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talkingquality.ahrq.gov/teamstepps-program/curriculum/situation/tools/whats.html
June 01, 2023 - What are the CONSEQUENCES? Actions have consequences, so if this, then what?
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Outpatient-Weighted.pdf
September 26, 2023 - elsewhere classified 15,581,930 9.05 150,440,673 87.34
S00-T88: Injury, poisoning and certain other consequences … elsewhere classified 9,411,866 5.46 157,550,833 91.46
S00-T88: Injury, poisoning and certain other consequences … elsewhere
classified
843,061 0.49 166,546,378 96.69
S00-T88: Injury, poisoning and certain other consequences … elsewhere
classified
627,332 0.36 167,503,302 97.24
S00-T88: Injury, poisoning and certain other consequences … elsewhere
classified
481,290 0.28 168,300,574 97.71
S00-T88: Injury, poisoning and certain other consequences
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talkingquality.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
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talkingquality.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
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talkingquality.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
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talkingquality.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?
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talkingquality.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
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talkingquality.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
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talkingquality.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
?
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Commercial-Inpatient-Weighted.pdf
September 26, 2023 - not elsewhere classified 233,409 2.45 8,711,024 91.34
S00-T88: Injury, poisoning and certain other consequences … not elsewhere classified 233,409 2.45 8,711,024 91.34
S00-T88: Injury, poisoning and certain other consequences … not elsewhere classified 361,248 3.79 8,458,168 88.69
S00-T88: Injury, poisoning and certain other consequences … not elsewhere classified 413,304 4.33 8,188,836 85.87
S00-T88: Injury, poisoning and certain other consequences … not elsewhere classified 426,511 4.47 8,147,223 85.43
S00-T88: Injury, poisoning and certain other consequences
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talkingquality.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?
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talkingquality.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.
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talkingquality.ahrq.gov/hai/hai-carb-funding.html
November 01, 2021 - determine the clinical efficacy and effectiveness of preventive interventions including unintended adverse consequences
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talkingquality.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
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talkingquality.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
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talkingquality.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
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
April 01, 2016 - What are the potential consequences?
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talkingquality.ahrq.gov/evidencenow/projects/alcohol/index.html
November 01, 2023 - In addition, unhealthy alcohol use has detrimental socioeconomic consequences, with an estimated annual
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talkingquality.ahrq.gov/teamstepps-program/curriculum/situation/tools/star.html
June 01, 2023 - mnemonic tool that is used extensively to help elicit and share key information about activities and their consequences
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talkingquality.ahrq.gov/teamstepps-program/curriculum/situation/overview/index.html
June 01, 2023 - Think, Act Review) can be used to elicit and share important information about activities and their consequences