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www.ahrq.gov/es/nursing-home/resources/search.html?page=8
January 01, 2022 - module provides an overview of injection safety, along with a review of recommended practices and the consequences
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
May 01, 2023 - Monitoring Page 20
STAR
A tool that is used to elicit and share key information
about activities and their consequences … the situation makes
you feel/what your concerns are
Suggest other alternatives and seek
agreement
Consequences
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www.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
December 01, 2009 - errors may occur in different health care settings, and those that happen in hospitals can have serious
consequences
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6l.pdf
August 01, 2017 - Consequences of irregular versus continuous medical follow-up in children and
adolescents with insulin-dependent
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www.ahrq.gov/professionals/systems/system/delivery-system-initiative/casalino/paper/idkeydsr1.html
February 01, 2014 - Third, research should routinely evaluate both the intended and the unintended consequences of the structure
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www.ahrq.gov/hai/cauti-tools/guides/implguide-refs.html
October 01, 2015 - Clinical and economic consequences of nosocomial catheter-related bacteriuria.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-section-5-table-5.pdf
January 01, 2010 - Overweight in
children and adolescents:
Pathophysiology,
consequences, prevention,
and treatment.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Steele_100.pdf
March 18, 2008 - Although this study demonstrated dramatic improvements in TATs, potential unintended
consequences were … Some unintended
consequences of information technology in health
care: The nature of patient care information
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-slides.pptx
January 01, 2017 - Clinical and economic consequences of ventilator–associated pneumonia: a systematic review. … Clinical and economic consequences of ventilator–associated pneumonia: a systematic review.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-slides.pptx
January 01, 2017 - The negative consequences of unrelieved pain in ICU patients are significant and long lasting. … clinical outcomes
Sedatives are commonly administered to ICU patients to treat agitation and its negative consequences
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-georgia-state-snapshot.pdf
January 01, 2018 - Spotlight on Georgia -- National Evaluation of the CHIPRA Quality Demonstration Grant Program
This brief highlights the major strategies, lessons learned,
and outcomes from Georgia’s experience from February
2010 to February 2016 with the quality demonstration
funded by the Centers for Medicare & Medicaid
Service…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
January 01, 2003 - Patient Monitors in Critical Care: Lessons for Improvement
Patient Monitors in Critical Care: Lessons for
Improvement
Frank A. Drews, PhD
Abstract
Unexpected incidents are common in intensive care medicine. One means of detecting,
diagnosing, and treating these events is use of physiologic displays that sho…
-
www.ahrq.gov/news/blog/ahrqviews/financial-strains-healthcare.html
November 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
Biden Administration Tackles Financial Strains on Healthcare Consumers
NOV
30
2023
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
Robert Otto Valdez, Ph.D., M.H.S.A.
Americans have long been facing a healthcare affordability crisis. …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
April 20, 2008 - reducing errors and improving quality of
care is the lack of awareness of the type, incidence, and consequences … by the IOM as a means of analyzing a system to identify its weaknesses (failure
modes) and possible consequences … Estimate the consequences (effects) of each failure mode.
f. Prioritize areas for improvement.
g.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
April 01, 2022 - the nurse
is not going to speak up if they believe, or their past experience, have shown
negative consequences
-
www.ahrq.gov/cahps/surveys-guidance/hp/about/Development-CAHPS-HP-Survey.html
May 01, 2022 - Development of the CAHPS Health Plan Survey
AHRQ launched the development of the CAHPS Health Plan Survey in 1995 and released the first version for public use in 1997. Since that time, the CAHPS team has clarified and updated the survey instrument several times to reflect changes in healthcare delivery, survey…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_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.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
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 … situation
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
March 01, 2020 - after PMS implementation, but did
not find a significant reduction in ICU LOS.4
2.1.3.2 Unintended Consequences … 2.1.3.2.1 Negative
Study authors did not indicate many unintended negative consequences as a result … between
initial implementation of an RRT and staff adaptation to the process.9
2.2.4 Unintended Consequences … 2.2.4.1 Negative
Study authors did not raise many concerns about unintended negative consequences … Response Teams
2.2.1 Practice Description
2.2.2 Methods
2.2.3 Evidence Summary
2.2.4 Unintended Consequences
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
February 04, 2022 - What are the CONSEQUENCES?
What are the next STEPS? … What are the
consequences? … 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 … What is the problem, what are the consequences, what help do I need, what has been tried,
what are next