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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Those factors could help them avoid some of the negative unintended consequences of zero harm goals that … Counterpoint Zero Harm Goals May Have Unintended Negative Safety Consequences The rationale for setting … allocation, commentators have also questioned how zero avoidable harm can be reliably measured, and the consequences
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - Incidence, preventability, and consequences of adverse events in older people: results of a retrospective
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psnet.ahrq.gov/node/33871/psn-pdf
December 22, 2018 - experience serious pregnancy-related complications during and after childbirth
that can have profound consequences
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psnet.ahrq.gov/node/836812/psn-pdf
March 30, 2022 - The term “effects
analysis” refers to analyzing the consequences of such failures by prioritizing their
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.233_slideshow.ppt
February 01, 2011 - .
*
Consequences
Failure to recognize gaps in competence can result in patient harm
This case highlights
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
December 01, 2009 - communicate a choice
Ability to understand relevant information
Ability to appreciate the situation and its consequences
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psnet.ahrq.gov/node/33612/psn-pdf
May 01, 2005 - Inside the institute, the consequences of the incident reverberated broadly.
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psnet.ahrq.gov/node/33755/psn-pdf
September 01, 2013 - others seek cues to determine
desirable behavior.(5) This means that small actions can have major consequences
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.14_slideshow.ppt
May 01, 2003 - weight
Oral contraceptives
History DVT/PE
Acquired/hereditary deficiencies of anticoagulation
Consequences
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psnet.ahrq.gov/node/49652/psn-pdf
May 01, 2012 - When
implementing any solution, leadership also must be cognizant of the possibility of unintended
consequences
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psnet.ahrq.gov/node/49539/psn-pdf
June 01, 2007 - information provided by the doctor about what is to be done and why,
and what some of the risks and consequences
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psnet.ahrq.gov/periodic-issue/periodic-issue-285
April 28, 2021 - Fear of negative consequences was the most common barrier; other barriers included inadequate reporting … associated with SARS-CoV-2 testing, the unprecedented burden faced by health systems, and downstream consequences
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psnet.ahrq.gov/periodic-issue/periodic-issue-298
June 30, 2021 - This Month’s WebM&Ms
WebM&M Cases
Spotlight Case
The Consequences of Miscommunication … saturation increased after administration of 100% oxygen by mask and he suffered no apparent neurological consequences
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psnet.ahrq.gov/node/49723/psn-pdf
January 01, 2015 - differences inherent in centralized monitoring that have
led to some unanticipated, and problematic, consequences … Performance consequences of automation-induced
"complacency." Int J Aviat Psychol. 1993;3:1-23.
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - and failing to re-assess one's
impression in the face of worsening symptoms can have devastating
consequences … However, as in our
presented case, inaccurate or delayed diagnoses can have
catastrophic consequences
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psnet.ahrq.gov/node/837963/psn-pdf
August 31, 2022 - , and failing to re-assess one's impression in the face of worsening symptoms can
have devastating consequences … However, as in our presented case, inaccurate or delayed diagnoses can
have catastrophic consequences
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psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
November 16, 2022 - The true consequences of false-positive results. JAMA. 1991;265:365-369. [go to PubMed]
4. … April 21, 2021
The consequences of misdiagnosing race-based trauma response in Black
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psnet.ahrq.gov/node/49519/psn-pdf
September 01, 2006 - availability of experts.(22) Fortunately, many teaching hospitals and
residencies, having recognized the consequences … Handoff strategies in settings with high
consequences for failure: lessons for health care operations
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psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - in the system are heart wrenching because the errors are so clear
and easy to understand, and the consequences … Testing process errors and their harms and consequences
reported from family medicine practices: a study
-
psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - before and during competition.(19)
CA-MRSA remains a dominant cause of SSTI and can lead to devastating consequences … Community-associated methicillin-resistant Staphylococcus aureus: epidemiology
and clinical consequences