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digital.ahrq.gov/sites/default/files/docs/survey/qualitative-interview-ehr-implementation.pdf
June 16, 2021 - What is your perception of the consequences of the success or failure of this project?
11. … What is your perception of the consequences of the success or failure of this project?
10.
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digital.ahrq.gov/ahrq-funded-projects/systems-engineering-approach-improving-medication-safety-clinician-use-health/annual-summary/2010
January 01, 2010 - intervention to ascertain barriers, facilitators, perceived benefits, and any potential unintended consequences
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digital.ahrq.gov/ahrq-funded-projects/improving-identification-and-coordination-mobility-interventions-icu-using
April 01, 2024 - Improving Identification And Coordination Of Mobility Interventions In The ICU Using Clinical Decision Support
Project Description
The ASSIST-ICU clinical decision support system (CDSS) holds promise for assisting intensive care unit (ICU) nurses and physical therapists to make…
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digital.ahrq.gov/ahrq-funded-projects/preventing-medication-related-problems-care-transitions-skilled-nursing
July 31, 2025 - is that we will see a significant decrease in medication-related problems, and also the downstream consequences
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digital.ahrq.gov/sites/default/files/docs/artificial-intelligence-tools-improve-slides-03182025.pdf
March 18, 2025 - workflow impacts of artificial
intelligence (AI), allowing us to anticipate and mitigate
unintended consequences … Downstream impacts: immediate
review of flagged exams, add-on
diagnostic exams
The Unintended Consequences … Anticipating Impacts on Clinical Workflow
Anticipating Impacts on Clinical Workflow
The Unintended Consequences
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/cammisa-m-et-al-2004
January 01, 2004 - Cammisa M et al. 2004 "Design and implementation of an integrated HIS-RIS-PACS system: our experience."
Reference
Cammisa M, Guglielmi G, Zarrelli N, et al. Design and implementation of an integrated HIS-RIS-PACS system: our experience. Radiological Medicine 2004;107(1-2):102-112.
Abstract
"Pu…
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digital.ahrq.gov/ahrq-funded-projects/dissemination-and-implementation-qt-risk-clinical-decision-support
January 01, 2023 - For someone with a TdP risk factor, taking a QTc interval-prolonging medication can have significant consequences
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digital.ahrq.gov/program-overview/research-stories/designing-digital-healthcare-technology-support-cognitive-team
January 01, 2023 - Designing Digital Healthcare Technology to Support Cognitive Team Work in Pediatric Trauma Settings
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Optimizing Data Visualization to Improve Care
Simple and informative graphic displays in emergency department trauma bays can streaml…
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digital.ahrq.gov/sites/default/files/docs/page/Materials%20Management%20and%20Production%20Processes.pdf
June 16, 2021 - and Impact of Policy
Supply chain resilience
Existing talent/competencies/capabilities
Unintended consequences
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024538-adelman-final-report-2022.pdf
January 01, 2022 - high-quality
and high-reliability healthcare; however, studies have demonstrated that unintended consequences … Some unintended consequences of information technology in health care: the
nature of patient care information … The extent and importance of
unintended consequences related to computerized provider order entry. … Unintended consequences of information technologies in health
care—an interactive sociotechnical analysis … Types of unintended consequences related
to computerized provider order entry.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023383-mccarty-final-report-2020.pdf
January 01, 2020 - prevention and risk reduction feedback; and 3) summarize youth-reported
risk behaviors, goals, and consequences … prevention and risk reduction feedback; and 3) summarize youth-reported
risk behaviors, goals, and consequences … The iHA feedback aimed
to provide education regarding health risks and consequences, and contextualizing … appreciated the non-judgmental feedback from
the iHA and responded well to information regarding the consequences … reduction
feedback; and 3) summarize results, in addition to youth reported risk behaviors, goals, and
consequences
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digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system
January 01, 2023 - Understand and disseminate the outcome, benefits, challenges, and unintended consequences from use of
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digital.ahrq.gov/2020-year-review/research-spotlight
January 01, 2020 - benefits to providers and patients, there are still unanswered questions on the impact and unintended consequences
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digital.ahrq.gov/ahrq-funded-projects/improving-teen-care-health-it
January 01, 2023 - youth-directed prevention and risk reduction feedback; and summarize youth-reported risk behaviors, goals, and consequences
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-orders-entered-using-cpoe-quick-reference-guide.pdf
February 01, 2009 - Types of
unintended consequences related to computerized
provider order entry.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/glazner-je-et-al-2004
January 01, 2004 - Glazner JE et al. 2004 "Using an immunization registry: effect on practice costs and time."
Reference
Glazner JE, Beaty BL, Pearson KA, et al. Using an immunization registry: effect on practice costs and time. Ambulatory Pediatrics 2004;4(1):34-40.
Abstract
"Introduction: Immunization registri…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tufano-jt-et-al-2008
January 01, 2008 - Tufano JT et al. 2008 "Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitative study."
Reference
Tufano JT, Ralston JD, Martin DP. Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitati…
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digital.ahrq.gov/ahrq-funded-projects/quantifying-efficiencies-gained-through-shareable-clinical-decision-support
January 01, 2023 - Quantifying Efficiencies Gained through Shareable Clinical Decision Support Resources
Project Final Report ( PDF , 742.46 KB)
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Project Description
Publications
Finding ways to measure how share…
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digital.ahrq.gov/sites/default/files/docs/quality-metrics-slides-042811.pdf
January 01, 2011 - Consequences of Missed Exceptions:
Accuracy of Feedback Decreases As Performance
Improves
40% Did … • Unintended consequences of sub-optimal quality measures
– If higher socioeconomic status predicts … Consequences of Missed Exceptions: � Accuracy of Feedback Decreases As Performance Improves
Implications
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digital.ahrq.gov/sites/default/files/docs/citation/ddi-non-interruptive-alerts-poster-2013.pdf
January 01, 2013 - 56
151
62
215
0
50
100
150
200
250
Niacins + Statins (Inpatient) Niacins + Statins (Outpatient)
Alerts Overridden Alerts Generated
U.S. System
In the U.S. system, the Niacin + Statin
interaction was triggered and overridden most
often in both inpatient and outpatient systems.
U.K. …