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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-TN-profile.pdf
September 01, 2021 - EvidenceNOW Building State Capacity Profile: Tennessee Cooperative
Tennessee Cooperative
Project Name:
Tennessee Heart Health Network
Principal Investigators:
James E. Bailey, MD, MPH,
University of Tennessee Health
Science Center
Ben Heavrin, MD, Qsource
Cooperative Partners:
University of Tennessee Health …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-2.html
August 01, 2023 - e.g., fever or abdominal pain). 15
While “the chance of serious disease [in children] is low… the consequences
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
July 01, 2023 - And C stands for consequences—Consequences, in terms of established team goals, should be stated.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield1.pdf
January 01, 1999 - : New efforts designed to improve patient safety carry
the potential to trigger unintended adverse consequences
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www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
December 01, 2017 - Slide 19
Execution: Lack of Awareness
Those who insert catheters may not be aware of the consequences
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap7.html
June 01, 2014 - plan to test a proposed change (Plan), carrying out the plan (Do), observing and learning from the consequences
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-schlesinger.pdf
January 01, 2017 - Tells me the consequences of not following his instructions
but also gives me the option of continuing
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
May 22, 2014 - A recent systematic review of interventions on the topic suggested
that the medical consequences of … Prevalence, pathophysiology, health consequences and treatment options of
obesity in the elderly: a
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
May 01, 2017 - And C stands for consequences—Consequences, in terms of established team goals, should be stated.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
January 01, 2002 - The
recent nursing shortage and the consequences of stress and burnout in nurses may
foreshadow a similar … must
address the critical issues arising from this medical milieu, including the patient-
related consequences … Occupational Stress: its causes and consequences for
job performance.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
September 01, 2005 - inpatient focus persists despite recent
indications that errors in primary care may also have serious consequences … observe work flows to determine
if the interventions were having the desired effect without unintended
consequences … we
encouraged but could not require participation of individuals—a problem that led
to unintended consequences
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
January 01, 2003 - The
economic consequences of medical injuries:
implications for a no-fault insurance plan.
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www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/about.html
September 01, 2021 - Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit
About the Measure
Previous Page Next Page
Table of Contents
Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit
Introduction
Overview
About the Measure
Key Driver Diagr…
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/contributions.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Contributions to Patient Safety and Medical Liability
Previous Page Next Page
Table of Contents
Demonstration Grants Final Evaluation Report
Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liabil…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-UTI.docx
June 01, 2021 - DiagnosisUrinary Tract Infections (UTI)
· First, ask about SYMPTOMS
· Acute cystitis: dysuria, frequency, urgency, suprapubic pain1,2
· Pyelonephritis: fever, rigors, flank pain1
· Catheter-associated UTI (CAUTI): subrapubic pain and fever; residents with catheters may not report dysur…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology-references.html
April 01, 2025 - Patient record review of the incidence, consequences, and causes of diagnostic adverse events.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/002-ss-antimicrobial-prophylaxis-part-1.pptx
April 01, 2025 - mortality
Reduce duration and cost of healthcare
Cost effective
Have no adverse effects
Have no adverse consequences
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
March 15, 2025 - There are also at least 24 consequences of fragmentation, with 3 consequences desirable and 21 undesirable
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
June 02, 2025 - Helps provide information about whether the system works as expected
• Uncovers potential unintended consequences … o Were there any unintended consequences?
-
www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
January 01, 2024 - Categories of ART Errors with Examples
Category Inpatient Order Error and Potential Consequences
Incorrect … Incomplete regimen errors are common and have dangerous consequences that are unique to
HIV. … The consequences of incomplete HCV
regimens also mirror those for ART. … or control.
16 | P a g e
Incomplete regimen errors can be expected to carry the most important consequences