-
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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psnet.ahrq.gov/node/37334/psn-pdf
February 01, 2011 - A past AHRQ
WebM&M commentary discussed the unintended consequences of public reporting on quality. … conversation-withpeter-j-pronovost-md-phd
https://psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
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psnet.ahrq.gov/primer/alert-fatigue
September 07, 2019 - 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. … September 1, 2016
A clinical case of electronic health record drug alert fatigue: consequences
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psnet.ahrq.gov/node/39497/psn-pdf
February 10, 2015 - solution to improve the quality and safety of care,
but past studies have pointed out the unintended consequences … health-information-technology-vehicle-not-destination-conversation-david-j-brailer
https://psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-quality-and-information-technology-revolutions
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psnet.ahrq.gov/node/46396/psn-pdf
August 15, 2018 - health information technology (IT) systems becomes more
widespread, concern regarding the unintended consequences … issue/safe-use-health-information-technology
https://psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
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psnet.ahrq.gov/node/45804/psn-pdf
August 03, 2017 - meaningful-use-health-information-technology-and-declines-hospital-adverse-
drug-events
Electronic health records have both safety benefits and unintended consequences … benefits-health-information-technology-review-recent-literature-shows-predominantly-positive
https://psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
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psnet.ahrq.gov/node/37345/psn-pdf
May 26, 2011 - impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-
pediatric-inpatients
Unintended consequences … impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
https://psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry
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psnet.ahrq.gov/node/37019/psn-pdf
September 15, 2011 - estimates of its effect on medication errors, and recent research has raised the concern that
unintended consequences … just-what-doctor-ordered-review-evidence-impact-computerized-physician-order-entry-system
https://psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry
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psnet.ahrq.gov/issue/misdiagnosed-what-do-when-your-doctor-doesnt-know
June 26, 2019 - November 28, 2016
Small patients, big consequences in medical errors. … December 23, 2012
Medical misdiagnoses can have fatal consequences.
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psnet.ahrq.gov/node/39921/psn-pdf
September 01, 2016 - David Bates points out that this study
vividly illustrates the unintended consequences of CPOE, a persistent … psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
https://psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry
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psnet.ahrq.gov/node/40656/psn-pdf
October 16, 2012 - However, studies have demonstrated the
unintended consequences of HIT and new errors they create. … psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature-patient-care
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psnet.ahrq.gov/node/38553/psn-pdf
April 14, 2010 - benefits in reducing serious medication errors, debate exists
about its clinical benefits and unintended consequences … just-what-doctor-ordered-review-evidence-impact-computerized-physician-order-entry-system
https://psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry
-
psnet.ahrq.gov/node/42342/psn-pdf
December 31, 2014 - A growing list of unintended consequences from
computerized provider order entry (CPOE) systems has … health-it-and-patient-safety-building-safer-systems-better-care
https://psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry
-
psnet.ahrq.gov/node/39852/psn-pdf
February 10, 2015 - A past AHRQ WebM&M
perspective discussed the unintended consequences of Florida Medical Liability Legislation … making-patient-safety-centerpiece-medical-liability-reform
https://psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
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psnet.ahrq.gov/issue/implementing-medication-reconciliation-outpatient-pediatrics
September 23, 2020 - changing outpatient clinician workflow and the steps this organization took to minimize unintended consequences … July 3, 2013
Small patients, big consequences in medical errors.
-
psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - defined as an individual’s “sense of being able to show and employ
oneself without fear of negative consequences … Potential Negative Consequences in Psychologically Safe Environments
It is generally accepted that a … Therefore, it is somewhat counterintuitive to think
that negative consequences could be associated with … If there are negative consequences of high psychological
safety, then a better understanding is required … to maximize the positive influences and minimize the
negative consequences.
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psnet.ahrq.gov/issue/responding-large-scale-testing-errors
December 18, 2008 - Using two case examples, this article analyzes the causes and consequences of laboratory testing errors … November 11, 2009
Causes, consequences, detection, and prevention of identification errors
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psnet.ahrq.gov/issue/role-technology-clinician-clinician-communication
September 09, 2015 - This commentary discusses electronic communication in hospitals, including unintended consequences … Related Resources
It's like sending a message in a bottle: a qualitative study of the consequences
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psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
April 24, 2018 - This commentary discusses unintended consequences of the well-intentioned strategy of keeping older … April 24, 2018
Medicare nonpayment, hospital falls, and unintended consequences.
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psnet.ahrq.gov/issue/disruptive-orthopaedic-surgeon-implications-patient-safety-and-malpractice-liability
August 20, 2018 - This commentary discusses disruptive behavior in orthopedic surgery, including causes, consequences … July 20, 2022
WebM&M Cases
The Consequences of Miscommunication