A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.

Kurt R. Herzer; Jose M. Rodriguez-Paz; Peter A. Doyle; Paul W. Flint; David J. Feller-Kopman; Joseph Herman; Robert E. Bristow; Renee Cover; Peter Pronovost; Lynette Mark

Commentary

A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.

January 2, 2017

Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. Jt Comm J Qual Patient Saf. 2009;35(2):72-81.

View more articles from the same authors.

This article describes a structured approach to identify and address medical risks that might arise from changes in clinical practice.

PubMed citation

Available at

Related Resources From the Same Author(s)

A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety.

March 1, 2011

Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards.

January 3, 2017

Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement.

February 15, 2011

ReCASTing the RCA: an improved model for performing root cause analyses.

May 26, 2010

Beyond "see one, do one, teach one": toward a different training paradigm.

February 25, 2009

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Cardiac surgery errors: results from the UK National Reporting and Learning System.

December 29, 2014

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

The top patient safety strategies that can be encouraged for adoption now.

March 13, 2013

Advancing the science of patient safety.

September 20, 2011

Related Resources

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Development and content validation of a surgical safety checklist for operating theatres that use robotic technology.

July 31, 2013

Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service.

December 5, 2012

Development and evaluation of a checklist to support decision making in cancer multidisciplinary team meetings: MDT-QuIC.

May 29, 2012

Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward.

March 28, 2011

A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety.

March 1, 2011

Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures.

December 15, 2010

Best-practice protocols: preventing adverse drug events.

July 16, 2009

WebM&M Cases

The Other Side

October 1, 2003

See More About The Topic

A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site

Submit Your Training

Continue as a Guest

Continue Logged In

Submit Your Training

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your Toolkit

Continue as a Guest

Continue Logged In

Submit Your Toolkit

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your WebM&M Case

Continue as a Guest

Continue Logged In

Submit Your WebM&M Case

Continue as a Guest

Already have a PSNet

Account?

New Users