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Showing results for "consequences".

  1. 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
  2. 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
  3. 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
  4. 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
  5. 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.
  6. 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.
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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

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