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Showing results for "consequences".

1. Practice Member Survey Code Book (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-baseline.pdf
   January 01, 2014 - for some of my patients........................... 4  This new guideline will have negative consequences … for some of my patients........................... 4  This new guideline will have negative consequences … for some of my patients........................... 4  This new guideline will have negative consequences … for some of my patients........................... 4  This new guideline will have negative consequences … for some of my patients........................... 4  This new guideline will have negative consequences

2. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
   April 04, 2008 - Abstract Reports on errors can be a rich source for understanding their causes, cascades, and consequences … A reported event can consist of one or more errors, together with causes and consequences. … • Insight into causes, cascades, and consequences of errors. … Consequences of Error: Wrong dose Select the Consequence from the list Click on this consequence G … Consequences of Error: Wrong dose Click on the Severity level Severity Level 1. ................ 2.

3. Screener Items for the CAHPS Item Set for Children with Chronic Conditions | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/children-chronic/screener.html
   April 01, 2022 - CAHPS Methodology: Focus on Consequences This item set addresses this problem by classifying children … as having a chronic condition if they report one or more of the consequences associated with such conditions … The questions cover the following five health consequences: ·Use or need of prescription medication

4. Attachment 9.1: Table 1. Questions About the Measure's Use at Different Levels of Aggregation for Quality Reporting (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-ix.pdf
   January 11, 2017 - Unintended consequences: What are the potential unintended consequences of reporting at this … Unintended consequences: What are the potential unintended consequences of reporting at this

5. Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
   April 06, 2008 - an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences … an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences … The risk of unintended consequences with implementation of EHRs and CPOE systems is great. … One expert panel has described nine categories of adverse consequences:13 1. … Types of unintended consequences related to computerized provider order entry.

6. Pediatric Medical Complexity Algorithm (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-fullreport.pdf
   July 01, 2017 - Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … No. 13 Unintended consequences: What are the potential unintended consequences of reporting at

7. Appendix C: "Long List" of Delivery System Research Areas | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapc.html
   February 01, 2014 - What are unintended consequences of pay for performance programs? … Are there unintended and undesirable consequences of the process? … Are there unintended and undesirable consequences of the process? … What, if any, unintended consequences of the process are occurring? How might these be mitigated? … What are unintended consequences of internal pay for performance and internal reporting of individuals

8. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/neumiller.html
   August 01, 2017 - a potential ADE could result from each medication discrepancy and subsequently rated the potential consequences … , abnormal laboratory data or vital signs in 47 percent of the cases, and no subsequent health care consequences … No likely subsequent health consequences were evaluated for 23 (4 percent) potential ADEs. … Study Identified Potential Health Consequences of Potential Adverse Drug Events by Rated Severity Potential … Health Consequence Category Number (%) * of Potential Health Consequences Identified by Rated Severity

9. DESC Technique for Conflict With Residents and Families (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/DESC-technique.pdf
   June 01, 2021 - Consequences should be stated and consensus should be reached. … Describe the specific situation Express your concerns about the action Suggest other alternatives Consequences

10. Prologue—Volume 2—Systems Thinking and Patient Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schyve.pdf
    April 27, 2005 - microsystems of health care are complex) and open systems are both at risk of producing unintended consequences … inconsequential” changes in health care microsystems and macrosystems will almost always produce unintended consequences … While it is predictable that unintended consequences will emerge, what those consequences will be—and … How can we identify and monitor for unintended consequences? … How can we intervene to prevent harm from unintended consequences?

11. Metabolic Monitoring for Children and Adolescents on Antipsychotics (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
    February 14, 2018 - Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of

12. Prologue: Technology and Medication Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Prologue_Grady_Vol4.pdf
    July 25, 2008 - , provider resistance, concerns about privacy and the security of health data, and the unintended consequences … Several papers focus on anticipating and overcoming the unintended consequences that sometimes result … development and implementation of a homegrown CPOE system that was designed to minimize unintended consequences

13. Weighted Summary Statistics: PUF Medicare Inpatient File (Version 2) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Inpatient-Weighted.pdf
    September 26, 2023 - not elsewhere classified 593,149 4.00 13,129,037 88.57 S00-T88: Injury, poisoning and certain other consequences … not elsewhere classified 593,149 4.00 13,129,037 88.57 S00-T88: Injury, poisoning and certain other consequences … not elsewhere classified 642,003 4.33 13,909,750 93.83 S00-T88: Injury, poisoning and certain other consequences … not elsewhere classified 768,214 5.18 13,760,139 92.82 S00-T88: Injury, poisoning and certain other consequences … not elsewhere classified 822,557 5.55 13,457,611 90.78 S00-T88: Injury, poisoning and certain other consequences

14. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
    January 01, 2018 - medication for at least 95% of administrations (Leapfrog 2018) • Also, we know there can be unintended consequences … – Clinical documentation/cut and paste – Accurate medication and problem lists Unintended Consequences

15. Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
    May 30, 2008 - • “What are the consequences?” — to identify harm. … decimal point in calculating the medication dose can result in a 10-fold error, often with serious consequences … on grouping failure events by causes, physical characteristics, and the potential for severity of consequences

16. HIT Resource List (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitresourcelist.pdf
    January 01, 2019 - does not enumerate the most frequently reported problems or the ones associated with the most severe consequences—although … Guide to Reducing Unintended Consequences of Electronic Health Records https://www.healthit.gov/unintended-consequences … / The Guide to Reducing Unintended Consequences of Electronic Health Records is an online resource … https://www.healthit.gov/unintended-consequences/#sidebar https://www.healthit.gov/topic/health-it-resources … Solutions for Making EHRs Usable Five Ways To Make Your EMR More User-Friendly Guide to Reducing Unintended Consequences

17. 0169 - Establishment of Gestational Age: Full Report (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-169-fullreport.pdf
    February 01, 2017 - Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of

18. Sensemakingnotes (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
    August 08, 2012 - critical control points that were breached before the incident was revealed, · Specify the event’s consequences … Latent conditions result from the delayed consequences of technical and organizational actions and decisions … identify defects, Sensemaking tools such as Root Cause Analysis will help providers understand the consequences … The consequent event is described in terms of the event's consequences: · Harm that did happen · Harm

19. Job Aid: Model for Improvement and PDSA Cycles (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-model-pdsa.pdf
    May 17, 2021 -  Balancing Measures check for negative consequences of the change. … These answer the question: "Are there any negative consequences as a result of the change?"

20. Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-237-fullreport.pdf
    October 01, 2019 - Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of