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www.ahrq.gov/topics/elderly.html
Topic: Elderly
Owing to medical advances and healthier lifestyles, the United States has a growing number of elderly and aging adults (age 65 years or older) who are living longer than past generations. According to the U.S. Census Bureau, older Americans will make up more than 20 percent of the U.S. population start…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
January 01, 2007 - Responses were coded by type of
incident, consequences for the patient, responsible party, process-of-care … Were there any
consequences for the patient? … Responses were coded by the type of incident, consequences for the patient,
responsible party, process-of-care … The majority of AEs were judged to
have significant consequences but a high degree
of preventability … Events
characterized as “none of the above” usually
involved administrative issues with no clinical
consequences
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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/index.html
December 01, 2017 - Studies both intended and unintended consequences. … How can undesirable unintended consequences of external incentive programs be minimized?
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-209-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/pqmp/measures/chronic/chipra-245-fullreport.pdf
December 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/pqmp/measures/chronic/chipra-201-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/pqmp/measures/chronic/chipra-244-fullreport.pdf
December 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/pqmp/measures/chronic/chipra-247-fullreport.pdf
December 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/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
January 10, 2022 - The five-question mnemonic “KAICS” (Know, Alternatives, Information, Consequences, Steps) was developed … What are the CONSEQUENCES? Actions have consequences, so if this, then what? … What are the CONSEQUENCES?
What are the next STEPS?
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
January 10, 2022 - What are the CONSEQUENCES?
If this, what else?
What is the worst it could be? … The five‐question mnemonic “KAICS” (Know, Alternatives,
Information, Consequences, Steps) was developed … What are the CONSEQUENCES? Actions have consequences, so if this, then what?
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide72.html
October 01, 2014 - Risks
The clinician should ask the patient to identify potential negative consequences of tobacco use
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.doc
May 01, 2014 - The adverse consequences of inappropriate prescribing practices—including drug reactions/interactions
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www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
December 01, 2017 - Assessment of Harm
Believe that failure to follow guidelines may cause harm
Built in alerts
Consequences … Seat Belt
Yes
No
Believe in it
X
Built in safety alerts
X
Consequences … Built in safety alerts
X
Consequences
?
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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapd.html
February 01, 2014 - ARRA Grant: Dowd ; Malouin
Include inquiry into unintended consequences of incentives, for example … Racial profiling: the unintended consequences of coronary artery bypass graft report cards. … on a limited number of process measures)
ARRA GRANT: Swigonski
Possible unintended consequences
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www.ahrq.gov/hai/hai-carb-funding.html
November 01, 2021 - determine the clinical efficacy and effectiveness of preventive interventions including unintended adverse consequences
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
January 01, 2003 - paper discusses critical issues in effective change
management, drawing attention to the unintended consequences … These mismatches in turn have led to a number of
unintended consequences that may affect the ability … Unintended consequences of mismanaged organizational change
and leave important choices about how … Unintended consequences of mismatched change
One obvious result of such mismatches is a failure to … What is additionally troubling, however, is
the potential for other, less obvious consequences that
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.pdf
May 01, 2014 - The adverse consequences of
inappropriate prescribing practices—including drug reactions/interactions
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-burnout-slides.pdf
December 10, 2024 - EE
DP
National Data (Shanafelt et al., Arch Intern Med 2012; Mayo Clin Proc
2015, 2019, 2022)
Consequences … Emotional Exhaustion
Depersonalization
Burnout among Practicing Physicians
Consequences of Physician
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-204-fullreport.pdf
January 01, 2014 - 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/pqmp/measures/acute/chipra-118-fullreport.pdf
October 01, 2016 - 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