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digital.ahrq.gov/sites/default/files/docs/publication/r36hs020165-hirsch-final-report-2012.pdf
January 01, 2012 - However, the use of EHR data for performance measurement and the
consequences are poorly understood. … Unintended consequences. … Not all of the unintended consequences were
negative. … Types of unintended consequences related to
computerized provider order entry. … “e-
Iatrogenesis”: The most critical unintended
consequences of CPOE and other HIT.
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digital.ahrq.gov/funding-mechanism/centers-education-and-research-therapeutics-certs-program-u18
January 01, 2023 - Information Technology and Improving Medication Use
Unrealized potential and residual consequences … Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the
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digital.ahrq.gov/technology/clinical-messaging
January 01, 2023 - It's like sending a message in a bottle: A qualitative study of the consequences … It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication
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digital.ahrq.gov/technology/clinical-documentation
January 01, 2023 - Rotenstein, Lisa
It's like sending a message in a bottle: A qualitative study of the consequences … It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication
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digital.ahrq.gov/principal-investigator/melnick-edward
January 01, 2023 - Clinical Decision Support for Mild Traumatic Brain Injury
Efficacy and unintended consequences … Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-health-records-support-decision-making-pediatric-obesity-care
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/examples/assess
January 01, 2023 - post-implementation you can make any necessary adjustments to workflow in an attempt to minimize negative consequences
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digital.ahrq.gov/sites/default/files/docs/page/AHRQPlenary6.05.pdf
November 01, 2004 - more than anybody
budgets
– Risk that it will consume every safety
resource
Expect “unforeseen” consequences … Intervention studies
Inertia overcome: Mandate/Incentive to Change
Intended ConsequencesUnintended Consequences … IT and safety culture)
Watch out for squeezed balloons
Expect unexpected consequences
– Workarounds
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023875-kazemi-final-report-2018.pdf
January 01, 2018 - Both techniques have been found to be effective in
reducing alcohol use and consequences. … The consequences for young adults are especially pertinent, as alcohol
consumption and alcohol-related … Students completed questionnaires to assess their alcohol use and its negative
consequences. … Additionally, the frequency of experienced consequences in the past month is also
determined (0 = 1- … Development and preliminary validation
of the young adult alcohol consequences questionnaire.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cause-and-effect-diagram
January 01, 2023 - Cause-and-effect diagrams provide a visual means of conveying all suspected and possible causes and consequences
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/flowcharts
January 01, 2023 - widely varied and multiple tasks performed in your clinic, you can easily overlook potentially negative consequences
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/benchmarking
January 01, 2023 - What consequences did the health IT system have on workflow? How were problems addressed?
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/risk
January 01, 2023 - will be affected by your health IT system and issues and concerns users have that could have negative consequences
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digital.ahrq.gov/ahrq-funded-projects/trial-decision-support-improve-diabetes-outcomes/annual-summary/2008
January 01, 2008 - of PA, PA-E, and PA-E plus DM². ( Achieved )
Describe general and intervention-specific unintended consequences … of interventions, including consequences related to patient safety and care for co-morbid illnesses.
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digital.ahrq.gov/ahrq-funded-projects/maximizing-impact-ephim-low-income-multiethnic-populations
January 01, 2023 - Populations
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/evaluation-resources/workflow-assessment-health-it-toolkit/workflow
January 01, 2023 - What are consequences of not analyzing workflow?
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/GroundRulesForConductingaRiskAssessment.pdf
January 01, 2010 - (For example, “consequences for high
risk diabetes with poor control can be grave.
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digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related
January 01, 2023 - quality of patient care, poor EHR design, usability, and implementation has also led to unintended consequences … quality of patient care, poor EHR design, usability, and implementation has also led to unintended consequences
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tamblyn-r-et-al-2003
January 01, 2003 - the CDS software, the physician received an alert that identified the nature of the problem, possible consequences … Each alert message identified the nature of the problem and possible consequences and suggested alternative
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018649-levick-final-report-2014.pdf
January 01, 2014 - Four core conceptual categories emerged: value, reengineering, facilitators, and
unexpected consequences … Most of the
coded nodes were focused on unexpected consequences and reengineering to accommodate these … In addition to adaptation in data entry, many unexpected consequences
resulted from issues involved … Structural adaptations will occur, with some
unexpected consequences, especially for coordination. … The Consequences of Electronic Health Record Adoption for
Physician Productivity and Birth Outcomes