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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/potential-problem-analysis
January 01, 2023 - The problem causes are rated according to their likelihood of occurrence and the severity of their consequences … problem by assigning it a high, medium, or low rating for both its likelihood and the severity of its consequences … DEVELOP A CONTINGENCY PLAN to minimize the consequences of causes with unacceptable residual risk, should
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/computerized-provider-order-entry-cpoe-systems
July 12, 2021 - Some Unintended Consequences of Information Technology in Health Care: The Nature of Patient Care Information … systems, implement, and conduct research in such a way that they might be able to avoid the unintended consequences … 2004 Publication Month: Mar-Apr Volume: 11 Issue: 2 Page Number: 104-112 Link: Some Unintended Consequences
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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.
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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
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digital.ahrq.gov/funding-mechanism/mentored-clinical-scientist-research-career-development-award-k08
January 01, 2023 - the Use of Clinical Decision Support
Neonatal nurses experience unintended consequences … Neonatal nurses experience unintended consequences and risks to patient safety with electronic health … Nurses' use of positive deviance when encountering electronic health records-related unintended consequences … Nurses' use of positive deviance when encountering electronic health records-related unintended consequences
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digital.ahrq.gov/principal-investigator/sharifi-mahnoos-h
January 01, 2023 - Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic … Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/risk
January 01, 2023 - Cause-and-effect diagrams provide a visual means of conveying all suspected and possible causes and consequences … , but event trees are also useful for analyzing possible actions in a scenario and their associated consequences … The problem causes are rated according to their likelihood of occurrence and the severity of their consequences
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digital.ahrq.gov/ahrq-funded-projects/mhealth-delivery-motivational-intervention-address-heavy-drinking-among-college
January 01, 2023 - Large numbers of underage students drink heavily, often in binges, which can lead to negative consequences … 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
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digital.ahrq.gov/track-5-achieving-and-sustaining-improvements
January 01, 2023 - Banja Presentation
Tuesday June 6, 1:00pm-2:30pm Renaissance Ballroom West A
Track 5-V Unintended Consequences … Though health IT can provide improvements in cost and safety, it is important to be aware of unintended consequences … identifying and managing errors related to EMR, and the role of training as a tool to prevent unintended consequences
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digital.ahrq.gov/funding-mechanism/accelerating-change-and-transformation-organizations-and-networks-action
January 01, 2023 - Improve the Health of Young African American Women
Guide to reducing unintended consequences … Guide to reducing unintended consequences of electronic health records. … Koppel, Ross
Project Name
Developing a Guide to Identifying and Remediating Unintended Consequences
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digital.ahrq.gov/location/usa-ca-santa-monica
January 01, 2023 - Bell, Douglas
Developing a Guide to Identifying and Remediating Unintended Consequences … Description
This project developed a guide on how to avoid, understand, identify, and remediate unintended consequences
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digital.ahrq.gov/organization/rand-corporation
January 01, 2023 - E-Prescribing
Developing a Guide to Identifying and Remediating Unintended Consequences … Koppel, Ross
Project Name
Developing a Guide to Identifying and Remediating Unintended Consequences
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digital.ahrq.gov/ahrq-funded-projects/physician-practice-variation-electronic-health-record-use
January 01, 2019 - What strategies could be implemented in primary care practices to prevent or mitigate the negative consequences … variation, they conducted semi-structured interviews with physicians and staff to explore the causes and consequences … of such variation, as well as to identify strategies to prevent or mitigate negative consequences.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/maass-mc-et-al-2008
January 01, 2008 - Abstract
"The goal of this paper is to describe some benefits and possible cost consequences of computer … Objective
"To describe some benefits and possible cost consequences of computer based access to specialised
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digital.ahrq.gov/principal-investigator/wu-winfred
January 01, 2023 - Wu, Winfred
The intended and unintended consequences of quality improvement … The intended and unintended consequences of quality improvement interventions for small practices in
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digital.ahrq.gov/sites/default/files/docs/resource/b4_singh_017020_archives_17_part1.pdf
September 01, 2009 - Reports on errors can be a rich source for understanding their causes, cascades, and
consequences … to other settings
Third Party
Payer
Caregiver
G and R Singh 2001
Lab Home
Cascade
Consequences … Third Party
Payer
2
1
5
3
6
37
39
1
11
64
16
23
Contributors
Cascade
Errors
Consequences
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digital.ahrq.gov/principal-investigator/bertoni-alain
January 01, 2023 - Primary care providers’ views of patient portals: interview study of perceived benefits and consequences … Primary care providers’ views of patient portals: interview study of perceived benefits and consequences
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/consequences-neural-network
July 01, 1996 - Consequences of neural network technology for cervical screening: increase in diagnostic consistency
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/characteristics-and-consequences
Characteristics and consequences of drug allergy alert overrides in a computerized physician order entry
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digital.ahrq.gov/principal-investigator/parsons-amanda
January 01, 2023 - Bringing High Performing Systems to Small Practices
The intended and unintended consequences … The intended and unintended consequences of quality improvement interventions for small practices in