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Healthcare Analytics: Reducing Unintended Consequences of Electronic Health Records

Posted Oct 08 2011 9:11am

HSG Link: AHRQ Patient Safety Network

AHRQ recently announced availability of an  Online  Guide to Reducing Unintended Consequences of Electronic Health Records .

S.S. Jones, R. Koppel, M.S. Ridgely, T.E. Palen, S. Wu, and M.I. Harrison. Guide to Reducing Unintended Consequences of Electronic Health Records Prepared by RAND Corporation under Contract No. HHSA290200600017I, Task Order #5. Agency for Healthcare Research and Quality (AHRQ). Rockville, MD. August, 2011.

This guide is a resource designed to help clinicians anticipate, avoid, and address problems that can occur when implementing and using an electronic health record ( EHR). Taken from the page above, the contents are grouped by Modules as shown below:

Module I: Introduction to Unintended Consequences

EHRs offer many advantages, but even the most experienced implementers can face unexpected difficulties. This module provides an overview of the kinds of issues that might arise during implementation.

Module II: How to Avoid Unintended Consequences

Unintended consequences are unpredictable, but much can be learned from the experiences of other  EHR implementers and users. Adhering to best practices for selecting, implementing, and using your  EHR will help you avoid unintended consequences. This Module is divided into two sections: the first section will be more useful to organizations that have not yet implemented an  EHR, and the second section will be more useful to current  EHR users.

Module III: Understand and Identify Unintended Consequences

In the previous Module we presented information and tools for choosing, implementing and using an  EHR. The tools and information in  Module II  can help you avoid unintended consequences; however, even if you use these practices, there will still probably be unintended consequences associated with  EHR implementation and use. In this Module we will present a framework that will help you understand why unintended consequences occur, in order to help you prepare to identify and address them.

Module IV: Remediate Unintended Consequences

Module III provided tools and information to help you understand and identify unintended consequences. In this Module we provide you with tools and information that will help you pinpoint the specific causes of your  EHR-related problems and that will help you remediate them.

The course also contains an Appendix with Case Examples, a Glossary, External Resources and Acknowledgements.


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