-
digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
March 01, 2009 - Characteristics and consequences of drug allergy
alert overrides in a computerized physician order
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digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall
January 01, 2023 - Falls can have devastating health consequences for older adults but are not often discussed in primary
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs022087-singh-final-report-2018.pdf
January 01, 2018 - feasibility of using large-scale ‘de-implementation’
interventions to reduce unintended safety or efficiency consequences … Testing
process errors and their harms and consequences reported from family medicine practices: a … National study
on the frequency, types, causes, and consequences of voluntarily reported emergency
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/research
January 01, 2023 - Ash JS et al. 2007 "Categorizing the unintended sociotechnical consequences of computerized provider …
describes "the kinds of unintended sociotechnical consequences related to the implementation of computerized …
describes "some benefits and possible cost consequences of computer based access to specialised health
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digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
May 01, 2012 - An analogy in health IT would be reporting on
the common causes and consequences of wrong-patient order-entry … Some unintended
consequences of information technology in health
care: The nature of patient care … Types of unintended
consequences related to computerized provider order
entry. … The extent and
importance of unintended consequences related to
computerized provider order entry. … The unintended
consequences of computerized provider order entry:
69
findings from a mixed methods
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-postoperative-wound-surveillance-using-current-technology
January 01, 2023 - Patient-Centered Postoperative Wound Surveillance Using Current Technology
Project Final Report ( PDF , 466.12 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represe…
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digital.ahrq.gov/ahrq-funded-projects/personal-health-records-and-elder-medication-use-quality
January 01, 2023 - Personal Health Records and Elder Medication Use Quality
Project Final Report ( PDF , 550.31 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AH…
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digital.ahrq.gov/sites/default/files/docs/page/reduction-in-hospital-acquired-complications-and-infections-quick-reference-guide.pdf
January 01, 2010 - Clinical and economic consequences of
nosocomial catheter-related bacteriuria.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025443-abraham-final-report-2020.pdf
January 01, 2020 - isolated factors contributing to ordering errors
(mostly technological barriers and their unintended consequences
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digital.ahrq.gov/ahrq-funded-projects/advancing-population-and-public-health-reporting-and-outcomes-vaccination-data-exchange-approve
January 01, 2024 - Advancing Population and Public Health Reporting and Outcomes With Vaccination Data Exchange (APPROVE)
Project Final Report ( PDF , 428.15 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and …
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digital.ahrq.gov/sites/default/files/docs/page/2006ClancyKeyesYoung_051211comp.pdf
May 23, 2011 - .”
It is important to capture unintended consequences
IT is a means, not an end
Use evaluation
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digital.ahrq.gov/sites/default/files/docs/epc-hit-slides-072011.pdf
July 20, 2011 - errors were introduced
Technology affected working relationships
KQ1 Effectiveness
Unintended consequences … research efforts
Call to Action: Implementers
• Manage expectations
• Look for and value unintended consequences
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025374-weiner-final-report-2022.pdf
January 01, 2022 - about patients’ circumstances and behaviors when planning their care, with
measurably deleterious consequences … perspective of the
patient and their third party payer, if any, with a time horizon of the expected consequences … We considered only the direct consequences of care
associated with diagnosis or misdiagnosis.
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digital.ahrq.gov/ahrq-funded-projects/use-mhealth-technology-supporting-symptom-management-underserved-persons-living
January 01, 2023 - Use of mHealth Technology for Supporting Symptom Management in Underserved Persons Living with HIV
Project Final Report ( PDF , 526.82 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do n…
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digital.ahrq.gov/sites/default/files/docs/patient-clinician-communication-slides-121812.pdf
January 01, 2020 - No. 00-4540
Survivorship Care Plans
Primary care physicians often are not familiar with the
consequences
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021008-sockolow-final-report-2014.pdf
January 01, 2014 - Unintended Consequences or Benefits - clinicians’ perception of unintended changes
the system can introduce … , clinicians expressed dissatisfaction across all assessment methods with: training
and unintended consequences
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digital.ahrq.gov/ahrq-funded-projects/school-based-tele-physiatry-assistance-rehabilitative-and-therapeutic-services
January 01, 2024 - School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services for Children with Special Health Care Needs Living in Rural and Underserved Communities
Project Final Report ( PDF , 1.21 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/dowding-d-et-al-2009
January 01, 2009 - Dowding D et al. 2009 "Nurses' use of computerised clinical decision support systems: a case site analysis."
Reference
Dowding D, Mitchell N, Randell R, et al. Nurses' use of computerised clinical decision support systems: a case site analysis. J Clin Nurs 2009;18(8):1159-1167.
Abstract
"Aims …
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digital.ahrq.gov/sites/default/files/docs/biblio/09-0069-EF_1.pdf
June 01, 2009 - overrides with an explanation or rationale for the user’s decision; and those alerts with
the least severe consequences … have surfaced of
their potential for harm.85-87 Several authors have identified unexpected negative consequences … The extent and
importance of unintended consequences related
to computerized provider order entry. … Characteristics and consequences of drug allergy
alert overrides in a computerized physician order
-
digital.ahrq.gov/sites/default/files/docs/page/09-0069-EF_1.pdf
June 01, 2009 - overrides with an explanation or rationale for the user’s decision; and those alerts with
the least severe consequences … have surfaced of
their potential for harm.85-87 Several authors have identified unexpected negative consequences … The extent and
importance of unintended consequences related
to computerized provider order entry. … Characteristics and consequences of drug allergy
alert overrides in a computerized physician order