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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
January 01, 2013 - Safety and Assessment of Harm
7
Believe that failure to follow guidelines may cause harm
Built in alerts
Consequences … 8
Safety and Urinary Catheters
9
Seat Belt Yes No
Believe in it x
Built in safety alerts x
Consequences … Built in safety alerts x
Consequences ?
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-154-fullreport.pdf
July 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
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-fullreport.pdf
September 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
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-fullreport.pdf
May 23, 2018 - Unintended consequences: What are the potential unintended consequences of reporting at
this level of … Not applicable.
19
Unintended consequences: What are the potential unintended consequences 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
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-fullreport.pdf
June 01, 2018 - Yes
Unintended consequences: What are the potential unintended consequences of reporting at
this … Yes.
19
Unintended consequences: What are the potential unintended consequences of reporting … 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
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - Some patient safety practices
(PSPs) have resulted in unintended consequences, whereas
others have … Accordingly, this report emphasizes matters
of context and generalizability, as well as unintended
consequences … Evidence on potential for harmful unintended
consequences. … Strength of
Evidence for
Effectiveness
of the PSPs
Evidence
or Potential
for Harmful
Unintended
Consequences … Evidence or potential for harmful unintended consequences: negligible, low, moderate, or high.
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/tools.html
July 01, 2023 - situation (D), expressing concerns about the events (E), suggesting alternative actions (S), stating consequences
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0176-fullreport.pdf
September 01, 2019 - Unintended consequences: What are the potential unintended consequences of reporting at
this level … Unintended consequences: What are the potential unintended consequences of reporting at
this level … Unintended consequences: What are the potential unintended consequences of reporting at
this level … Unintended consequences: What are the potential unintended consequences of reporting at
this level … Unintended consequences: What are the potential unintended consequences of reporting at
this level
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-fullreport.pdf
June 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
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
May 13, 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
-
www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - systems do take that make matters worse for patients and their families. 23,24
Conversely, the negative consequences … involving perceived diagnostic failures, it becomes clear that diagnostic mishaps also have persisting consequences … how many years earlier the adverse event occurred makes it possible to construct a profile of how the consequences … Since mishaps with minor consequences are more likely forgotten than those with large impact, recall … questions should be designed to provide information about both the emergence of the problem and its consequences
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - systems do take that make matters worse for patients and their families. 23,24
Conversely, the negative consequences … involving perceived diagnostic failures, it becomes clear that diagnostic mishaps also have persisting consequences … how many years earlier the adverse event occurred makes it possible to construct a profile of how the consequences … Since mishaps with minor consequences are more likely forgotten than those with large impact, recall … questions should be designed to provide information about both the emergence of the problem and its consequences
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-134-fullreport.pdf
November 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
-
www.ahrq.gov/research/findings/studies/index.html?page=479
January 01, 2024 - aimed to identify the factors associated with hospitals' decisions to adopt robotic technology and the consequences … Communication, Medical Liability, Patient Safety
Cochran G , Field C , Caetano R Injury-related consequences … This study identifies latent classes of intervention recipients based on injury-related consequences … Injury-related consequences of alcohol misuse among injured patients who received screening and brief
-
www.ahrq.gov/research/findings/studies/index.html?page=480
January 01, 2024 - aimed to identify the factors associated with hospitals' decisions to adopt robotic technology and the consequences … Communication, Medical Liability, Patient Safety
Cochran G , Field C , Caetano R Injury-related consequences … This study identifies latent classes of intervention recipients based on injury-related consequences … Injury-related consequences of alcohol misuse among injured patients who received screening and brief
-
www.ahrq.gov/teamstepps-program/curriculum/mutual/overview/index.html
July 01, 2023 - CUS
CUS is an acronym for three assertive statements:
DESC (Describe, Express, Suggest, Consequences
-
www.ahrq.gov/news/newsroom/case-studies/cp30808.html
October 01, 2014 - literacy's impact on health status can then trigger the implementation of measures to reduce negative consequences
-
www.ahrq.gov/sites/default/files/2024-07/cebul-report.pdf
January 01, 2024 - To describe general and intervention-specific unintended consequences of
our interventions, including … Unintended Consequences
The implementation of any technology including HIT is not without the risk of … unintended
consequences. … Secondary Aim 4 (unintended consequences). … Clinical Decision Support to Improve Diabetes Care: The Search fro Unintended
Consequences.
-
www.ahrq.gov/news/blog/ahrqviews/2024-academyhealth-meeting.html
July 01, 2024 - special sessions: Innovations and Actions for Addressing Emergency Department Crowding addressed the consequences
-
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