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psnet.ahrq.gov/node/47629/psn-pdf
July 11, 2019 - How not to waste a crisis: a qualitative study of problem
definition and its consequences in three hospitals … How not to waste a crisis: a qualitative study of problem definition
and its consequences in three hospitals … https://psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-
consequences-three … https://psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three … https://psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three
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psnet.ahrq.gov/issue/causes-consequences-detection-and-prevention-identification-errors-laboratory-diagnostics
July 05, 2017 - Review
Causes, consequences, detection, and prevention of identification errors in … Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. … Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics.
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psnet.ahrq.gov/issue/interventions-reduce-consequences-stress-physicians-review-and-meta-analysis
May 26, 2010 - Review
Interventions to reduce the consequences of stress in physicians: a review … Interventions to reduce the consequences of stress in physicians: a review and meta-analysis. … Interventions to reduce the consequences of stress in physicians: a review and meta-analysis.
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psnet.ahrq.gov/node/47370/psn-pdf
October 10, 2018 - Development of a conceptual map of negative
consequences for patients of overuse of medical tests
and … Development of a Conceptual Map of Negative Consequences
for Patients of Overuse of Medical Tests and … https://psnet.ahrq.gov/issue/development-conceptual-map-negative-consequences-patients-overuse-
medical-tests-and … Overuse of tests and treatments can contribute to negative consequences for patients. … https://psnet.ahrq.gov/issue/development-conceptual-map-negative-consequences-patients-overuse-medical-tests-and
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psnet.ahrq.gov/node/43323/psn-pdf
January 07, 2015 - Unrealized potential and residual consequences of
electronic prescribing on pharmacy workflow in the … Unrealized potential and residual consequences of electronic
prescribing on pharmacy workflow in the … https://psnet.ahrq.gov/issue/unrealized-potential-and-residual-consequences-electronic-prescribing- … Consistent with prior
studies investigating unintended consequences of CPOE, researchers identified … https://psnet.ahrq.gov/issue/unrealized-potential-and-residual-consequences-electronic-prescribing-pharmacy-workflow
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psnet.ahrq.gov/node/42946/psn-pdf
January 07, 2015 - Evaluation of medium-term consequences of
implementing commercial computerized physician order
entry … Evaluation of medium-term consequences of implementing
commercial computerized physician order entry … entry (CPOE) systems has led to many readily apparent
advantages, as well as some serious unintended consequences … Negligible overall differences in the consequences were observed between the two
systems. … A previous AHRQ
WebM&M interview discussed the unintended consequences of technology.
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psnet.ahrq.gov/issue/what-would-you-ideally-do-if-there-were-no-targets-ethnographic-study-unintended-consequences
July 27, 2011 - An ethnographic study of the unintended consequences of top-down governance in two clinical settings. … An ethnographic study of the unintended consequences of top-down governance in two clinical settings. … Top-down policy directives seemed to disrupt work patterns and led to unintended consequences. … An ethnographic study of the unintended consequences of top-down governance in two clinical settings.
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psnet.ahrq.gov/issue/teaching-nursing-students-ethical-and-legal-consequences-medical-errors-insights-radonda
July 05, 2017 - Study
Teaching nursing students the ethical and legal consequences of medical errors … Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda … describes an educational activity for nursing students to help them understand the legal and ethical consequences … Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda
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psnet.ahrq.gov/node/844537/psn-pdf
February 15, 2023 - Intended and unintended consequences: changes in
opioid prescribing practices for postsurgical, acute … Intended and unintended consequences: changes in
opioid prescribing practices for postsurgical, acute … https://psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices … https://psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute … https://psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute
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psnet.ahrq.gov/node/837606/psn-pdf
June 29, 2022 - Nonopioid directives: unintended consequences in the
operating room. … Nonopioid directives: unintended consequences in the operating room. … https://psnet.ahrq.gov/issue/nonopioid-directives-unintended-consequences-operating-room
Concern for … https://psnet.ahrq.gov/issue/nonopioid-directives-unintended-consequences-operating-room
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/846764/psn-pdf
March 29, 2023 - Senators threaten consequences after VA confirms 4
deaths tied to computer system tested in Spokane. … https://psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer- … https://psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane … https://psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane
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psnet.ahrq.gov/node/44903/psn-pdf
September 27, 2016 - An
ethnographic study of the unintended consequences of
top-down governance in two clinical settings … An ethnographic study of the
unintended consequences of top-down governance in two clinical settings … psnet.ahrq.gov/issue/what-would-you-ideally-do-if-there-were-no-targets-ethnographic-study-
unintended-consequences … Top-down policy
directives seemed to disrupt work patterns and led to unintended consequences. … psnet.ahrq.gov/issue/what-would-you-ideally-do-if-there-were-no-targets-ethnographic-study-unintended-consequences
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/potential-problem-analysis
January 01, 2023 - The problem causes are rated according to their likelihood of occurrence and the severity of their consequences … problem by assigning it a high, medium, or low rating for both its likelihood and the severity of its consequences … DEVELOP A CONTINGENCY PLAN to minimize the consequences of causes with unacceptable residual risk, should
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/computerized-provider-order-entry-cpoe-systems
July 12, 2021 - Some Unintended Consequences of Information Technology in Health Care: The Nature of Patient Care Information … systems, implement, and conduct research in such a way that they might be able to avoid the unintended consequences … 2004 Publication Month: Mar-Apr Volume: 11 Issue: 2 Page Number: 104-112 Link: Some Unintended Consequences
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psnet.ahrq.gov/issue/investigating-long-term-consequences-adverse-medical-events-among-older-adults
March 24, 2019 - Study
Investigating the long-term consequences of adverse medical events among older … Investigating the long-term consequences of adverse medical events among older adults. … Investigating the long-term consequences of adverse medical events among older adults.
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psnet.ahrq.gov/node/36280/psn-pdf
May 27, 2011 - Types of unintended consequences related to
computerized provider order entry. … Types of unintended consequences related to computerized
provider order entry. … https://psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry … The most frequent unintended consequences included more or new work for clinicians, workflow
issues, … https://psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry
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psnet.ahrq.gov/node/40998/psn-pdf
December 14, 2011 - Identifying unintended consequences of quality
indicators: a qualitative study. … Identifying unintended consequences of quality indicators: a
qualitative study. … https://psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study … conducted with focus groups of British general practitioners identified four potential
unintended consequences … https://psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study
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psnet.ahrq.gov/node/34043/psn-pdf
March 11, 2011 - Some unintended consequences of information
technology in health care: the nature of patient care
information … Some unintended consequences of information technology in health care: the
nature of patient care information … https://psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature- … the United States, Europe, and Australia to propose a framework for understanding unexpected
adverse consequences … https://psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature-patient-care
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - SPOTLIGHT CASE
Getting a Good Report Card: Unintended Consequences of the Public Reporting … Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality. … Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality. … The unintended consequences of measuring quality on the quality of medical care. … Expected and unanticipated consequences of the quality and information technology revolutions.
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psnet.ahrq.gov/node/39964/psn-pdf
January 04, 2011 - 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 … https://psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent- … https://psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent-intrathecal … https://psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent-intrathecal