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psnet.ahrq.gov/issue/resilience-and-regulation-odd-couple-consequences-safety-ii-governmental-regulation
October 06, 2021 - Consequences of Safety-II on governmental regulation of healthcare quality. … Consequences of Safety-II on governmental regulation of healthcare quality. … Consequences of Safety-II on governmental regulation of healthcare quality.
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psnet.ahrq.gov/node/34790/psn-pdf
December 23, 2008 - Cognitive errors in diagnosis: instantiation, classification,
and consequences. … Cognitive errors in diagnosis: instantiation, classification, and consequences. … https://psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences … https://psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
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psnet.ahrq.gov/node/40565/psn-pdf
June 29, 2011 - Logo
National study on the frequency, types, causes, and
consequences of voluntarily reported emergency … National study on the frequency, types, causes, and consequences of
voluntarily reported emergency department … https://psnet.ahrq.gov/issue/national-study-frequency-types-causes-and-consequences-voluntarily-
reported-emergency … https://psnet.ahrq.gov/issue/national-study-frequency-types-causes-and-consequences-voluntarily-reported-emergency … https://psnet.ahrq.gov/issue/national-study-frequency-types-causes-and-consequences-voluntarily-reported-emergency
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psnet.ahrq.gov/node/47126/psn-pdf
May 16, 2018 - Unintended adverse consequences of a clinical decision
support system: two cases. … Unintended adverse consequences of a clinical decision support system: two cases. … https://psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases … https://psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case November 2006
Getting a Good Report Card: Unintended Consequences … The unintended consequences of measuring quality on the quality of medical care. … The unintended consequences of publicly reporting quality information. … Expected and unanticipated consequences of the quality and information technology revolutions. … Acknowledge that unintended consequences are bound to occur following any effort to implement change
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psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technology
June 15, 2022 - technology is prevalent in health care and is associated with both optimized processes and unintended consequences … March 2, 2010
Unintended Consequences: New Problems and New Solutions. … September 29, 2017
Unintended Consequences: New Problems and New Solutions.
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psnet.ahrq.gov/node/844768/psn-pdf
September 11, 2019 - Testing process improvements prior to implementation can help identify and address potential unintended
consequences … standardized-orders-titrating-vasopressors-do-efforts-improve-safety-slow-delivery-care
https://psnet.ahrq.gov/issue/systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes … https://psnet.ahrq.gov/issue/systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes
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psnet.ahrq.gov/issue/errors-medical-interpretation-and-their-potential-clinical-consequences-comparison
November 23, 2016 - Study
Errors of medical interpretation and their potential clinical consequences: … Errors of medical interpretation and their potential clinical consequences: a comparison of professional … Errors of medical interpretation and their potential clinical consequences: a comparison of professional
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psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
October 31, 2011 - Study
The intended and unintended consequences of communication systems on general … The intended and unintended consequences of communication systems on general internal medicine inpatient … The intended and unintended consequences of communication systems on general internal medicine inpatient
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psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-contributing-factors
January 07, 2015 - Study
E-prescribing errors in community pharmacies: exploring consequences and contributing … E-prescribing errors in community pharmacies: exploring consequences and contributing factors. … E-prescribing errors in community pharmacies: exploring consequences and contributing factors.
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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.
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psnet.ahrq.gov/issue/patient-record-review-incidence-consequences-and-causes-diagnostic-adverse-events
July 02, 2014 - Study
Patient record review of the incidence, consequences, and causes of diagnostic … Patient record review of the incidence, consequences, and causes of diagnostic adverse events. … Patient record review of the incidence, consequences, and causes of diagnostic adverse events.
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psnet.ahrq.gov/node/47747/psn-pdf
March 13, 2019 - issue/piece-my-mind-hard-times-and-hard-stops
Implementing new information systems can have unintended consequences … psnet.ahrq.gov/issue/piece-my-mind-hard-times-and-hard-stops
https://psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions … https://psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems
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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
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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
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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
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psnet.ahrq.gov/node/47612/psn-pdf
February 27, 2019 - impact-computerised-physician-order-entry-and-clinical-decision-support-
pharmacist-physician
The unintended consequences … impact-computerised-physician-order-entry-and-clinical-decision-support-pharmacist-physician
https://psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry … psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order
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psnet.ahrq.gov/issue/equipment-related-incidents-operating-room-analysis-occurrence-underlying-causes-and
February 14, 2024 - Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences … Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences … Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences
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psnet.ahrq.gov/issue/clinical-case-electronic-health-record-drug-alert-fatigue-consequences-patient-outcome
August 02, 2023 - Commentary
A clinical case of electronic health record drug alert fatigue: consequences … A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. … A clinical case of electronic health record drug alert fatigue: consequences for patient outcome.
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psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters
May 12, 2021 - factors that produce errors of perception, judgment, and calculation, which can lead to unfortunate consequences … January 15, 2020
Unintended consequences of patient online access to health records: … February 28, 2018
Unintended consequences of online consultations: a qualitative study