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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - Analyzing Errors Using the Systems Approach The systems approach provides a framework for analysis of
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - Lucian Leape highlighted the issue and presented a framework for
error analysis and prevention that
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - April 24, 2018
Bridging the gap: a framework and strategies for integrating the quality
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-6.html
November 01, 2017 - The six-stage development process included:
Development of conceptual framework and investigation
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psnet.ahrq.gov/node/49853/psn-pdf
February 01, 2019 - Adverse Event During Intrahospital Transport
February 1, 2019
Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
The Case
A 4-year-old boy underwent surgery under general anesthesia for correction o…
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effectivehealthcare.ahrq.gov/sites/default/files/mccormack-presentation.pdf
May 29, 2025 - McCormack-notes-151008 copy - Teresa
My talk today is about engaging patients with
low health
literacy.
1
Health literacy is a key factor in securing access to healthcare services. So in my talk
today, I’ll talk a little bit about health literacy and what it is, how we measure health
literacy and the sta…
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-a.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Appendix A. Checklists for Assessing Executive and Physician Champion Potential
Previous Page Next Page
Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hos…
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Therefore, it is essential to maintain a simple framework that clearly defines clinical responsibility
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psnet.ahrq.gov/node/853772/psn-pdf
September 27, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not
Interchangeable
September 27, 2023
Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
The Case
A fourteen-ye…
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www.ahrq.gov/teamstepps-program/curriculum/communication/teach/two-day.html
December 01, 2023 - The key benefits of SBAR are:
It provides a useful organizing framework that requires focus on key
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www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-change.html
February 01, 2024 - Create a New Culture,” it’s important to remind trainees that they need to think of TeamSTEPPS as a framework
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psnet.ahrq.gov/node/867849/psn-pdf
February 26, 2025 - manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative
https://psnet.ahrq.gov/issue/necessary-leadership-skillsets-high-reliability-organization-framework-adoption-within-acute
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psnet.ahrq.gov/perspective/safety-retail-pharmacy
May 11, 2016 - Similar to findings related to technology implementation in other health care settings, a work system framework
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psnet.ahrq.gov/node/72564/psn-pdf
November 14, 2018 - Disease Control and Prevention (CDC) Core Elements of Outpatient Antibiotic Stewardship
provides a core framework
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effectivehealthcare.ahrq.gov/sites/default/files/fleisher.pdf
January 01, 2010 - Ethnicity
• Geographic location
• Gender
• Income
• Race
Slide
4: Kaiser Permanente Disparities Framework
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psnet.ahrq.gov/node/49703/psn-pdf
March 01, 2014 - Doctor, patient and computer—a framework for the
new consultation.
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psnet.ahrq.gov/node/49484/psn-pdf
June 01, 2005 - A framework for analyzing the cognitive complexity of
computer-assisted clinical ordering.
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psnet.ahrq.gov/node/33739/psn-pdf
October 01, 2012 - Framework for analysing risk and safety in clinical medicine.
BMJ. 1998;316:1154-1157.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/slides.html
October 01, 2020 - To sustain a low rate of surgical site infections within unit/facility
Choose a Family of Measures framework
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psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
February 14, 2024 - Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database