-
monahrq.ahrq.gov/teamstepps-program/curriculum/situation/tools/whats.html
June 01, 2023 - What are the CONSEQUENCES? Actions have consequences, so if this, then what?
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepevidencesum.pdf
January 01, 2012 - interpretation errors, and these errors are
significantly more likely to have potential clinical consequences … Errors in medical interpretation and their potential clinical consequences in
pediatric encounters.
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/casalino.ppt
February 16, 2011 - research (2)
focuses on areas emphasized by the health reform law
studies both intended and unintended consequences … methods on quality, costs, and the demography of the delivery system
how can undesirable unintended consequences
-
monahrq.ahrq.gov/news/blog/ahrqviews/long-covid-care-network.html
March 01, 2024 - other studies suggest that 10 percent or more of the U.S. population may experience the post-infection consequences … These lingering consequences impact people of all ages and backgrounds, and today, it is one of the Nation
-
monahrq.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
March 01, 2024 - people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences … have published essential insights into areas such as diagnostic error detection, the frequency and consequences
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
January 10, 2022 - The five-question mnemonic “KAICS” (Know, Alternatives, Information, Consequences, Steps) was developed … What are the CONSEQUENCES? Actions have consequences, so if this, then what? … What are the CONSEQUENCES?
What are the next STEPS?
-
monahrq.ahrq.gov/teamstepps/lep/handouts/lepevidencesum.html
December 01, 2012 - medical interpretation errors, and these errors are significantly more likely to have potential clinical consequences … Errors in medical interpretation and their potential clinical consequences in pediatric encounters.
-
monahrq.ahrq.gov/talkingquality/explain/communicate/reason.html
November 01, 2018 - Poor health care can have serious health and financial consequences for you and your family. … findings suggest that when people need to be reminded that there is a risk of making a bad choice with bad consequences
-
monahrq.ahrq.gov/talkingquality/distribute/promote/act-early/index.html
June 01, 2019 - Many decisions you make and actions you take early in your reporting project have significant consequences
-
monahrq.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
December 01, 2017 - and Assessment of Harm
Believe that failure to follow guidelines may cause harm
Built in alerts
Consequences … Urinary Catheters
Seat Belt
Yes
No
Believe in it
X
Built in safety alerts
X
Consequences … Built in safety alerts
X
Consequences
?
-
monahrq.ahrq.gov/practiceimprovement/delivery-initiative/casalino/index.html
December 01, 2017 - Studies both intended and unintended consequences. … How can undesirable unintended consequences of external incentive programs be minimized?
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - Interruptions in diagnostic decision-making are no excep-
tion and can have negative consequences on … interrupted.3 Interruptions
during diagnostic decision-making are also inevitable and
can have negative consequences … � Would no interruption zones for clinicians
cause negative, unintended consequences? … is interrupted while administering
medication and where an incorrect dose could have devastat-
ing consequences … Unintended consequences of EHR systems:
a narrative review.
-
monahrq.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
February 01, 2015 - definite role to play when
tasks are infrequent and complex, relatively new and evolving, and when
consequences … definite
role to play when tasks are
infrequent and complex,
relatively new and evolving,
and when consequences … Providing valuable feedback
The receipt of feedback and learning about the consequences of
one’s decisions … With Ebola
unfortunately, the unintended
consequences of breaches
in protocols can be further
contamination … market with certain improvements and efficiencies, but also
introduce new forms of error as unintended consequences
-
monahrq.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
August 01, 2018 - definite role to play when tasks are infrequent and complex, relatively new and evolving, and when consequences … definite role to play when tasks are infrequent and complex, relatively new and evolving, and when consequences … Providing valuable feedback
The receipt of feedback and learning about the consequences of one's decisions … With Ebola unfortunately, the unintended consequences of breaches in protocols can be further contamination … market with certain improvements and efficiencies, but also introduce new forms of error as unintended consequences
-
monahrq.ahrq.gov/news/blog/ahrqviews/healthcare-climate-change.html
October 01, 2021 - These each have significant physical and behavioral health consequences and place increased demands
-
monahrq.ahrq.gov/hai/hai-carb-funding.html
November 01, 2021 - determine the clinical efficacy and effectiveness of preventive interventions including unintended adverse consequences
-
monahrq.ahrq.gov/prevention/resources/index.html
October 01, 2018 - The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General, 2006
-
monahrq.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.html
January 01, 2014 - Avoid negative unintended consequences. … linkage between change agency and user system, including adoption of innovation, implementation, and consequences
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
February 28, 2022 - mnemonic tool that is used extensively to elicit and share key information about activities and their consequences
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
February 28, 2022 - Consequences should be stated in terms of impact on the patient and established team goals; strive for