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www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
January 01, 2024 - Recognizing the heightened risk for medication error and
related consequences, this study sought to … The results of nursing home
medication error can lead to greater consequences than have been reported … Recognizing the
heightened risk for medication error consequences, the study sought to focus on nursing … technology interfaces without the input of the medication
safety teams, which ultimately led to unintended consequences
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www.ahrq.gov/sites/default/files/wysiwyg/topics/boarding-response-to-rep.-dingell.pdf
December 31, 2024 - THE SECRETARY OF HEALTH AND HUMAN SERVICES
WASHINGTON, D.C. 20201
December 18, 2023
The Honorable Debbie Dingell
U.S. House of Representatives
Washington, D.C. 20515
Dear Representative Dingell:
Thank you for your …
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/consent-form-nc.pdf
June 02, 2025 - Heart Health Now Advancing Heart Health in NC Primary Care Consent Form
Heart Health NOW
Advancing Heart Health in NC Primary Care
This document outlines the agreement between UNC-Chapel Hill and [Practice Name] to conduct the project
titled “Heart Health Now! Advancing Heart Health in NC Primary Care”. This agr…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave4.html
July 01, 2025 - Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
Limitations of AI and the Resulting Risk
Previous Page Next Page
Table of Contents
Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
Introduction
Understanding the AI Wave—What…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
March 01, 2020 - care practitioners, settings, and home, as their conditions and care needs change.”19 In
light of consequences … Emerging Patient Safety Practices
Care Transitions 15-18
15.4 General Issues
15.4.1 Unintended Consequences … 15.4.1.1 Negative
15.4.1.1.1 Related to Implementing BOOST
No unintended negative consequences were … that examined the use of
BOOST.
15.4.1.1.2 Related to Implementing CTI
No unintended negative consequences … service utilization rates increased.4
15.4.1.2.3 Related to Implementing TCM
No unintended positive consequences
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www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
May 01, 2011 - What were the consequences of the patient safety event?
2. … 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 … Others viewed accountability as a matter of “consequences” or “punishment,” such as warning,
reprimanding … What were the consequences of the patient safety event?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
May 01, 2011 - What were the consequences of the patient safety event?
2. … 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 … Others viewed accountability as a matter of “consequences” or “punishment,” such as warning,
reprimanding … What were the consequences of the patient safety event?
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
April 01, 2022 - What are the potential consequences of missing supplies?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-for-Hospitals-12-15-22.docx
December 01, 2022 - I can report my concerns about workplace safety without fear of negative consequences for me
☐ 1
☐
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-Hospitals-2022-1215-ENGLISH_508.pdf
January 01, 2022 - I can report my concerns about workplace
safety without fear of negative consequences
for me .....
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-slides.pptx
April 01, 2022 - (CUS)
2-Challenge Rule
Check Back
Call Out
Hand Off
Describe, Express, Suggest, Consequences (DESC) Script
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion.pptx
April 01, 2022 - Preventing CLABSI and CAUTI
CVC Insertion ׀ 3
3
When Essential Insertion Supplies Are Missing
Potential Consequences
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - C = Consequences should be stated.
Ultimately, consensus should be reached. … Consequences should be stated and consensus should be reached.
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www.ahrq.gov/sites/default/files/2024-07/nuckols-report.pdf
January 01, 2024 - Final Progress Report: The Value of Hospital-Related Patient-Safety Interventions to Key Stakeholders
AHRQ Grant Final Progress Report
Title: The Value of Hospital-Related Patient-Saftey Interventions to Key Stakeholders
Principal Investigator and Mentors:
PI: Teryl K. Nuckols, MD, MSHS
Mentors: José J. Escar…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - Many providers indicated that “errors that are either evident to a patient or
have immediate consequences … or significant consequences to the patient” are most
likely to be discussed with patients.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
December 01, 2017 - Missing documentation leaves staff open to negative consequences through survey or litigation.
6.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
December 01, 2017 - materials, including:
facility policy and procedures
internal and external fall risk factors and consequences
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
January 01, 2017 - exercise and progressive mobility (E)—designed to be used at the bedside to prevent the unintended consequences … Results will help your team evaluate costs, social impact, and unintended consequences or side effects
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www.ahrq.gov/hai/tools/mvp/modules/cusp/action-plan-trip-fac-guide.html
February 01, 2017 - exercise and progressive mobility (E)—designed to be used at the bedside to prevent the unintended consequences … Results will help your team evaluate costs, social impact, and unintended consequences or side effects
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
April 01, 2025 - brief explores a variety of terms and perspectives that describe aspects of diagnostic
success or consequences … Safe
Care that is free of harm from medical intervention; care that minimizes consequences of the … Patient record review
of the incidence, consequences, and causes of diagnostic adverse events.