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Showing results for "consequences".

461. Final Progress Report: Cardio-HIT Phase II (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/kmetik-otoole-report.pdf
     January 01, 2024 - The unintended consequences of measuring quality on the quality of medical care. … The unintended consequences of measuring quality on the quality of medical care. … Pay for performance in primary care in England and California: comparison of unintended consequences

462. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
     July 05, 2023 - To avoid un- intended consequences, it is crucial to strike a balance in the level of detail and prescriptiveness … Moreover, payers expressed concern about unintended consequences such as disrupting clinician autonomy … Evidence-based performance measures: preventing unintended consequences of quality measurement.

463. NAA National Webinar, February 2025: Establishing Psychological Safety for Healthcare Workers (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/psychological-safety-slides.pdf
     March 18, 2025 - nature to want to keep problems to ourselves, to avoid difficult discussions Fear of punitive consequences

464. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave-references.html
     July 01, 2025 - Performance consequences of automation-induced “complacency.”

465. Creating Safety in the Testing Process in Primary Care Offices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
     February 19, 2008 - similar names) and small mistakes (e.g., incorrect filing of a test result) that can cascade into consequences … Although these errors have rarely been associated with significant physical harm to patients, adverse consequences … Testing process errors and their harms and consequences reported from family medicine practices: A

466. Minding the Gaps: Creating Resilience in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
     April 27, 2008 - Misperceptions about user-device interaction have substantial consequences for clinical work. … Some unintended consequences of information technology in health care: The nature of patient care … Going solid: A model of system dynamics and consequences for patient safety.

467. Teamworknotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
     June 02, 2025 - · And C stands for consequences—Consequences, in terms of established team goals, should be stated.

468. 124-Cusp-Science-Safety-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
     April 01, 2025 - The science of safety seeks to understand the causes and consequences of each accident and incident and … reliable organizations (HROs) are organizations that operate in complex, high-risk environments where the consequences

469. Final Progress Report: Valuation of a Simple Tool for Chest Pain Patient Risk-Stratification in North America (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/mader-poronsky-report.pdf
     January 01, 2024 - performance when applied to ED patients, and missed ACS can have devastating psychological and financial consequences

470. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
     June 30, 2004 - included actor/agent, acts/activities, setting/context, relationships, processes, and products/outcomes/consequences … appeared to drive the error event process, whether as contributors to or mitigators of the error or its consequences … mechanisms related to reducing the occurrence of various types of main events and to mitigating the consequences

471. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
     January 01, 2024 - Possible consequences to the patient and to the physician or care processes were identified as well. … (2) What were the potential consequences to you or the patient care processes? … (3) What were the potential consequences to the patient?

472. Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
     January 01, 2024 - harmful errors and sought information about what happened, why the error happened, how the error’s consequences … Nurses also worried about the personal and professional consequences of disclosure.

473. Final Progress Report: Improving Patient Safety by Examining Pathology Errors (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
     January 01, 2025 - modes and effects analysis (FMEA) was used to determine the manner by which failures occurred and the consequences … their work, they still displayed a significant resistance to change and fear of potential negative consequences … The lack of standardization in anatomic pathology has enormous consequences, as it results in variability … aspiration in the diagnosis of thyroid cancer. 3rd Annual “Living with Radiation: Medical and Psychological Consequences

474. Paul Tedrick (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
     August 12, 2014 - And thirdly, there’s got to be consequences for failure to implement those types of things. … And thirdly, and I don’t want to emphasize the stick more than the carrot, but there are consequences … And finally, are there consequences? … And by consequences I don’t necessarily mean negative consequences, but do we give feedback to people

475. Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
     December 01, 2017 - And thirdly, there's got to be consequences for failure to implement those types of things. … And thirdly, and I don't want to emphasize the stick more than the carrot, but there are consequences … And finally, are there consequences? … And by consequences I don't necessarily mean negative consequences, but do we give feedback to people

476. Strategy 6G: Training To Advance Physicians' Communication Skills | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6gtraining.html
     March 01, 2020 - affecting the patient's experience with health care, poor patient-physician communication has important consequences

477. Hospital Language Services: Quality Improvement and Performance Measures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
     May 08, 2008 - Errors in medical interpretation and their potential consequences in pediatric encounters.

478. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses6.html
     August 01, 2022 - Some unintended consequences of information technology in health care: the nature of patient care information

479. The Freedom of Information Act (FOIA) Memoradum (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policy/foia/foiamemo0309.pdf
     March 19, 2009 - The Freedom of Information Act (FOIA) Memoradum ®!fire of tbc iattorncp ;CIES f ROM: ",,~E AnORl\EY GEJ"ERAL SUBJE~The Freedom QflnfQunatjQo Act (FOlA) The Freedom of Information Act (FOlA), 5 U.S.c…

480. Assess-Resident-Rti-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
     June 01, 2021 - Missing this diagnosis could lead to an outbreak in your facility, and the consequences could be devastating … Remember, missing this diagnosis can have major consequences, so make sure that frontline staff members