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psnet.ahrq.gov/issue/how-guide-prevent-obstetrical-adverse-events
August 08, 2012 - January 23, 2019
A Framework for Safe, Reliable, and Effective Care. … January 27, 2016
IHI Framework for Improving Joy in Work.
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psnet.ahrq.gov/issue/just-culture-guide
July 18, 2018 - February 2, 2022
Just a Cup of Tea – an Introduction to the SEIPS Framework. … April 15, 2020
Never Events--Framework 2010-11.
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psnet.ahrq.gov/issue/being-open-communicating-patient-safety-incidents-patients-and-their-carers
October 26, 2007 - October 26, 2007
Never Events--Framework 2010-11. … May 22, 2019
The Canadian Quality and Patient Safety Framework for Health and Social
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psnet.ahrq.gov/issue/soaring-success-taking-crew-resource-management-cockpit-nursing-unit
June 22, 2016 - July 5, 2008
Cleveland Clinic Health System: a comprehensive framework for a health system … Patient Safety Innovations
The I-READI Quality and Safety Framework
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psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
November 18, 2011 - October 24, 2012
A Framework for Safe, Reliable, and Effective Care. … January 27, 2016
IHI Framework for Improving Joy in Work.
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psnet.ahrq.gov/node/839317/psn-pdf
November 02, 2022 - Implementation and facilitation of post-resuscitation
debriefing: a comparative crossover study of two post-
resuscitation debriefing frameworks.
November 2, 2022
Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing:
a comparative crossover study of two post-re…
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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/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/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/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/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/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/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/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/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/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.
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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/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - Those reports pointed out how much room we have for improvement in quality and set forward the basic framework … Michelle Schreiber: Yes; as part of our overall measurement strategy, we have the Meaningful Measures framework … The framework tracks very closely to our National Quality Strategy and patient safety is prominent among