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Total Results: 1,646 records

Showing results for "consequences".

1501. Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
      January 01, 2024 - For those patients who worry that raising concerns about their care could have adverse consequences

1502. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
      January 01, 2025 - National study on the distribution, causes, and consequences of voluntarily reported medication errors

1503. Network of Patient Safety Databases Falls Chartbook, 2023 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
      January 01, 2023 - harm to the patient after discovery of the incident and after any attempts to minimize adverse consequences

1504. Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
      January 01, 2024 - cardiac and respiratory systems, good pain control), because a failed handover can have catastrophic consequences

1505. Mod4-System-Focused-Event-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
      April 01, 2016 - once implemented, it is possible that a solution can actually have significant negative unintended consequences—the

1506. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
      January 01, 2020 - nurturing of psychological safety; the idea of being able to bring up issues without fear of negative consequences

1507. Resource List - AHRQ Hospital Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
      April 01, 2023 - open culture, where employees feel able to report patient safety incidents without undue fear of the consequences

1508. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
      January 01, 2024 - E-prescribing errors in community pharmacies: exploring consequences and contributing factors.

1509. Resource List - AHRQ Nursing Home Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
      April 01, 2023 - open culture, where employees feel able to report patient safety incidents without undue fear of the consequences

1510. Regulation of Health Policy: Patient Safety and the States (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
      March 01, 2004 - reasons for this are obvious: health professionals are more aware—and therefore more fearful—of the consequences

1511. Seamless Care: Safe Patient Transitions from Hospital to Home (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
      April 18, 2004 - Errors in medical interpretation and their potential clinical consequences in pediatric encounters.

1512. PowerPoint Presentation: Learn From Defects Through Sensemaking
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
      December 01, 2017 - No matter how emergent a situation, violating safety processes can lead to disastrous consequences.

1513. Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
      January 01, 2017 - evidence-based recommendations to reduce time on the ventilator and delirium and reduce long-term consequences

1514. Building State Cooperatives for Healthcare Improvement: Meeting Summary (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/building-state-cooperatives-meeting-summary.pdf
      September 26, 2024 - His research focuses on the antecedents and consequences of organizational change in EvidenceNOW: Building

1515. Screening for Asymptomatic Carotid Artery Stenosis, Evidence Synthesis, No. 50 (pdf file)
      www.ahrq.gov/downloads/pub/prevent/pdfser/cas/cases.pdf
      December 01, 2007 - Screening for Asymptomatic Carotid Artery Stenosis, Evidence Synthesis, No. 50 Evidence Synthesis Number 50 Screening For Asymptomatic Carotid Artery Stenosis Prepared for: Agency for Healthcare Research and Quality 540 Gaither Road Rockville, Maryland 20850 Investigators Tracy Wolff MD…

1516. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
      January 01, 2025 - Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) Title of Project: Failure to Rescue-Patient Safety Learning Lab (FTR-PSLL) Principal Investigator and Team Members: Dartmouth-Hitchcock: George Blike, MD, MHCDS, PI; Susan McGrath, PhD, CoI; Todd McKenzie, PhD; Irina Pearrard, PhD…

1517. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
      January 01, 2016 - AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 June 2018 AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016 Summary New patient safety data for 2014 through 2016 continue to show a do…

1518. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
      March 10, 2008 - Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium Hude Quan, MD, PhD; Saskia Drösler, MD; Vijaya Sundararajan, MD, MPH, FACP; Euge…

1519. Final Progress Report: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
      January 01, 2024 - Final Progress Report: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings Project Title: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings Principal Investigator and Team Members: o Principle Investigator: Shin Hye Park, P…

1520. Final Progress Report: Refinements in Evaluating Minimum Surgery Volume Standards (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/hanchate-report.pdf
      January 01, 2024 - Final Progress Report: Refinements in Evaluating Minimum Surgery Volume Standards Refinements in Evaluating Minimum Surgery Volume Standards PI: Amresh D. Hanchate, PhD, Boston University School of Medicine Co-Investigators: Arlene S. Ash, PhD, Boston University School of Medicine Therese Stukel, PhD, Ins…