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.

Understand Unintended Consequences

We provide an introduction to Interactive Socio-technical Analysis (ISTA), a framework for understanding the complex interactions that lead to unintended consequences.

Identify Unintended Consequences

We demonstrate how an Issues Log can be used to identify emergent unintended consequences.