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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter7.html
December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure
Chapter 7. Discussion of Project Findings
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Table of Contents
ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
July 07, 2002 - Success or failure at technical work has clinical consequences for individual
patients as well as implications … Consequences—The application of evaluation criteria to potential courses of
action could make it possible … to display the consequences of choices. … Going solid: a model of
systems dynamics and consequences for patient safety.
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
August 01, 2022 - Other frequently mentioned types of information that consumers can provide were the consequences (emotional … The consumer perspective also offers insight into the consequences of the event for the individual harmed … time to come to terms with their experience emotionally, in addition to allowing time for the full consequences … Others viewed accountability as a matter of "consequences" or "punishment," such as warning, reprimanding
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www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
January 01, 2024 - associated with
DDIs is not known, interactions do occur, resulting in potentially life-threatening consequences … included in drug knowledgebases that
include DDIs: (1) classification of seriousness; (2) clinical consequences … Alerts should also include the potential adverse clinical consequences for
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the patient as a result … combination); (3) instructions or actions on how to reduce risk of injury; and (4) specific
clinical consequences … into alerting systems for DDI warnings
including: (1) drugs involved, (2) seriousness, (3) clinical consequences
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-designguide.pdf
June 02, 2025 - With each
proposed workflow adjustment, a thorough analysis of the consequences of the adjustment is … Conduct walkthroughs of the new workflows to assess feasibility and to look for barriers and
unintended consequences
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
January 01, 2025 - measures that ask respondents if they can report any
workplace safety concerns without fear of negative consequences … survey item that asks if
respondents can report any workplace safety concerns without fear of negative consequences … Workplace Safety Reporting
Staff can report their concerns about workplace
safety without fear of negative consequences … survey item that asks if respondents can report any
workplace safety concerns without fear of negative consequences … Strongly Agree/Agree
Staff can report their concerns about workplace safety
without fear of negative consequences
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-workplace-safety-report-pt1.pdf
January 01, 2025 - measures that ask respondents if they can report any
workplace safety concerns without fear of negative consequences … survey item that asks if
respondents can report any workplace safety concerns without fear of negative consequences … Workplace Safety Reporting
Staff can report their concerns about workplace
safety without fear of negative consequences … survey item that asks if respondents can report any
workplace safety concerns without fear of negative consequences … Strongly Agree/Agree
Staff can report their concerns about workplace safety
without fear of negative consequences
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/131-ss-swiss-cheese.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention | Surgical Services
The Swiss Cheese Model
System Failure Consequences
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
June 02, 2025 - mnemonic tool that is used extensively to elicit and share key information about activities and their consequences
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-mental-health-data-spotlight.pdf
July 01, 2024 - The mental health consequences of COVID-19 and physical
distancing: the need for prevention and early … Mental Health Consequences of COVID-19: The Role of Social Determinants of Health
Research Brief. … Department of Health and Human Services; April 8, 2021. https://aspe.hhs.gov/reports/mental-health-
consequences-covid … www.samhsa.gov/data/sites/
https://doi.org/10.1176/appi.ps.202000393
https://aspe.hhs.gov/reports/mental-health-consequences-covid … -19-role-social-determinants-health-research-brief
https://aspe.hhs.gov/reports/mental-health-consequences-covid
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www.ahrq.gov/talkingquality/distribute/placement/index.html
January 01, 2023 - Placement and Distribution Channels for a Quality Report
A well-executed project doesn't end when the report has been printed or the Web site is launched. Unfortunately, you cannot rely on consumers to come to you for the information. While a few consumers actively seek out information on health care quality, m…
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www.ahrq.gov/sites/default/files/2024-01/field-report.pdf
January 01, 2024 - Assess any unexpected consequences for patients, prescribers, and clinic staff
4. … evaluated the impact
of the intervention on rates of laboratory monitoring, assessed any unexpected consequences … with overdue laboratory tests
This was implemented but encountered a major problem with unintended consequences … Unexpected consequences
The clinicians from the medical group who participated in the study used informal … techniques to
identify unexpected consequences.
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www.ahrq.gov/talkingquality/translate/organize/composites.html
November 01, 2018 - Combining Quality Measures Into Composites
Composite scores represent small sets of data points that are highly related to one another, both conceptually and statistically. Combining and presenting these items as a single score reduces the potential for information overload. Learn more about Combining Measures…
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www.ahrq.gov/talkingquality/explain/communicate/get-people.html
November 01, 2018 - Get People to Quality Displays as Soon as Possible
It is important to present the comparative quality information as soon as possible.
Why?
Report sponsors have to fight the urge to provide as much explanatory information as possible in the front of a report. If people are looking at your report, it is beca…
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www.ahrq.gov/sites/default/files/2024-05/gold-report.pdf
January 01, 2024 - adoption of Electronic Health Records (EHRs), there has been a
growing appreciation of the unintended consequences … interface with the
EHR.27 Consequently, there has been a growing awareness of the potential unintended
consequences … A Systematic Review of Nurses' Experiences With
Unintended Consequences When Using the Electronic Health
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
February 26, 2008 - settings has been treated as an issue of clinical risk
management, the aim of which was to deal with the consequences … That alarms are used unproductively in ICUs is widely appreciated, yet very few
data exist about the consequences
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Magid.pdf
January 01, 2004 - Other outcomes include
prescriber, pharmacist, and patient satisfaction; measures of unintended
consequences … reporting on efficacy or effectiveness, it is necessary to document the
possible negative or unintended consequences … showed that an improvement in medication prescribing was accompanied by some
unintended negative consequences … Advances in Patient Safety: Vol. 2
170
pharmacist, and patient satisfaction; measures of unintended consequences
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www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
January 01, 2024 - there are no national standards for
regulating these types of impairments for EMT-Ps, nor have the consequences … D'Agostino & Dworkin, 1999; Grant,
Millar, & Kenny, 2000) demonstrate important cognitive and physiological consequences … strategies; (3) thinking laterally and being
innovative; (4) assessing risk and anticipating a range of consequences
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
July 01, 2023 - Describe the specific situation
Express your concerns about the action
Suggest alternatives
Consequences … It can be used in minor disagreements
as well as in situations involving greater conflict or consequences … E – Expressing your concerns about the action
• S – Suggesting other alternatives
• C – stating Consequences … Failing to do so can have severe
consequences for you, your teammates, and the patient. … stroke or seizures she needs to know what treatment
options are available to prevent such adverse consequences
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www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-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.