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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/892.html
December 01, 2023 - Skip to main content
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
June 01, 2023 - interventions, understand how
to align economic incentives with implementation, and
anticipate the consequences … Design decisions can
have unintended consequences on these goals. … workarounds when using barcoded medication
administration systems, identified the causes and
possible consequences
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preventiveservices.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/index.html
June 01, 2020 - Providers or plans welcome the opportunity for a practice year without adverse consequences.
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preventiveservices.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-5.html
September 01, 2020 - Skip to main content
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preventiveservices.ahrq.gov/teamstepps-program/curriculum/intro/explain.html
July 01, 2023 - This course is based on evidence derived from teams working in high-risk environments where the consequences
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preventiveservices.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6m-group-visits.html
March 01, 2020 - Skip to main content
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/paper/casalino_idkeydsr.pdf
February 01, 2014 - Third, research should routinely evaluate both the intended and the unintended consequences of
the … Include inquiry into unintended consequences of incentives; for example, do P4P and/or
public reporting … e.g., education) shows that inadequate
performance measurement can lead to undesirable unintended consequences … Possible unintended consequences.
2. … The unintended consequences of publicly reporting quality information.
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preventiveservices.ahrq.gov/teamstepps/instructor/essentials/igessentials.html
March 01, 2019 - care environment, a high-risk, high-stakes environment in which poor performance may lead to serious consequences … C = Consequences should be stated.
Ultimately, consensus should be reached.
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preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are more
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preventiveservices.ahrq.gov/talkingquality/translate/display/index.html
May 01, 2019 - Innumeracy: Mathematical Illiteracy and its Consequences. New York: Hill and Wang; 2001.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
September 01, 2016 - How PSOs Help Health Care Organizations Improve Patient Safety Culture
How PSOs Help Health Care Organizations
Improve Patient Safety Culture
Developing a culture of safety is an essential task for
health care organizations as they strive to eliminate
the factors that contribute to medical errors, patient
harm, …
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preventiveservices.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
March 01, 2021 - What are the unexpected consequences of the widespread adoption of EHRs?
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/igessentials.pdf
March 11, 2014 - care environment, a high-
risk, high-stakes environment in which poor performance may
lead to serious consequences … C = Consequences should be stated.
Ultimately, consensus should be reached.
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preventiveservices.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
December 01, 2012 - Errors in medical interpretation and their potential clinical consequences in pediatric encounters.
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preventiveservices.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
November 01, 2017 - The consequences of HACs can be serious for patients, ranging from increased length of hospital stay … to the patient safety implications, accurate measurement of HAC incidence and severity has
direct consequences … Only studies of single hospitals or local hospital networks reported
consequences of CLABSI for a general … electronic health record databases would substantially add to the literature on
HAC incidence and consequences … future research should study HACs using these new
definitions to better understand the incidence and consequences
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
July 01, 2023 - Johnson, obstetrician
Kim, triage nurse
Suggest
Consequences
Frontline
SPPC-II
SCRIPT
Dr. … stroke or seizures, she needs to know what treatment options are available to prevent such adverse consequences
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
August 01, 2022 - Description of the potential consequences for the patient and/or family, and tell them what will be done
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/cgcahps-webcast-brief-2014.pdf
January 01, 2014 - How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement
1
Issue Brief
How Two Provider Groups Are Using the CAHPS® Clinician & Group
Survey for Quality Improvement
This brief shares the experiences of two
provider groups using the 12-Month version of
the CAHPS Clinician & …
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dx-team-assessment-scale-jtcommjqualpatsaf.pdf
February 01, 2024 - Background, Assessment, Recommendation; EHR, electronic health
record; DESC, Describe, Express, Specify, Consequences
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preventiveservices.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
October 01, 2020 - Errors in medical interpretation and their potential clinical consequences in pediatric encounters. … medical interpretation errors are more common and significantly more likely to have potential clinical consequences