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psnet.ahrq.gov/node/42099/psn-pdf
March 13, 2013 - Although concerns have been raised that fall prevention
programs could have unintended consequences, … patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial
https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences
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psnet.ahrq.gov/node/45352/psn-pdf
September 01, 2018 - A past WebM&M commentary
discussed the unintended consequences of the public reporting of hospital quality … psnet.ahrq.gov/issue/hospital-compare
https://psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
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psnet.ahrq.gov/issue/missed-signals
September 21, 2016 - February 9, 2011
Small patients, big consequences in medical errors. … July 27, 2011
Medical misdiagnoses can have fatal consequences.
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psnet.ahrq.gov/issue/risks-prescribing-cascade
December 16, 2020 - December 9, 2015
Small patients, big consequences in medical errors. … August 20, 2018
Unintended consequences: quantifying the benefits, iatrogenic harms and
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psnet.ahrq.gov/issue/overrides-medication-alerts-ambulatory-care
September 01, 2016 - This phenomenon has been previously documented as one of several types of unintended consequences of … September 1, 2016
A clinical case of electronic health record drug alert fatigue: consequences
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psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey
December 29, 2014 - experiencing an adverse event during hospitalization, and most of these resulted in significant health consequences … June 13, 2011
Assessing the anticipated consequences of computer-based provider order
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psnet.ahrq.gov/issue/medication-administration-discrepancies-persist-despite-electronic-ordering
May 04, 2012 - While unintended consequences can result from adoption of CPOE systems, point-of-care solutions have … September 22, 2010
The unintended consequences of computerized provider order entry:
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psnet.ahrq.gov/issue/characteristics-pediatric-chemotherapy-medication-errors-national-error-reporting-database
September 21, 2008 - errors were reported over the 5-year study period, approximately 15% of which resulted in clinical consequences … January 6, 2017
National study on the frequency, types, causes, and consequences of voluntarily
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psnet.ahrq.gov/issue/special-section-patient-safety-and-quality-healthcare
October 15, 2008 - February 25, 2015
Unintended Consequences: New Problems and New Solutions. … February 17, 2019
Unintended Consequences: New Problems and New Solutions.
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psnet.ahrq.gov/issue/charlie-bourg-was-lookout-veterans-harmed-new-va-computer-system-he-didnt-expect-be-one-them
March 29, 2023 - Copy Citation
Related Resources From the Same Author(s)
Senators threaten consequences … April 5, 2023
Senators threaten consequences after VA confirms 4 deaths tied to computer
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psnet.ahrq.gov/issue/families-are-struggling-use-medicines-home-we-must-truly-involve-them-their-own-safety
February 02, 2022 - Copy Citation
Related Resources From the Same Author(s)
Unintended consequences … October 7, 2015
Medical misdiagnoses can have fatal consequences.
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psnet.ahrq.gov/issue/engaging-patients-and-family-members-patient-safety-experience-new-york-city-health-and
October 19, 2022 - January 12, 2022
Potential unintended consequences due to Medicare's "No Pay for Errors … April 24, 2018
Costs and consequences associated with misdiagnosed lower extremity cellulitis
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psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care
February 15, 2023 - July 8, 2009
Medical misdiagnoses can have fatal consequences. … April 12, 2023
Abortion bans have consequences for wanted pregnancies, too.
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psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
January 01, 2021 - Spotlight
Spotlight
The Consequences of Miscommunication
Regarding a Possible Artifact
Source … radiologists, referring clinicians, and patients, to reduce
communication-related errors.
3
THE CONSEQUENCES … the mass had grown from an initial
diameter of 3.5 cm to 7.0 cm just before resection
7
THE CONSEQUENCES … acr/files/practice-parameters/communicationdiag.pdf
Spotlight
Source and Credits
Objectives
The Consequences … of miscommunication regarding a possible artifact
Case Details
Case Details
Case Details
The consequences
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psnet.ahrq.gov/issue/understanding-nature-medication-errors-icu-computerized-physician-order-entry-system
August 24, 2015 - These results add to concerns about unintended consequences of computerized provider order entry. … February 8, 2017
A clinical case of electronic health record drug alert fatigue: consequences
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psnet.ahrq.gov/issue/effects-health-information-technology-patient-outcomes-systematic-review
December 03, 2018 - Although health IT has led to efficiency gains and improved safety , unintended consequences remain … A recent WebM&M commentary described the unintended consequences of health IT.
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psnet.ahrq.gov/issue/identifying-electronic-health-record-usability-and-safety-challenges-pediatric-settings
December 21, 2018 - Unintended consequences associated with the use of electronic health record (EHR) and computerized … A previous WebM&M commentary highlighted the unintended consequences of CPOE.
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psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you
February 07, 2024 - June 7, 2023
Unintended consequences of patient online access to health records: a qualitative … July 19, 2019
Unintended consequences of online consultations: a qualitative study in
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psnet.ahrq.gov/node/49836/psn-pdf
July 01, 2018 - potential ramifications of using workarounds, specifically:
(i) What are the potential unintended consequences … workaround) often fosters others (secondary workarounds) not considered in assessing the potential
consequences … Clinicians must also formalize communication about potential unintended consequences of workarounds. … Foley catheter, inserted using aseptic technique, etc.), consider and
address potentially negative consequences … The person who works around one barrier may not see the consequences elsewhere in the system.
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - Unintended Consequences of CPOE
October 1, 2016
Wears RL. Unintended Consequences of CPOE. … https://psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
Case Objectives
Explain how technology, … The discussions of the unintended consequences of health IT (4,24-27) illustrate this
problem. … The extent and importance of
unintended consequences related to computerized provider order entry. … Types of unintended consequences
related to computerized provider order entry.