is widel…

7227. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45364/psn-pdf
      September 04, 2016 - A piece of my mind. Changing the narrative. September 4, 2016 Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029. https://psnet.ahrq.gov/issue/piece-my-mind-changing-narrative Storytelling can share knowledge and build community among physicians. However, if clinicians communicat…

7228. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43737/psn-pdf
      January 07, 2015 - How do community pharmacies recover from e- prescription errors? January 7, 2015 Odukoya OK, Stone JA, Chui MA. How do community pharmacies recover from e-prescription errors? Res Social Adm Pharm. 2014;10(6):837-852. doi:10.1016/j.sapharm.2013.11.009. https://psnet.ahrq.gov/issue/how-do-community-pharmacies-recov…

7229. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73894/psn-pdf
      February 22, 2022 - Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief. February 22, 2022 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022.  https://psnet.ahrq.gov/issue/achieving-excellence-cancer-diagnosis Diagnostic errors remain an o…

7230. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48185/psn-pdf
      August 28, 2019 - Addressing the elephant in the room: a shame resilience seminar for medical students. August 28, 2019 Bynum WE, Adams A, Edelman CE, et al. Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students. Acad Med. 2019;94(8):1132-1136. doi:10.1097/ACM.0000000000002646. https://psnet.ahrq.gov/…

7231. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860397/psn-pdf
      January 10, 2024 - MRI safety: prepare for new guidance. January 10, 2024 Gilk T. Appl Radiol. 2023;52(6):24-26. https://psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance Magnetic resonance imaging (MRI) services carry with them unique safety considerations in both hospital and ambulatory scanning environments. This article …

7232. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38736/psn-pdf
      June 24, 2009 - Improving patient safety by understanding past experiences in day surgery and PACU. June 24, 2009 Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001. https://psnet.ahrq.gov/issue/improving-patien…

7233. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45011/psn-pdf
      May 25, 2016 - High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. May 25, 2016 Oster C, Braaten J, eds. Indianapolis, IN: Sigma Theta Tau International; 2016. ISBN: 9781940446387. https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality This publicati…

7234. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45985/psn-pdf
      March 29, 2017 - Building a high-reliability organization: one system's patient safety journey. March 29, 2017 Building a high-reliability organization: one system's patient safety journey. J Healthc Manag. 2017;62. https://psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey High reliabil…

7235. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838182/psn-pdf
      September 28, 2022 - Leadership behaviors, attitudes and characteristics to support a culture of safety. September 28, 2022 Montminy SL. Leadership behaviors, attitudes and characteristics to support a culture of safety. J Healthc Risk Manag. 2022;42(2):31-38. doi:10.1002/jhrm.21521. https://psnet.ahrq.gov/issue/leadership-behaviors-a…

7236. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836784/psn-pdf
      March 23, 2022 - Qualitative content analysis: a framework for the substantive review of hospital incident reports. March 23, 2022 Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/jhrm.21498. https://psnet.ahrq.gov/iss…

7237. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34697/psn-pdf
      December 08, 2010 - Sentinel events. In memory of Ben—a case study. December 8, 2010 Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5. https://psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study Written from the perspective of a risk manager, the author tells the story of a medication a…

7238. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73498/psn-pdf
      July 14, 2021 - Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error July 14, 2021 ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2. https://psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error High-alert medication misadministration i…

7239. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42337/psn-pdf
      December 30, 2014 - In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. December 30, 2014 Patterson M, Geis GL, Falcone RA, et al. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf. 2013;22(6):468-77. doi:10.113…

7240. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47695/psn-pdf
      June 14, 2019 - No shortcuts to safer opioid prescribing. June 14, 2019 Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med. 2019;380(24):2285-2287. doi:10.1056/NEJMp1904190. https://psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing Improving opioid prescribing is a complex challenge tha…