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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
January 01, 2004 - more
widespread audience and a larger number of patient record extracts may reveal
unanticipated consequences … Some unintended
consequences of information technology in health
care: the nature of patient care information
-
www.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
May 01, 2016 - We need to understand multiple aspects, the effects of consultation time, and the downstream consequences … Researchers might study how overtesting can lead to unintended harmful diagnostic consequences.
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6gtraining.html
March 01, 2020 - affecting the patient's experience with health care, poor patient-physician communication has important consequences
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses6.html
August 01, 2022 - Some unintended consequences of information technology in health care: the nature of patient care information
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
May 08, 2008 - Errors in medical
interpretation and their potential consequences in
pediatric encounters.
-
www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
January 01, 2024 - capacity to lead to errors, difficulty in proper use (low
therapeutic ratio), and/or severity of the consequences … Unintended consequences of information
technologies in health care - an interactive sociotechnical … Unintended Consequences of Healthcare Information
Technology: Interactive Sociotechnical Analysis. … “Looking into and out of CPOE's Black Box: Monitoring its Uses, Benefits
and Consequences.”
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
April 01, 2022 - develop workarounds to overcome system barriers, but sometimes those workarounds can have unintended consequences
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
October 01, 2016 - Slide 7
Consequences
SAY:
The intent here is that, by now, there will be strong buy-in regarding the
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/018-revision-summary-contact-precautions.docx
October 01, 2024 - in MRSA transmission after discontinuing contact precautions.14,15
· The potential for unintended consequences
-
www.ahrq.gov/prevention/resources/vision/resources/vision1.html
October 01, 2002 - independence and disability reduced to standard scales, "to the neglect of the emotional and social consequences
-
www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
January 01, 2024 - Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals
Implementing a Program of Patient Safety in Small,
Rural Hospitals
Principal Investigators
Katherine J. Jones, PhD, PT, January 2007 – June 20071
Keith J. Mueller, PhD, July 2005 – December 20061
Team Members
Anne Skinn…
-
www.ahrq.gov/sites/default/files/wysiwyg/policy/foia/foiamemo0309.pdf
March 19, 2009 - The Freedom of Information Act (FOIA) Memoradum
®!fire of tbc iattorncp ;CIES
f ROM: ",,~E AnORl\EY GEJ"ERAL
SUBJE~The Freedom QflnfQunatjQo Act (FOlA)
The Freedom of Information Act (FOlA), 5 U.S.c…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/new-sops-workplace-safety-zebrak.pdf
July 22, 2022 - Response
(Strongly Agree/Agree)
I can report my concerns about workplace safety without
fear of negative consequences
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/empowerment-slides-spanish.pptx
January 01, 2014 - Nursing. 2008;34(3):26-35. http://www.commonwealthfund.org/Publications/In-the-Literature/2007/Nov/Consequences-of-Empowered-CNA-Teams-in-Nursing-Home-Settings
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-1-implementation-guide.pdf
January 01, 2018 - Million Hearts: Costs & Consequences.
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
October 01, 2014 - Such unintended consequences of quality improvement are well recognized.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-g.pdf
July 31, 2017 - affecting the patient’s experience
with health care, poor patient-physician
communication has important consequences
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
October 01, 2014 - Such unintended consequences of quality improvement are well recognized.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/12-identifying-stakeholders-facilitator.docx
June 01, 2023 - AHRQ Safety Program for Improving
Surgical Care and Recovery
Identifying Stakeholders: How To Do a Stakeholder Analysis for Your Improving Surgical Care and Recovery Program
Slide Title and Commentary
Slide Number and Slide
Identifying Stakeholders – Title Slide
Welcome to the presentation, “Identifying Stakeholde…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
March 19, 2008 - wrong medication to the wrong
patient, the entire process is a failure with potentially devastating consequences