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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
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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.
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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
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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
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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.
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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
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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
-
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
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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
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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?
-
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
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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
-
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
-
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
-
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
-
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
-
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
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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
-
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?"
-
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