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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.
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www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - Examples of Potential Safer Dx e-Triggers Mapped to Diagnostic Process Dimensions of the Safer Dx Framework
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www.ahrq.gov/sops/news/previous-announcements.html
March 01, 2025 - Shifting to a “Just Culture” framework to assess Response to Error.
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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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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1app.html
March 01, 2019 - These products and outputs include the gap analysis, a key elements framework for care coordination,
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
June 01, 2021 - SBAR provides the framework for clear, concise communication about a resident’s status.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-comp-kit.html
June 01, 2017 - Learn More
CUS Framework
The CUS tool is presented in the Improving Communication and Teamwork
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-comp-kit.html
June 01, 2017 - In particular, the CUS (“Concern-Uncomfortable-Safety Issue”) method serves as a communication 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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www.ahrq.gov/funding/process/grant-app-basics/apptips.html
February 01, 2025 - Lack of a theoretical framework.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-southwest.pdf
November 01, 2017 - EvidenceNow Executive Summary - Southwest Cooperative
Southwest Cooperative
EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare
Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure
to help smaller primary care pract…
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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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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence
Previous Page Next Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspectives on Di…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-i.pdf
July 01, 2017 - Framework for teaching and learning informed shared decision making.
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal5.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Lessons on How To Improve Future National Collaboratives
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Executive Summary
Report Organization
Program Impleme…