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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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…
  5. psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
    May 29, 2024 - Patient Safety Innovations The I-READI Quality and Safety Framework
  6. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide5.html
    October 01, 2022 - The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter 3.
  7. Appendixb (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/AppendixB.pdf
    February 01, 2012 - ● Adult Learning Theory: a theoretical framework for helping adults learn new skills or information
  8. 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…
  9. www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/other-resources.html
    September 01, 2021 - Step 3: Engage Youth and Family Journal Article: Patient And Family Engagement: A Framework For
  10. 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
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60745/psn-pdf
    October 01, 2020 - Perioperative pharmacology: a framework for perioperative medication safety.
  13. psnet.ahrq.gov/web-mm/dangerous-dialysis
    June 12, 2024 - Patient Safety Innovations The I-READI Quality and Safety Framework
  14. psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
    July 08, 2022 - Diagnostic Error January 11, 2022 WebM&M Cases A framework
  15. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide5.html
    October 01, 2022 - The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter 3.
  16. psnet.ahrq.gov/web-mm/discharge-fumbles
    September 09, 2009 - February 17, 2017 A framework to assess patient-reported adverse outcomes arising during
  17. 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
  18. effectivehealthcare.ahrq.gov/sites/default/files/related_files/misuse-prescription-protocol.pdf
    September 13, 2024 - Judging the quality of evidence in reviews of prognostic factor research: adapting the GRADE framework
  19. www.ahrq.gov/patient-safety/reports/hotline/intro1.html
    May 01, 2016 - The team worked with the two organizations to clarify the legal and regulatory framework for operation
  20. psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
    May 16, 2022 - Patient Safety Innovations The I-READI Quality and Safety Framework