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Showing results for "consequences".

281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44761/psn-pdf
     January 06, 2016 - two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death- events Incorrectly administered vincristine can lead to serious adverse consequences … psnet.ahrq.gov/issue/preventing-vincristine-administration-errors https://psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent-intrathecal

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45833/psn-pdf
     January 30, 2018 - impact-electronic-medical-records-hospital-acquired-adverse-safety-events- differential Electronic health records enhance patient safety, but they also have unintended consequences … benefits-health-information-technology-review-recent-literature-shows-predominantly-positive https://psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature-patient-care

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47016/psn-pdf
     June 25, 2018 - efforts to proactively identify and address safety concerns may fall short and lead to unintended consequences … digital-health-and-patient-safety https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47382/psn-pdf
     August 29, 2018 - parenteral-opioid-shortage-treating-pain-during-opioid-overdose-epidemic Well-intentioned system-level efforts to improve care can result in unintended consequences … parenteral-opioid-shortage-treating-pain-during-opioid-overdose-epidemic https://psnet.ahrq.gov/issue/systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes

285. In Conversation with… Edward Tenner, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
     June 01, 2011 - in patient safety and is generally credited with introducing the concept of unintended consequences, … He is completing a new book on positive unintended consequences. Dr. … Robert Wachter, Editor, AHRQ WebM&M : What do you mean by the term unintended consequences? Dr. … Technology does have reverberations, including unintended consequences, or "revenge effects. … Why Things Bite Back: Technology and the Revenge of Unintended Consequences.

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33586/psn-pdf
     September 07, 2019 - clinically-inconsequential-alerts-characteristics-opioid-drug-alerts-and-their-utility https://psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry … finding is intuitive, but also raises the important implication that without system redesign, the safety consequences … Current context Alert fatigue (and the unintended consequences of the computerization of health care … In order to mitigate these consequences—including alert fatigue—The Joint Commission recommended improving … One limitation to addressing alert fatigue pertains to the legal consequences of removing alerts.

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845651/psn-pdf
     November 17, 2016 - mri-centers-performing-lumbar-spine-mri- examinations Diagnostic errors and the resulting delays in care can have serious consequences … psnet.ahrq.gov/issue/undiagnosed-breast-cancer-mr-imaging-analysis-causes https://psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37346/psn-pdf
     March 28, 2012 - While unintended consequences can result from adoption of CPOE systems, point-of- care solutions have … medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar https://psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41154/psn-pdf
     November 26, 2014 - misses increased significantly after CPOE implementation, highlighting the potential for unintended consequences … effects-two-commercial-electronic-prescribing-systems-prescribing-error-rates-hospital https://psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37787/psn-pdf
     May 28, 2008 - information technology (HIT) systems is driven by efforts to improve safety and quality, but unintended consequences … systematic-review-impact-health-information-technology-quality-efficiency-and-costs-medical https://psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature-patient-care

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44379/psn-pdf
     August 05, 2015 - decision support is considered to be integral to patient safety, high implementation costs and unintended consequences … primer/computerized-provider-order-entry https://psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38412/psn-pdf
     September 01, 2016 - This phenomenon has been previously documented as one of several types of unintended consequences of … https://psnet.ahrq.gov//#clinicaldecisionsupportsystem https://psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37992/psn-pdf
     August 20, 2008 - learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients https://psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices … https://psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices

294. Improving departmental psychological safety through a medical school-wide initiative | PSNet
     psnet.ahrq.gov/issue/improving-departmental-psychological-safety-through-medical-school-wide-initiative
     July 19, 2023 - Psychological safety is when team members feel comfortable speaking up without fear of negative consequences … View More Related Resources Teaching nursing students the ethical and legal consequences

295. Implementing computerized provider order entry in acute care hospitals in the United States could generate substantial savings to society. | PSNet
     psnet.ahrq.gov/issue/implementing-computerized-provider-order-entry-acute-care-hospitals-united-states-could
     March 30, 2022 - decision support is considered to be integral to patient safety, high implementation costs and unintended consequences … September 1, 2016 Evaluation of medium-term consequences of implementing commercial computerized

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60238/psn-pdf
     April 15, 2020 - addiction-disease-isolation-so-pandemic-puts-recovery-risk https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences

297. Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. | PSNet
     psnet.ahrq.gov/issue/interorganizational-health-information-exchange-related-patient-safety-incidents-descriptive
     November 10, 2021 - This study used four years of incident reports to identify the types, causes, and consequences of health … (e.g., deficiencies in content), and (2) causes related to the health professional or organization; consequences

298. Medical errors and quality of care: from control to commitment. | PSNet
     psnet.ahrq.gov/issue/medical-errors-and-quality-care-control-commitment
     July 15, 2020 - The authors describe the assumptions and consequences of control-based management and compare it to commitment-based … Building on this background, they discuss the human resource practices and behavioral consequences of

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37362/psn-pdf
     December 01, 2010 - A past AHRQ WebM&M commentary discussed the unintended consequences of the public reporting of hospital … issue/national-patient-safety-goals https://psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37032/psn-pdf
     May 27, 2011 - studies also provided only limited information on implementation issues and potential  unintended consequences … computerized-provider-order-entry https://psnet.ahrq.gov//#adversedrugevent https://psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry