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.