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Showing results for "consequences".

21. TeamSTEPPS for Diagnosis Improvement: Knowledge Assessment (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-knowledge-assessment.pdf
    February 01, 2022 - Consequences may include lawsuits, business losses, and adverse media coverage. d. … What do I know, what are the alternatives, what information would help, what are the consequences, … What is the problem, what are the consequences, what help do I need, what has been tried, what are … What do I know, what are the alternatives, what information would help, what are the consequences, what

22. Appendix E. Category Definitions | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/engage/appe.html
    March 01, 2017 - communication/management of test results on behalf of the provider can have serious patient safety consequences … medication overuse Definition: The overuse of antibiotics and opioids can pose long-term safety consequences

23. Sensemakingnotes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
    June 02, 2025 - critical control points that were breached before the incident was revealed, · Specify the event’s consequences … Latent conditions result from the delayed consequences of technical and organizational actions and decisions … identify defects, Sensemaking tools such as Root Cause Analysis will help providers understand the consequences … The consequent event is described in terms of the event's consequences: · Harm that did happen · Harm

24. Job Aid: Model for Improvement and PDSA Cycles (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-model-pdsa.pdf
    June 02, 2025 -  Balancing Measures check for negative consequences of the change. … These answer the question: "Are there any negative consequences as a result of the change?"

25. 0169 - Establishment of Gestational Age: Full Report (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-169-fullreport.pdf
    February 01, 2017 - 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

26. NBER Center of Excellence | Agency for Healthcare Research and Quality
    www.ahrq.gov/chsp/about-chsp/centers-of-excellence/nber.html
    September 01, 2016 - The fifth project examines the causes and consequences of growing corporate consolidation in two understudied … Causes and Consequences of Institutional Consolidation is analyzing the causes and consequences of changes

27. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
    January 01, 2018 - medication for at least 95% of administrations (Leapfrog 2018) • Also, we know there can be unintended consequences … – Clinical documentation/cut and paste – Accurate medication and problem lists Unintended Consequences

28. When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List | Agency for Healthcare Research and Quality
    www.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

29. ampe_2_107.38_48.tp (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/bethellscreener.pdf
    February 01, 2002 - To qualify as having a special health care need, the child must have at least one of the 39 consequences … We identified a wide range of functioning and health service–related consequences for incorporation into … One item included a checklist of 7 health care service use or need consequences often experienced by … The 5 health consequences queried include whether the child 1) is limited or prevented in any way in … Chronic illness and its consequences: observations based on three epidemiologic surveys.

30. Tool: STAR | Agency for Healthcare Research and Quality
    www.ahrq.gov/teamstepps-program/curriculum/situation/tools/star.html
    July 01, 2024 - mnemonic tool that is used extensively to help elicit and share key information about activities and their consequences

31. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Latent conditions result from the delayed consequences of technical and organizational actions and decisions … addition to CUSP tools, Sensemaking tools such as root cause analysis will help providers understand the consequences … The consequent event is described in terms of the event's consequences: Harm that did happen.

32. Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-237-fullreport.pdf
    October 01, 2019 - 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

33. Candidate Measure Submission Form (CPCF) | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/cpcf-form9.html
    December 01, 2013 - Unintended Consequences: What are the potential unintended consequences of reporting at this level of

34. Module 8—Injection Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/nursing-home/resources/module-8-injection-safety.html
    May 01, 2022 - module provides an overview of injection safety, along with a review of recommended practices and the consequences

35. View Survey (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-survey-nw.pdf
    January 01, 2014 - for consequences for for all my patients patients patients some of my patients all of my patients … Improve outcomes No impact on Negative Negative Improve outcomes for some of my outcomes for my consequences … for consequences for all for all of my patients patients patients some of my patients of my patients … for some of my patients: Off question 15- negative consequences for all of my patients: Off question16 … for some of my patients: Off question16- negative consequences for all of my patients: Off question

36. Appendix B21: Facts and Flow Chart | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb21.html
    December 01, 2017 - Consequences of Falls Reduced quality of life Decreased ability to function Serious injury

37. HIT Resource List (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitresourcelist.pdf
    January 01, 2019 - does not enumerate the most frequently reported problems or the ones associated with the most severe consequences—although … Guide to Reducing Unintended Consequences of Electronic Health Records https://www.healthit.gov/unintended-consequences … / The Guide to Reducing Unintended Consequences of Electronic Health Records is an online resource … https://www.healthit.gov/unintended-consequences/#sidebar https://www.healthit.gov/topic/health-it-resources … Solutions for Making EHRs Usable Five Ways To Make Your EMR More User-Friendly Guide to Reducing Unintended Consequences

38. Chapter 1. Introduction and Program Overview | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
    December 01, 2017 - Falls often have serious consequences, especially in frail older residents. … Adverse consequences of falls for residents are listed in Figure 1 . Figure 1. … Adverse consequences of falls for residents Reduced quality of life. … Potential consequences for facilities are listed in Figure 2 . Figure 2. … Adverse consequences of falls for nursing facilities Increased paperwork for staff.

39. Learn-From-Defects-Facilitator-Guide (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
    May 01, 2017 - Latent conditions result from the delayed consequences of technical and organizational actions and decisions … addition to CUSP tools, Sensemaking tools such as root cause analysis will help providers understand the consequences … The consequent event is described in terms of the event’s consequences: Harm that did happen Harm that

40. Conclusions | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-5.html
    June 01, 2023 - learning from patients and families about diagnostic mishaps—their origins, impact, and longer term consequences—to