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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - The Substance Abuse and Mental Health Services Administration (SAMHSA) put out a harm reduction framework … Additionally, the Substance Abuse and Mental Health Services Administration (SAMHSA) released a harm reduction framework
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psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
October 30, 2024 - Additionally, the Substance Abuse and Mental Health Services Administration (SAMHSA) released a harm reduction framework … The Substance Abuse and Mental Health Services Administration (SAMHSA) put out a harm reduction framework
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - This thinking aligns with the resilient healthcare and the Safety-II framework , which seeks to define … Patient And Family Engagement: A Framework For Understanding The Elements And Developing Interventions
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - This thinking aligns with the resilient healthcare and the Safety-II framework , which seeks to define … Patient And Family Engagement: A Framework For Understanding The Elements And Developing Interventions
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psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
September 18, 2024 - A framework for classifying factors that contribute to error in the emergency department.
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psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - Diagnostic Error
January 11, 2022
WebM&M Cases
A framework
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - impact 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/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - A uniform approach, on the other hand, creates a reliable framework that minimizes the risk of mistakes
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - From the Same Author(s)
Avoiding a Med-Wreck: a structured medication reconciliation framework
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - Checklists to reduce diagnostic error: a systematic
review of the literature using a human factors framework
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - and Quality
April 26, 2023
WebM&M Cases
A framework
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
June 01, 2016 - April 1, 2009
Competencies for improving diagnosis: an interprofessional framework
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - Norman et al. describe a framework to
understand the genesis for medical errors, related to a dual process
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psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
April 26, 2023 - My late colleague, Jerod Loeb, and I wrote a paper 3 years ago laying out this framework in detail
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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - Each bundle is organized
into a framework under five Rs: readiness, recognition and prevention, response
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psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - To guide the development of the report, the team developed a patient-centric framework that focuses on
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - fully investigated — is closely related to the framing effect and provides
an additional conceptual framework
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psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
August 01, 2016 - implementing effective patient safety practices; and (iv) maintaining vigilance.( 10 ) The elegance of this framework
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx
Spotlight
A Missed Bowel Perforation – the Importance of
Diagnostic Reasoning
Source and Credits
• This presentation is based on the September 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/web…
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - April 22, 2009
Detection of patient risk by nurses: a theoretical framework.