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psnet.ahrq.gov/web-mm/intubation-mishap
April 26, 2023 - Framework for analysing risk and safety in clinical medicine. … performance and outcomes: literature review and the development of the surgical stress effects (SSE) framework
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psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - Introduction and overview of the conceptual framework for a national quality measurement and reporting
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - language barriers. 3
In England and Wales, the Mental Capacity Act (MCA) 2005 provides a helpful framework … November 2, 2022
Communicating uncertainty: a narrative review and framework for future
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psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - October 20, 2021
Potentially Preventable Readmissions: Conceptual Framework To Rethink … May 7, 2014
Using the NAM diagnostic process framework to teach clinical reasoning in
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psnet.ahrq.gov/node/838220/psn-pdf
September 27, 2019 - on patient safety
Editor’s note: This table is adapted from the “Six Aims of Quality Healthcare” framework … System for the 21st Century).7 The reader may notice
duplicative criteria under some elements of the framework
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psnet.ahrq.gov/node/33797/psn-pdf
January 01, 2016 - Advancing the science of measurement of diagnostic errors in healthcare: the Safer
Dx framework.
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psnet.ahrq.gov/primer/digital-health-literacy
August 30, 2023 - April 18, 2018
mHealth and mobile medical apps: a framework to assess risk and promote safer use.
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II
Frameworks
December 14, 2022
Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
Resilient healthca…
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psnet.ahrq.gov/node/60547/psn-pdf
May 28, 2020 - real-world evidence,
establishing the Signal Management Program, establishing a more patient-centric framework
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - Apprenticeship
Investment in thoughtful and balanced supervision may serve patient safety
One formal framework
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.443_slideshow.ppt
May 01, 2018 - Spotlight
Spotlight
Out of Sight, Out of Mind: Out-of-Office Test Result Management
1
Source and Credits
This presentation is based on the May 2018
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Eric Poon, MD, MPH, Duke University School o…
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psnet.ahrq.gov/node/49814/psn-pdf
December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation
Mishap
December 1, 2017
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet].
2017.
https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
The Case
A 63-year-old man with a history of coronary…
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psnet.ahrq.gov/node/33840/psn-pdf
August 01, 2017 - The changes reinforce the patient safety framework already in place in the Common Program
Requirements
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psnet.ahrq.gov/node/73643/psn-pdf
August 01, 2022 - readmission) that can result from errors during care
transitions by providing clinicians with the framework
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psnet.ahrq.gov/node/49803/psn-pdf
January 01, 2018 - Pediatric vaccination errors: application of the "5 rights"
framework to a national error reporting
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - Is the just culture framework helpful for how an organization should respond?
Yes.
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psnet.ahrq.gov/web-mm/little-shuteye
December 22, 2018 - The framework for identifying and introducing new products should be included in a written policy adopted
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psnet.ahrq.gov/web-mm/misread-label
August 28, 2024 - Misread Label
Citation Text:
Franklin BD. Misread Label. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - work of psychologists, accident experts, and organizational sociologists, Reason provides a conceptual framework
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - July 7, 2021
Patient safety in women's health care: a framework for progress.