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psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
March 30, 2016 - Types of unintended consequences related to computerized provider order entry.
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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - The consequences of ED crowding and boarding are well established and include negative effects on patients … Emergency department crowding: A systematic review of causes, consequences and solutions.
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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - regulation was written to focus care on the “goals of hospice”, emphasizing comfort at the end of life, the consequences … The consequences of delayed referral include financial instability for hospice programs and the self-fulfilling
-
psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - And these targets have driven lots of improvement, but there are unintended consequences. … Safer Health System report.( 1 ) This publication ignited the nation's efforts to address unintended consequences
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - Safer Health System report.( 1 ) This publication ignited the nation's efforts to address unintended consequences … And these targets have driven lots of improvement, but there are unintended consequences.
-
psnet.ahrq.gov/node/60066/psn-pdf
March 25, 2020 - The consequences of ED crowding and boarding are well established and include negative effects on
patients … Emergency department crowding: A
systematic review of causes, consequences and solutions.
-
psnet.ahrq.gov/perspective/safety-and-medical-education
December 01, 2013 - They have also identified some potential unintended consequences. … April 12, 2023
Potential unintended consequences due to Medicare's "No Pay for Errors
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psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - regulation was written to focus care on the “goals of hospice”, emphasizing comfort at the end
of life, the consequences … The consequences of delayed referral include financial instability for
hospice programs and the self-fulfilling
-
psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
January 01, 2021 - Hospice Benefit (3)
• Although the regulation was written to focus on comfort at the end of
life, the consequences … – The consequences of delayed referral include financial instability for
hospice programs and the
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - confirmation of NGT
placement, apparently due to miscommunication at change-of-shift, led to more serious consequences
-
psnet.ahrq.gov/node/33606/psn-pdf
December 15, 2024 - Opioid Safety
December 15, 2024
Opioid Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/opioid-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Bac…
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psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - disposition was not an issue at that time, as he was undergoing evaluation and
treatment for the medical consequences
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psnet.ahrq.gov/node/836850/psn-pdf
March 31, 2022 - Opioid Epidemic
Interventions designed to prevent overprescribing of opioids may result in unintended consequences
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psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - In other domains where prediction is applied—like which movie or product you may enjoy—the consequences
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psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
February 01, 2012 - RW : Can you share examples of the consequences of oversupervision and the lack of independent practice
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psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - Ideally, the organizational policies related to employee behavior expectations, consequences for behavior … 2016
The impact of drug shortages on patients with cardiovascular disease: causes, consequences
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psnet.ahrq.gov/node/33694/psn-pdf
April 01, 2010 - dealing with an ever-
increasing set of existing measures that you need to re-review for unintended consequences
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - The patient did not
experience any neurologic consequences from the cardiac arrest and was able to be
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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - period of change will be marked in years, and the transition may bring about confusion and unexpected consequences
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psnet.ahrq.gov/web-mm/lethal-vertigo
September 20, 2011 - COVID-19 and the Built Environment
June 30, 2021
Anticipated consequences