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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-227-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/news/newsroom/case-studies/202402.html
July 01, 2024 - Case Studies
July 2024
Sierra Vista Hospital, an 11-bed critical access hospital in Truth or Consequences
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0083episiotomy.pdf
March 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
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html
December 01, 2017 - Consequences of Falls
Slide 12a. Staff Strategies to Reduce Fall Risk
Slide 12b. … Consequences of Falls
Serious injury such as hip fracture
Increased risk of death associated
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www.ahrq.gov/rural-post-partum-challenge/about/literature.html
June 01, 2020 - Evidence suggests that even milder cases can have consequences for the health of mother and infant. 6 … For mothers, the consequences include depressed mood, 9 poorer quality of life, undesired weight change
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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/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/data/SyH-DR-PUF-Summary-Statistics-Medicare-Outpatient-Weighted.pdf
September 26, 2023 - elsewhere classified 15,581,930 9.05 150,440,673 87.34
S00-T88: Injury, poisoning and certain other consequences … elsewhere classified 9,411,866 5.46 157,550,833 91.46
S00-T88: Injury, poisoning and certain other consequences … elsewhere
classified
843,061 0.49 166,546,378 96.69
S00-T88: Injury, poisoning and certain other consequences … elsewhere
classified
627,332 0.36 167,503,302 97.24
S00-T88: Injury, poisoning and certain other consequences … elsewhere
classified
481,290 0.28 168,300,574 97.71
S00-T88: Injury, poisoning and certain other consequences
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/pharmlitqi/slidedeck2/slidedeck2.ppt
March 01, 2011 - .
*
Patient-Level Consequences
Poorer health outcomes
Increased hospitalizations
Greater use … [read list]
*
Societal and Pharmacy-Level Consequences
Societal Consequences
Nonadherence
Missed … patients
Undermines efforts to increase patient self-management and engagement in care
Pharmacy-Level Consequences … Liability—NYS settlement for LEP patients
SOURCES: 1) AMA (2007) 2) AHRQ (2011)
*
Patient-level consequences … At the pharmacy level, consequences of failing to meet the needs of patients with low health literacy
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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/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicaid-Inpatient-Weighted.pdf
September 26, 2023 - not elsewhere classified 274,428 3.16 7,861,803 90.59
S00-T88: Injury, poisoning and certain other consequences … not elsewhere classified 274,428 3.16 7,861,803 90.59
S00-T88: Injury, poisoning and certain other consequences … not elsewhere classified 546,269 6.29 7,831,857 90.24
S00-T88: Injury, poisoning and certain other consequences … not elsewhere classified 384,849 4.43 7,687,444 88.58
S00-T88: Injury, poisoning and certain other consequences … not elsewhere classified 371,655 4.28 7,651,494 88.17
S00-T88: Injury, poisoning and certain other 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-119-fullreport.pdf
May 01, 2018 - Unintended consequences: What are the potential unintended consequences of reporting at
this level of … No.
20
Unintended consequences: What are the potential unintended consequences of reporting at … 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/research/findings/studies/index.html?page=287
January 01, 2024 - Harper KJ , Osborn CY , Mayberry LS Patient-perceived family stigma of type 2 diabetes and its consequences … association with helpful and harmful diabetes-specific family behaviors and psychological and behavioral consequences … Perceptions/experiences of T2D-related family stigma were common in the study’s sample and associated with consequences … Patient-perceived family stigma of type 2 diabetes and its consequences. … This review describes the nature and consequences of sleep disturbances in long-term care (LTC), clinical
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www.ahrq.gov/research/findings/studies/index.html?page=99
January 01, 2024 - potential benefits of telehealth (TH) in nursing homes (NHs) are high; however, unplanned and unexpected consequences … The goal of this study was to elicit stakeholder perspectives of consequences of rapid TH expansion in … investigators concluded that clinicians and NH administrators should consider leveraging the desirable consequences … of rapid TH expansion and implement mitigation strategies to address the undesirable/unanticipated consequences … Consequences of rapid telehealth expansion in nursing homes: promise and pitfalls.
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www.ahrq.gov/news/newsletters/e-newsletter/742.html
December 01, 2020 - Severe Consequences of Medical Errors Described in New Patient Safety Network Cases . … Severe Consequences of Medical Errors Described in New Patient Safety Network Cases
A new Web M&M
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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/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/teamstepps/diagnosis-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?