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Total Results: 1,250 records

Showing results for "consequences".

281. VHA’s National Falls Collaborative and Prevention Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
     March 01, 2006 - Falls are a high-volume, high-cost problem in health care with severe personal and health consequences … for the elderly, and they result in significant consequences that add to the burden of care for elders … falls, little progress has been made to significantly decrease falls and their potentially devastating consequences … Teams examining cases of falls with serious consequences can use the toolkit to analyze the data collected

282. TeamSTEPPS Mutual Support Module 4
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
     June 02, 2025 - Consequences should be stated in terms of impact on the patient and established team goals; strive for

283. 3 Tk1 T5-Draft Policies And Procedures For The Antimicrobial Stewardship Program Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.pdf
     October 01, 2016 - The adverse consequences of unnecessary antibiotic use include adverse drug reactions or interactions

284. Build a Business Case for Quality Improvement: Slide Presentation | Agency for Healthcare Research and Quality
     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.

285. Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
     December 01, 2017 - inform families of the high risk of falls in the elderly, common causes of falls in a nursing facility, consequences … Consequences of Falls Slide 12a. Staff Strategies to Reduce Fall Risk Slide 12b.

286. Translating Patient Safety Research into Clinical Practice (pdf file)
     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

287. Final Progress Report: Proactive Risk Assessment in the ED: Building the Safety Case (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
     January 01, 2025 - • To conduct a PRA for evaulating the likelihoods and potential consequences of replacing manual … Considerations of patient safety or unintended consequences tend not to be considered in a systematic … Some Unintended Consequences of Information Technology in Health Care: The Nature of Patient Care

288. Mutual Support: Severe Hypertension (pdf file)
     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

289. Final Progress Report: Drug-Drug Interaction Clinical Decision Support Conference Series (pdf file)
     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 9 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

290. AHRQ Views: Feeling Energized After Another Successful AcademyHealth Annual Research Meeting | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/921.html
     July 01, 2024 - sessions: Innovations and Actions for Addressing Emergency Department Crowding , which addressed the consequences

291. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
     July 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 … 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

292. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
     January 01, 2021 - of harm to the patient after discovery of the incident and after any attempts to minimize adverse consequences … of harm to the patient after discovery of the incident and after any attempts to minimize adverse consequences … of harm to the patient after discovery of the incident and after any attempts to minimize adverse consequences … of harm to the patient after discovery of the incident and after any attempts to minimize adverse consequences … of harm to the patient after discovery of the incident and after any attempts to minimize adverse consequences

293. In Pandemic’s Wake, We Must Recommit to Patient and Workforce Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/patient-workforce-safety.html
     March 01, 2023 - Improving safety for patients and the healthcare workforce will go a long way toward recovering from the consequences

294. Centers of Excellence and Coordinating Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/about-chsp/centers/index.html
     July 01, 2019 - Finally, they are combining data on healthcare organization and performance to study topics such as the consequences

295. Appendix A. Recommendations for Ideal Consumer Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdf
     June 02, 2025 - or to whom the event was reported; what happened when the event was reported; and the impacts or consequences

296. Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/prabhakaran-holl-report.pdf
     January 01, 2025 - several solutions for further simulation to assess impact on DIDO times, treatment rates, and unintended consequences … discussed and assessed for (1) impact on DIDO time; (2) impact on AIS treatment rates; and (3) unintended consequences … The Protocol was also further tested to detect and remediate any unintended consequences by applying

297. Final Progress Report: Evaluating and Improving Present-On-Admission for Performance Reporting (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/goldman-report.pdf
     January 01, 2025 - policy on Medicare reimbursement is not as dramatic as had been anticipated,34 the potential for fiscal consequences … assessed as having worse performance than they actually have and perhaps suffer negative financial consequences … Thirty-day readmissions--truth and consequences. N Engl J Med 2012;366(15):1366-1369. 6. Jha AK. … Potential unintended consequences due to medicare's "no pay for errors rule"?

298. Improving Healthcare Using Engineering Principles | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-gurses.html
     November 01, 2023 - Program that allowed her to expand her study of intensive care units and understand the causes and consequences

299. Conflict Resolution (Slide Presentation) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict-resolution-slides/slides.html
     October 01, 2014 - specific situation E Express your concerns about the action S Suggest other alternatives C Consequences

300. Transformed Primary Care: Care by Design™ | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/magill.html
     October 01, 2015 - It is important to monitor both the intended and unintended consequences of practice redesign.