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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - Improving end-of-life communication and decision making: the development of a conceptual framework and
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - Diagnostic Error
January 11, 2022
WebM&M Cases
A framework
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psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
May 16, 2022 - Patient Safety Innovations
The I-READI Quality and Safety Framework
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - February 17, 2017
A World Health Organization field trial assessing a proposed ICD-11 framework
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - Patient Safety Innovations
The I-READI Quality and Safety Framework
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Its framework requires the individual harboring the safety concern to voice it to the appropriate person
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psnet.ahrq.gov/web-mm/more-treatment-better-care
August 11, 2021 - This case fits the Less is More (LIM) framework, as there is no benefit to the extended apheresis treatments
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - Reason's model, the Human Factors Analysis and Classification System (HFACS) provides a comprehensive framework
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - both
unusual.4
Although specific to gynecologic surgery, Gostout and colleagues provide a useful framework
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psnet.ahrq.gov/node/72563/psn-pdf
December 07, 2020 - program in an academic dental practice using the CDC Core Elements of Outpatient Antibiotic Stewardship
framework
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psnet.ahrq.gov/web-mm/customer-always-right
January 22, 2014 - Their Transforming Care at the Bedside effort is a framework for change on medical/surgical units built
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - October 16, 2024
WebM&M Cases
A framework for assessing
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psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability
Citation Text:
Semkiw K, Anderson D, Natale JA. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability. PSNet [internet]. Rockville (MD): Agency for Heal…
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - Updates in the Role of Health IT in Patient Safety
February 21, 2020
Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
Background
Health information technology (HIT) has the potential…
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psnet.ahrq.gov/node/865656/psn-pdf
April 24, 2024 - It is recommended for organizations to establish a framework for retrospective review of override
activity
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - What gives you enthusiasm that this
new organizational framework, that's much larger and in many ways
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - , and much of what falls under the rubric of patient engagement have yet to be integrated into
the framework
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psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
February 21, 2024 - utilized to convey clinical information—the Situation, Background, Assessment, Recommendation (SBAR) framework
-
psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - a standard structure embedded into all
components of the intervention that serves as an organizing framework
-
psnet.ahrq.gov/web-mm/july-syndrome
July 01, 2011 - July Syndrome
Citation Text:
Young JQ. July Syndrome. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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