-
psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute
August 10, 2022 - Study
Intended and unintended consequences: changes in opioid prescribing practices … Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute … Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute
-
psnet.ahrq.gov/issue/nurses-experience-presenteeism-and-potential-consequences-patient-safety-qualitative-study
October 20, 2021 - Study
Nurses' experience with presenteeism and the potential consequences on patient … Nurses’ experience with presenteeism and the potential consequences on patient safety: a qualitative … Nurses’ experience with presenteeism and the potential consequences on patient safety: a qualitative
-
psnet.ahrq.gov/node/47126/psn-pdf
May 16, 2018 - Unintended adverse consequences of a clinical decision
support system: two cases. … Unintended adverse consequences of a clinical decision support system: two cases. … https://psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases … https://psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case November 2006
Getting a Good Report Card: Unintended Consequences … The unintended consequences of measuring quality on the quality of medical care. … The unintended consequences of publicly reporting quality information. … Expected and unanticipated consequences of the quality and information technology revolutions. … Acknowledge that unintended consequences are bound to occur following any effort to implement change
-
psnet.ahrq.gov/node/844768/psn-pdf
September 11, 2019 - Testing process improvements prior to implementation can help identify and address potential unintended
consequences … standardized-orders-titrating-vasopressors-do-efforts-improve-safety-slow-delivery-care
https://psnet.ahrq.gov/issue/systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes … https://psnet.ahrq.gov/issue/systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes
-
psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technology
June 15, 2022 - technology is prevalent in health care and is associated with both optimized processes and unintended consequences … March 2, 2010
Unintended Consequences: New Problems and New Solutions. … September 29, 2017
Unintended Consequences: New Problems and New Solutions.
-
www.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - rating the seriousness of potential ADEs and further characterizing their potential impact on health consequences … a potential ADE could result from each medication discrepancy and subsequently rated the potential consequences … No likely subsequent health consequences were evaluated for 23 (4 percent) potential ADEs. … Study Identified Potential Health Consequences of Potential Adverse Drug Events by Rated Severity … Potential Health Consequence Category
Number (%) * of Potential Health Consequences Identified
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
April 04, 2008 - Abstract
Reports on errors can be a rich source for understanding their causes, cascades, and
consequences … A reported event can consist of one or more errors, together with causes and consequences. … • Insight into causes, cascades, and consequences of errors. … Consequences of Error: Wrong dose
Select the Consequence from the list
Click on
this
consequence
G … Consequences of Error: Wrong dose
Click on the Severity level
Severity Level
1. ................
2.
-
psnet.ahrq.gov/node/47747/psn-pdf
March 13, 2019 - issue/piece-my-mind-hard-times-and-hard-stops
Implementing new information systems can have unintended consequences … psnet.ahrq.gov/issue/piece-my-mind-hard-times-and-hard-stops
https://psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions … https://psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems
-
psnet.ahrq.gov/node/47612/psn-pdf
February 27, 2019 - impact-computerised-physician-order-entry-and-clinical-decision-support-
pharmacist-physician
The unintended consequences … impact-computerised-physician-order-entry-and-clinical-decision-support-pharmacist-physician
https://psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry … psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
April 06, 2008 - an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences … an Ambulatory e-Prescribing System:
Strategies Employed and Lessons Learned to
Minimize Unintended Consequences … The risk of unintended consequences with implementation of EHRs and CPOE systems is great. … One expert panel has described nine categories of adverse consequences:13
1. … Types of
unintended consequences related to computerized
provider order entry.
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-6mon-post-intervention.pdf
January 01, 2014 - for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients … for some of my patients ...…. 4
This new guideline will have negative consequences for all of my patients
-
psnet.ahrq.gov/issue/clinical-case-electronic-health-record-drug-alert-fatigue-consequences-patient-outcome
August 02, 2023 - Commentary
A clinical case of electronic health record drug alert fatigue: consequences … A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. … A clinical case of electronic health record drug alert fatigue: consequences for patient outcome.
-
psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters
May 12, 2021 - factors that produce errors of perception, judgment, and calculation, which can lead to unfortunate consequences … January 15, 2020
Unintended consequences of patient online access to health records: … February 28, 2018
Unintended consequences of online consultations: a qualitative study
-
psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - One theme of the literature on EHR implementation is the emergence of unanticipated consequences. … https://psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
Table … Safety Risk Potential Consequences
Functional Suitability
The degree to which software features are … [go to PubMed]
References
Safety Risk Potential Consequences
Inadequate information
displays … A survey of the literature on unintended consequences
associated with health information technology:
-
psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations
March 14, 2018 - Study
Classic
Handoff strategies in settings with high consequences … Handoff strategies in settings with high consequences for failure: lessons for health care operations … Handoff strategies in settings with high consequences for failure: lessons for health care operations
-
psnet.ahrq.gov/node/40591/psn-pdf
July 06, 2011 - Medical misdiagnoses can have fatal consequences.
July 6, 2011
Olsen D. State Journal-Register. … https://psnet.ahrq.gov/issue/medical-misdiagnoses-can-have-fatal-consequences
This newspaper article … https://psnet.ahrq.gov/issue/medical-misdiagnoses-can-have-fatal-consequences
-
psnet.ahrq.gov/issue/equipment-related-incidents-operating-room-analysis-occurrence-underlying-causes-and
February 14, 2024 - Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences … Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences … Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences
-
psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
December 31, 2014 - the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences … the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences … the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences … WebM&M Cases
To Dilute or Not Dilute: Drug Errors and Consequences
-
psnet.ahrq.gov/node/38094/psn-pdf
December 23, 2012 - Small patients, big consequences in medical errors.
December 23, 2012
Tarkan L. New York Times. … https://psnet.ahrq.gov/issue/small-patients-big-consequences-medical-errors
This article describes how … https://psnet.ahrq.gov/issue/small-patients-big-consequences-medical-errors
https://psnet.ahrq.gov/issue