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Showing results for "consequences".

161. Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. | PSNet
     psnet.ahrq.gov/issue/procuring-interoperability-achieving-high-quality-connected-and-person-centered-care
     September 19, 2018 - Although health information technology was implemented to improve safety, it has resulted in unintended consequences … A PSNet interview discussed potential consequences of the digitization of health care. … 26, 2023 It's like sending a message in a bottle: a qualitative study of the consequences

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40591/psn-pdf
     July 06, 2011 - Medical misdiagnoses can have fatal consequences. July 6, 2011 Olsen D. State Journal-Register. … https://psnet.ahrq.gov/issue/medical-misdiagnoses-can-have-fatal-consequences This newspaper article … https://psnet.ahrq.gov/issue/medical-misdiagnoses-can-have-fatal-consequences

163. Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences. | PSNet
     psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
     December 31, 2014 - the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences … the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences … the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences … WebM&M Cases To Dilute or Not Dilute: Drug Errors and Consequences

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38094/psn-pdf
     December 23, 2012 - Small patients, big consequences in medical errors. December 23, 2012 Tarkan L. New York Times. … https://psnet.ahrq.gov/issue/small-patients-big-consequences-medical-errors This article describes how … https://psnet.ahrq.gov/issue/small-patients-big-consequences-medical-errors https://psnet.ahrq.gov/issue

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40932/psn-pdf
     July 05, 2016 - have not yet been realized, and an ever-lengthening list of implementation problems and unintended consequences … The Agency for Healthcare Research and Quality recently published an online guide to reducing safety consequences … lessons-learned-implementation-computerized-application-pending-tests-hospital-discharge https://psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry … health-care-information-technology-vendors-hold-harmless-clause-implications-patients-and https://psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38076/psn-pdf
     February 15, 2011 - Consequences of inadequate sign-out for patient care. … Consequences of inadequate sign-out for patient care. … https://psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care With reductions in resident … https://psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care https://psnet.ahrq.gov/issue

167. Handoff strategies in settings with high consequences for failure: lessons for health care operations. | PSNet
     psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations
     March 14, 2018 - Study Classic Handoff strategies in settings with high consequences … Handoff strategies in settings with high consequences for failure: lessons for health care operations … Handoff strategies in settings with high consequences for failure: lessons for health care operations

168. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? | PSNet
     psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent-intrathecal
     January 29, 2020 - Commentary Fatal consequences of a simple mistake: how can a patient be saved from … Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine … Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42959/psn-pdf
     February 19, 2014 - A mislabeling event with batched drugs: the unintended consequences of practice changes. …   https://psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes … https://psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33601/psn-pdf
     September 07, 2019 - One theme of the literature on EHR implementation is the emergence of unanticipated consequences. … https://psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records Table … Safety Risk Potential Consequences Functional Suitability The degree to which software features are … [go to PubMed]   References Safety Risk Potential Consequences Inadequate information displays … A survey of the literature on unintended consequences associated with health information technology:

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45323/psn-pdf
     June 28, 2017 - Although health IT has led to efficiency gains and improved safety, unintended consequences remain a … A recent WebM&M commentary described the unintended consequences of health IT. … recent-evidence-health-it-improves-patient-safety-issue-brief https://psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order … research-ambulatory-patient-safety-2000-2010-10-year-review https://psnet.ahrq.gov/web-mm/unintended-consequences-cpoe

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37910/psn-pdf
     February 28, 2011 - This commentary shares the potential for the unintended consequences of reporting on flawed performance … A past AHRQ WebM&M commentary discussed the unintended consequences of achieving a good report card … publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate https://psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-quality-and-information-technology-revolutions … antibiotic-timing-and-errors-diagnosing-pneumonia https://psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality

173. Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane. | PSNet
     psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane
     September 21, 2022 - Newspaper/Magazine Article Senators threaten consequences after VA confirms 4 deaths … Citation Text: Senators threaten consequences after VA confirms 4 deaths tied to computer system tested … Copy URL Cite Citation Citation Text: Senators threaten consequences

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43738/psn-pdf
     December 03, 2014 - Unverified patient-reported error: a false alarm can have real consequences. … https://psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences … https://psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences

175. Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large NHS hospital. | PSNet
     psnet.ahrq.gov/issue/extent-nature-and-consequences-adverse-events-results-retrospective-casenote-review-large-nhs
     March 03, 2011 - Study Extent, nature and consequences of adverse events: results of a retrospective … Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large … Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large … March 3, 2011 Incidence, preventability and consequences of adverse events in older people

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47835/psn-pdf
     April 24, 2019 - the introduction of new technology in health care is crucial for advancing patient care, unintended consequences … digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences … https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences https

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47307/psn-pdf
     December 12, 2018 - These findings raised concerns regarding the possible unintended consequences related to pay-for-performance … A previous WebM&M commentary discussed the unintended consequences associated with publicly reported … economic-evaluation-interventions-prevention-hospital-acquired-infections-systematic-review https://psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality

178. Application of electronic health records to The Joint Commission's 2011 National Patient Safety Goals. | PSNet
     psnet.ahrq.gov/issue/application-electronic-health-records-joint-commissions-2011-national-patient-safety-goals
     May 20, 2019 - July 2, 2019 Types of unintended consequences related to computerized provider order … May 27, 2011 Assessing the anticipated consequences of computer-based provider order … February 18, 2011 The unintended consequences of computerized provider order entry: findings … December 17, 2009 The extent and importance of unintended consequences related to computerized

179. Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections. | PSNet
     psnet.ahrq.gov/issue/frequent-diagnostic-errors-cardiac-petct-due-misregistration-ct-attenuation-and-emission-pet
     December 22, 2018 - due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences … due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences … due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46449/psn-pdf
     September 27, 2017 - This newspaper article reports on Veterans Affairs staff concerns about safety hazards, consequences … understanding-psychological-safety-health-care-and-education-organizations-comparative https://psnet.ahrq.gov/issue/consequences-whistle-blowing-integrative-review … https://psnet.ahrq.gov/issue/consequences-whistle-blowing-integrative-review https://psnet.ahrq.gov/