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Showing results for "managing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47398/psn-pdf
    December 22, 2018 - Simulation-based clinical rehearsals as a method for improving patient safety. December 22, 2018 Arnold J, Cashin M, Olutoye OO. Simulation-Based Clinical Rehearsals as a Method for Improving Patient Safety. JAMA Surg. 2018;153(12):1143-1144. doi:10.1001/jamasurg.2018.3526. https://psnet.ahrq.gov/issue/simulation-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72814/psn-pdf
    March 10, 2021 - Implementing a human factors approach to RCA(2) : tools, processes and strategies. March 10, 2021 Wiegmann DA, Wood LJ, Solomon DB, et al. Implementing a human factors approach to RCA(2) : tools, processes and strategies. J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.21454. https://psnet.ahrq.gov/issue/…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37686/psn-pdf
    November 30, 2016 - Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report. November 30, 2016 Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; March 2008. AHRQ Publication No. 08-0039. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72625/psn-pdf
    January 13, 2021 - US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. January 13, 2021 Butler CR, Wong SPY, Wightman AG, et al. US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. JAMA Netw Open. 2020;3(11):e20…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847052/psn-pdf
    April 05, 2023 - An examination of Leapfrog safety measures and Magnet designation. April 5, 2023 Tai TWC, Mattie A, Miller SM, et al. An examination of Leapfrog safety measures and Magnet designation. J Healthc Risk Manag. 2023;42(3-4):21-29. doi:10.1002/jhrm.21533. https://psnet.ahrq.gov/issue/examination-leapfrog-safety-measure…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867137/psn-pdf
    November 13, 2024 - Enteral nutrition: an underappreciated source of patient safety events. November 13, 2024 Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events. Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153. https://psnet.ahrq.gov/issue/enteral-nutrition-underapprec…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60334/psn-pdf
    May 13, 2020 - Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. May 13, 2020 National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies Press: 2020. ISBN 9780309676250. https://psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45767/psn-pdf
    April 17, 2017 - Medication errors attributed to health information technology. April 17, 2017 Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8. https://psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology The unintended consequences associated with health information technologies for …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44361/psn-pdf
    November 20, 2015 - Communication in healthcare: a narrative review of the literature and practical recommendations. November 20, 2015 Vermeir P, Vandijck D, Degroote S, et al. Communication in healthcare: a narrative review of the literature and practical recommendations. Int J Clin Pract. 2015;69(11):1257-67. doi:10.1111/ijcp.12686.…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838017/psn-pdf
    September 07, 2022 - Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. September 7, 2022 Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. Health Promot Pract. 2022;23(4):555-5…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865722/psn-pdf
    May 01, 2024 - Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. May 1, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(8):1-4. https://psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside- intravenous-iv-pole A multitude of latent…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852456/psn-pdf
    August 16, 2023 - Residents, responsibility, and error: how residents learn to navigate the intersection. August 16, 2023 Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000000005267. https://psnet.ahrq.go…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46898/psn-pdf
    April 16, 2019 - TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. April 16, 2019 Parker AL, Forsythe LL, Kohlmorgen IK. TeamSTEPPS : An evidence-based approach to reduce clinical errors threatening safety in outpatient settings: An integrative review…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42973/psn-pdf
    January 01, 2015 - Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership. December 19, 2014 Zaheer S, Ginsburg LR, Chuang Y-T, et al. Patient safety climate (PSC) perceptions of frontline staff in acute care …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73165/psn-pdf
    April 21, 2021 - Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. April 21, 2021 Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. J Amer Med Inform Assoc. 2020;28(…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867755/psn-pdf
    March 12, 2025 - Nurse leader perspectives and experiences on caregiver support following a serious medical error. March 12, 2025 Prothero MM, Sorhus M, Huefner K. Nurse leader perspectives and experiences on caregiver support following a serious medical error. J Nurs Adm. 2024;54(12):664-669. doi:10.1097/nna.0000000000001510. htt…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74135/psn-pdf
    December 01, 2021 - Communication regarding adverse neonatal birth events: experiences of parents and clinicians. December 1, 2021 Loren DL, Lyerly AD, Lipira L, et al. Communication regarding adverse neonatal birth events: experiences of parents and clinicians. J Patient Saf Risk Manag. 2021;26(5):200-206. doi:10.1177/25160435211017…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73299/psn-pdf
    May 19, 2021 - More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. May 19, 2021 ISMP Medication Safety Alert! Acute Care Edition. May 6, 2021;26(9):1-4. https://psnet.ahrq.gov/issue/more-can-be-done-alleviate-errors-associated-pharmaceutical-product- labeling-and-packaging Look-al…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838314/psn-pdf
    October 12, 2022 - Stakeholder safety communication: patient and family reports on safety risks in hospitals. October 12, 2022 Reader TW. Stakeholder safety communication: patient and family reports on safety risks in hospitals. J Risk Res. 2022;25(7):807-824. doi:10.1080/13669877.2022.2061036. https://psnet.ahrq.gov/issue/stakehold…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837307/psn-pdf
    June 01, 2022 - Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. June 1, 2022 McQueen JM, Gibson KR, Manson M, et al. Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring th…
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