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Showing results for "consequences".

181. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication2.html
     July 01, 2024 - available on how best to ensure timely communication of test results to patients and mitigate unanticipated consequences

182. Design Guide for Warm Handoff Plus (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-design-guide-final508.pdf
     June 02, 2025 - With each proposed workflow adjustment, a thorough analysis of the consequences of the adjustment is … Look for barriers and unintended consequences with the new workflows.

183. Section 1: Overview of Key Communication Concepts and Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/team/overview/index.html
     May 01, 2023 - Keep conflict healthy through use of tools such as DESC: Describe, Express, Suggest, Consequences (see

184. Chapter 1. Background | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
     August 01, 2022 - What were the consequences of the patient safety event?

185. Making Health Care Safer II | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html
     July 01, 2023 - of the problem, strength of evidence for effectiveness, evidence on potential for harmful unintended consequences

186. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
     March 30, 2008 - applications over time to meet the specific needs of their institutions.6, 7 Recently, the unintended consequences … shortcomings of CPOE identified in this publication were not intrinsic to CPOE, but rather, they were consequences … individual components of the chemotherapy ordering process could fail, how likely failure was, and the consequences … Types of unintended consequences related to computerized provider order entry. … The extent and importance of unintended consequences related to computerized provider order entry.

187. Identifying Key Areas for Delivery System Research | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsr2.html
     February 01, 2014 - system research is that this research should routinely evaluate both the intended and the unintended consequences … Include inquiry into unintended consequences of incentives; for example, do P4P and/or public reporting … (e.g., education) shows that inadequate performance measurement can lead to undesirable unintended consequences … measure is so strong that problems with measurement—reliability, validity, the possibility of unintended consequences … Possible unintended consequences.

188. Impact of Disparities and Lack of Equity on Patient Engagement | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role3.html
     September 01, 2024 - Circumstances may affect a patient’s ability to evaluate complex decisions and their consequences.

189. Monitoring Ventilator-Associated Events: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-slides.html
     February 01, 2017 - Clinical and economic consequences of ventilator–associated pneumonia: a systematic review. … Clinical and economic consequences of ventilator–associated pneumonia: a systematic review. … Clinical and economic consequences of ventilator–associated pneumonia: a systematic review.

190. Module 3: Script and Slides (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
     May 01, 2017 - clear understanding of how to prevent the problem from recurring and there is no risk of unintended consequences … If your understanding is a little fuzzy or you’re concerned about unintended consequences, jump to box

191. Module 3: Problem Solving and Escalation - Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
     June 01, 2017 - clear understanding of how to prevent the problem from recurring and there is no risk of unintended consequences … If your understanding is a little fuzzy or you’re concerned about unintended consequences, jump to box

192. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
     www.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

193. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
     www.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.

194. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
     April 01, 2018 - Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of

195. Pediatric Lower Respiratory Infection Readmission Measure (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
     April 05, 2017 - Unintended consequences: What are the potential unintended consequences of reporting at this level of … No. 19 Unintended consequences: What are the potential unintended consequences of reporting at … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of … Unintended consequences: What are the potential unintended consequences of reporting at this level of

196. Exhibit 6.2. Horizon Hospital—Lakeview Healthcare | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-2.html
     November 01, 2014 - Some unexpected consequences from process changes are likely following the move-in, and leaders and frontline

197. Evaluation of Diagnostic Stewardship Implementation | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship7.html
     August 01, 2024 - It is also important to assess whether the benefits and consequences of diagnostic stewardship extend

198. Final Progress Report: Building Consensus Among States on Patient Safety Reporting (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdf
     January 01, 2024 - conduct. 3 • Stories of “sentinel events” -- errors that carried serious or life-threatening consequences … Personal accounts and anecdotes can illustrate the consequences of errors and encourage active participation … • Stories of “sentinel events” -- errors that carried serious or life-threatening consequences - … Personal accounts and anecdotes can illustrate the consequences of errors and encourage active participation … • Stories of “sentinel events” — errors that carried serious or life-threatening consequences —

199. Discussion | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication5.html
     July 01, 2024 - Data on other unintended consequences (e.g., changes in clinician and staff workload) were limited, although

200. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
     November 11, 2019 - types of preventable adverse events across all healthcare settings.7 Importance of Harm Area Common consequences … instances identified in their study population was €263 per patient per year.8 9.3.4 Unintended Consequences … 9.3.4.1 Deprescribing: Negative Unintended Consequences Deprescribing interventions do not always … With the exception of longer lengths of stay found in one study,6 no other unintended negative consequences … No unintended positive consequences were reported in our review of the studies that examined the use