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- Don't assume that well-intentioned and well-designed CDS is without unintended adverse consequences.
- Unintended consequences may relate:
- directly from the activity that we are trying to improve (e.g., hypoglycemia; ? CHF from TZDs?)
- to seemingly unrelated conditions (e.g., screening)
- Controlled trials are the best way to test for these "side effects", and can be facilitated by using EMR-facilitated balancing of sites before assignment.
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