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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
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-model-pdsa.pdf
May 17, 2021 - Balancing Measures check for negative
consequences of the change. … These answer the
question: "Are there any negative consequences as
a result of the change?"
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepevidencesum.pdf
January 01, 2012 - interpretation errors, and these errors are
significantly more likely to have potential clinical consequences … Errors in medical interpretation and their potential clinical consequences in
pediatric encounters.
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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
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www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
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.
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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
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-210-fullreport.pdf
July 24, 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/chronic/chipra-226-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
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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
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-178-fullreport.pdf
March 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
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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-Perry_49.pdf
March 27, 2008 - In contrast, human factors specialists express
concern about potential unintended consequences of this … across a wide variety of practitioners and settings, due to factors common to complex domains
with high consequences … format
has been widely recommended and employed,11, 12 but there have been a number of unintended
consequences … As in many other high-risk industries, the
consequences of new implementations are not easily seen, … Handoff
strategies in settings with high consequences for
failure: Lessons for health care operations
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
May 01, 2017 - Latent conditions result from the delayed
consequences of technical and organizational
actions and … 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
•
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-211-fullreport.pdf
August 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/evidencenow/results/research/staff-survey-mw.pdf
January 01, 2014 - of my
patients
Will have
no impact
on
outcomes
for my
patients
Will have
negative
consequences … for some of my
patients
Will have
negative
consequences
for all of my
patients
27. … of my
patients
Will have
no impact
on
outcomes
for my
patients
Will have
negative
consequences … for some of my
patients
Will have
negative
consequences
for all of my
patients
29.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-164-fullreport.pdf
March 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
-
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
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www.ahrq.gov/research/findings/studies/index.html?page=422
January 01, 2024 - They concluded that although a large portion of intervention recipients improved risks and consequences … Changes in classes of injury-related risks and consequences of risk-level drinking: a latent transition … Carrington JM , Gephart SM , Verran JA Development of an instrument to measure the unintended consequences … The authors examined the creation and design of an instrument measuring unintended consequences of electronic … Development of an instrument to measure the unintended consequences of EHRs.