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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
March 01, 2020 - there is a reasonable probability that use of the recalled device will cause serious adverse
health consequences
-
www.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
January 01, 2024 - Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids
FINAL PROGRESS REPORT
Risk of Acute Asthma Associated with the Pediatric Use of Opioids
Principal Investigator: Hua Chen, MD, PhD1
Co-Investigator: Harold J. Farber, MD, MSPH2,3
Organization
…
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www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Methodology-Report.pdf
February 01, 2023 - AHRQ Physician and Physician Practice Research Database Methodology Report
AHRQ Physician and
Physician Practice Research
Database
Methodology Report
AHRQ Physician and Physician Practice Research
Database Methodology Report
Prepared for:
U.S. DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Agency for Healthcare Res…
-
www.ahrq.gov/sites/default/files/wysiwyg/policy/foia/foiamemo0309.pdf
March 19, 2009 - The Freedom of Information Act (FOIA) Memoradum
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f ROM: ",,~E AnORl\EY GEJ"ERAL
SUBJE~The Freedom QflnfQunatjQo Act (FOlA)
The Freedom of Information Act (FOlA), 5 U.S.c…
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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/2024-01/quintana-report.pdf
January 01, 2024 - Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care
AHRQ Final Report for grant R18HS024869
Title Leveraging a Social Network of Elders and Families to Improve
Medication Safety at Transitions of Care
Principal Investigator (PI) Yuri Quintana…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
September 26, 2019 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae
Carbapenem-Resistant Enterobacteriaceae 6-1
6. Carbapenem-Resistant Enterobacteriaceae
Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H.
Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D.
Introduction
Background
Carbapenem-resistant Enterobacteria…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
March 01, 2020 - Chapter-8 - Diabetes
Harms Due to Diabetic Agents 8-1
8. Harms Due to Diabetic Agents
Authors: Lisa LeRoy Ph.D., M.B.A., and Sonja Richard, M.P.H.
Reviewer: Shelia Roman, M.D.
Introduction
In this chapter, two different kinds of diabetes patient safety practices are addressed—both intended to
improve diabete…
-
www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
January 01, 2025 - numerous challenges arise
including statistical; risk-adjustment and attribution; and unintended
consequences
-
www.ahrq.gov/sites/default/files/publications/files/impguide2.pdf
September 08, 2015 - sharing
and discussing findings with the project team that show no impact or
unintended negative consequences
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - Moving too fast or too aggressively can have very negative and unintended consequences for staff engagement
-
www.ahrq.gov/downloads/pub/prevent/pdfser/chdser.pdf
December 08, 2003 - Labeling a person as suffering from coronary disease may also have
negative consequences.
-
www.ahrq.gov/sites/default/files/2024-02/kleinman-report.pdf
January 01, 2024 - psychotropic medications, large pluralities of off-label use are found in practice, with adverse consequences
-
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