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Showing results for "consequences".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37910/psn-pdf
    February 28, 2011 - This commentary shares the potential for the unintended consequences of reporting on flawed performance … A past AHRQ WebM&M commentary discussed the unintended consequences of achieving a good report card … publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate https://psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-quality-and-information-technology-revolutions … antibiotic-timing-and-errors-diagnosing-pneumonia https://psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38094/psn-pdf
    December 23, 2012 - Small patients, big consequences in medical errors. December 23, 2012 Tarkan L. New York Times. … https://psnet.ahrq.gov/issue/small-patients-big-consequences-medical-errors This article describes how … https://psnet.ahrq.gov/issue/small-patients-big-consequences-medical-errors https://psnet.ahrq.gov/issue

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42959/psn-pdf
    February 19, 2014 - A mislabeling event with batched drugs: the unintended consequences of practice changes. …   https://psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes … https://psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes

  4. Family perceptions of medication administration at school: errors, risk factors, and consequences. | PSNet

    psnet.ahrq.gov/issue/family-perceptions-medication-administration-school-errors-risk-factors-and-consequences
    April 24, 2018 - Family perceptions of medication administration at school: errors, risk factors, and consequences … Family perceptions of medication administration at school: errors, risk factors, and consequences. … Family perceptions of medication administration at school: errors, risk factors, and consequences.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43738/psn-pdf
    December 03, 2014 - Unverified patient-reported error: a false alarm can have real consequences. … https://psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences … https://psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences

  6. Managing the patient identification crisis in healthcare and laboratory medicine. | PSNet

    psnet.ahrq.gov/issue/managing-patient-identification-crisis-healthcare-and-laboratory-medicine
    April 22, 2009 - Patient identification mistakes associated with diagnostic blood testing can have serious consequences … Download Citation Related Resources From the Same Author(s) Causes, consequences … November 11, 2009 Causes, consequences, detection, and prevention of identification errors

  7. Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. | PSNet

    psnet.ahrq.gov/issue/procuring-interoperability-achieving-high-quality-connected-and-person-centered-care
    September 19, 2018 - Although health information technology was implemented to improve safety, it has resulted in unintended consequences … A PSNet interview discussed potential consequences of the digitization of health care. … 26, 2023 It's like sending a message in a bottle: a qualitative study of the consequences

  8. Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, | PSNet

    psnet.ahrq.gov/issue/unintended-consequences-health-care-reform-impact-changes-payor-mix-patient-safety-indicators
    March 16, 2022 - Study Unintended consequences of health care reform: impact of changes in payor mix … Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators … Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators

  9. Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. | PSNet

    psnet.ahrq.gov/issue/unintended-consequences-quantifying-benefits-iatrogenic-harms-and-downstream-cascade-costs
    March 17, 2021 - Study Unintended consequences: quantifying the benefits, iatrogenic harms and downstream … Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal … Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal

  10. Nurses' experience with presenteeism and the potential consequences on patient safety: a qualitative study among nurses at out-of-hours emergency primary care facilities. | PSNet

    psnet.ahrq.gov/issue/nurses-experience-presenteeism-and-potential-consequences-patient-safety-qualitative-study
    October 20, 2021 - Study Nurses' experience with presenteeism and the potential consequences on patient … Nurses’ experience with presenteeism and the potential consequences on patient safety: a qualitative … Nurses’ experience with presenteeism and the potential consequences on patient safety: a qualitative

  11. Murphy Diagram | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/murphy-diagram
    January 01, 2023 - After classifying the error, identify what the consequences were and what other potential consequences … After identifying all existing and potential consequences, construct the Murphy diagram. 7.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46449/psn-pdf
    September 27, 2017 - This newspaper article reports on Veterans Affairs staff concerns about safety hazards, consequences … understanding-psychological-safety-health-care-and-education-organizations-comparative https://psnet.ahrq.gov/issue/consequences-whistle-blowing-integrative-review … https://psnet.ahrq.gov/issue/consequences-whistle-blowing-integrative-review https://psnet.ahrq.gov/

  13. Blaming others for threatening events. | PSNet

    psnet.ahrq.gov/issue/blaming-others-threatening-events
    November 25, 2009 - present a different model that focuses on factors influencing the incidence of blaming others and the consequences … November 1, 2017 The consequences of whistle-blowing: an integrative review. … Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46263/psn-pdf
    July 12, 2017 - texting-debate-beneficial-means-communication-or-safety-and-security-risk Adopting new technologies in health care can have unintended consequences … texting-debate-beneficial-means-communication-or-safety-and-security-risk https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences … /texting-while-doctoring-patient-safety-hazard https://psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine

  15. An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. | PSNet

    psnet.ahrq.gov/issue/unintended-consequence-electronic-prescriptions-prevalence-and-impact-internal-discrepancies
    May 04, 2011 - This study adds to a growing body of literature on the unintended consequences of computerized order

  16. Prologue—Volume 2—Systems Thinking and Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schyve.pdf
    June 02, 2025 - microsystems of health care are complex) and open systems are both at risk of producing unintended consequences … inconsequential” changes in health care microsystems and macrosystems will almost always produce unintended consequences … While it is predictable that unintended consequences will emerge, what those consequences will be—and … How can we identify and monitor for unintended consequences? … How can we intervene to prevent harm from unintended consequences?

  17. Evaluating the medication process in the context of CPOE use: the significance of working around the system. | PSNet

    psnet.ahrq.gov/issue/evaluating-medication-process-context-cpoe-use-significance-working-around-system
    February 23, 2009 - This qualitative study identified workarounds and unintended consequences associated with implementation … June 8, 2011 Assessing the anticipated consequences of computer-based provider order … March 10, 2011 The unintended consequences of computerized provider order entry: findings

  18. Reducing Risky College Drinking Through The Use of Cutting Edge mHealth Technology | Digital Healthcare Research

    digital.ahrq.gov/2018-year-review/research-summary/reducing-risky-college-drinking-through-use-cutting-edge-mhealth
    January 01, 2018 - Heavy alcohol use and its related consequences are major health problems for U.S. universities. … High-risk drinking in college students has dangerous and numerous consequences. … In addition to academic failure, the consequences of alcohol abuse can include blackouts, violence, suicide … Kazemi and team found a significant reduction in alcohol use and alcohol-related consequences in students

  19. Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses. | PSNet

    psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute
    August 10, 2022 - Study Intended and unintended consequences: changes in opioid prescribing practices … Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute … Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37380/psn-pdf
    June 16, 2019 - associated with mismanagement of IV tubing and ports, discusses a recent article regarding unintended consequences … ismp-medication-error-report-analysis-19 https://psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry
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