-
psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - Crucible of Money, Policy, Research, and Patient Care
August 1, 2009
The PRIDx framework
-
psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - A framework for evaluating electronic health record vendor user-centered design and usability testing
-
psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
July 23, 2024 - Patient Safety Innovations
The I-READI Quality and Safety Framework
-
psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - Classifying safety events related to diagnostic imaging from a safety
reporting system using a human factors framework
-
psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic
October 30, 2024 - Patient Safety Innovations
The I-READI Quality and Safety Framework
-
psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - Their Transforming Care at the Bedside
effort is a framework for change on medical/surgical units built
-
psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - Provide assistance in
evaluating the impact of
interventions in CQI
framework and designing
additional
-
psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - Standards such as the Joint
Commission National Patient Safety Goals provide a valuable framework for
-
psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - Perioperative pharmacology: a framework for perioperative
medication safety.
-
psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - Applying the framework in the analysis of this case
reveals a substantial number of failures and areas
-
psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - Reason's model, the Human
Factors Analysis and Classification System (HFACS) provides a comprehensive framework
-
psnet.ahrq.gov/node/49828/psn-pdf
May 01, 2018 - Out of Sight, Out of Mind: Out-of-Office Test Result
Management
May 1, 2018
Poon EG. Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
Case Objectives
Recognize the general responsibilities of…
-
psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - there a risk that things will get worse again if we shift back toward a more
accountability-focused framework
-
psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - Duplicate Insulin Order
March 1, 2019
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/duplicate-insulin-order
The Case
A 45-year-old man with a history of insulin-dependent diabetes mellitus was seen in the emergency
department (ED) for complaints of letharg…
-
psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
January 01, 2020 - Heuristics made easy: an effort-reduction framework.
-
psnet.ahrq.gov/node/33663/psn-pdf
September 15, 2008 - After that meeting, we adopted a curriculum built on the "Achieving Safe and Reliable Healthcare" (
4) framework
-
psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - Failure to Rescue the Mother
Citation Text:
Vivero A, Klapper EB, Gregory KD, et al. Failure to Rescue the Mother. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote…
-
psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - Patient Safety Innovations
The I-READI Quality and Safety Framework
-
psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Annual Perspective
Impact of System Failures on Healthcare Workers
George Zangaro, PhD, RN, FAAN, Cindy Manaoat Van, MHSA, Sarah Mossburg, RN, PhD
| March 21, 2023
View more articles from the same authors.
Citation Text:
Zangaro G, Van CM, Mossburg S. Imp…
-
psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - February 17, 2017
A framework to assess patient-reported adverse outcomes arising during