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digital.ahrq.gov/sites/default/files/docs/cds-slides-10192021.pdf
October 19, 2021 - in Healthcare
Assistant Professor of Emergency Medicine, Georgetown University School of Medicine
6 … Objectives
Brief introduction to the discipline of Human Factors and
Ergonomics (HFE) and its domains … ”
- International Ergonomics Association
33
Domains of Specialization
34
Macro-
Ergonomics
Physical … • Interview/observation/eye tracking neuro
nurses, ICU/ED docs (n=9) doing 6 tasks
• UX issues:
► … Clinical Decision Support Design and Dissemination
Objectives
Human Factors and Ergonomics (HFE)
Domains
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026432-rudin-final-report-2023.pdf
January 01, 2023 - the scalability and sustained use of health
and care technology innovations.19 We focused on NASSS domains … four minutes to complete, and offers a comprehensive assessment of quality of life
across four sub-domains … environmental stimuli (3 items).20, 21 The MiniAQLQ score is
calculated as an average across these domains … 210/312 (67.3) 3/6 (50.0) 5/6 (83.3)
Race
American Indian or Alaska Native 1 27/52 (51.9) 1 … /1 (100.0) 1/1 (100.0)
Asian 8 356/418 (85.2) 6/8 (75.0) 6/8 (75.0)
Black 36 1321/1879 (70.3) 20/36
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digital.ahrq.gov/ahrq-funded-projects/wise-app-trial-improving-health-outcomes-plwh
January 01, 2024 - In addition to the home screen, the WiseApp has three additional domains, including a screen to review … AIDS Behav. 2024 Sep;28(9):2836-2849. doi: 10.1007/s10461-024-04355-6. Epub 2024 May 4. … J Assoc Nurses AIDS Care. 2023 Nov-Dec 01;34(6):527-537. doi: 10.1097/JNC.0000000000000427.
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digital.ahrq.gov/sites/default/files/docs/biblio/09_0083_EF.pdf
June 01, 2009 - In this latest
version, new measures have been added to each of the domains, and a new domain has been … West J Nurs Res 1998 Apr;20(2):251-6.
5. … N Engl J Med 2000;342:1887-92.
6. … Analysis Plan
6. … important issue of evaluation methods for assessing the impact
of health information systems in various domains
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digital.ahrq.gov/sites/default/files/docs/page/health-information-technology-evaluation-toolkit-2009-update.pdf
January 01, 2009 - In this latest
version, new measures have been added to each of the domains, and a new domain has been … West J Nurs Res 1998 Apr;20(2):251-6.
5. … N Engl J Med 2000;342:1887-92.
6. … Analysis Plan
6. … important issue of evaluation methods for assessing the impact
of health information systems in various domains
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
March 01, 2009 - JAMA 1998;280:1311 6.
2. Bond CA, Raehl CL, Franke T. … J Am Med Inform Assoc 1999
Jul Aug;6(4):313 21.
5. Shojania KG, Yokoe D, Platt R, et al. … J Am Med
Inform Assoc 1998 Nov Dec;5(6):554 62.
6. Kaushal R, Shojania KG, Bates DW. … J Am Med Inform Assoc 2004 Nov
Dec;11(6):482 91.
18. Grizzle AJ, Mahmood MH, Ko Y, et al.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017067-kaushal-final-report-2011.pdf
January 01, 2011 - We selected two domains for a first round of
quantitative rating: sensitivity to the potential effects … For each rater, we added the
scores for the two domains for each metric. … panelists and two additional raters rated high-scoring metrics from the
first round of rating along 5 domains … weeks)
HDL cholesterol (6 weeks)
Thyroid stimulating hormone (6 weeks)
Liver function tests (ALT/AST … AMIA Annu Symp
Proc 2008 Nov 6:1001.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022701-ornstein-final-report-2014.pdf
January 01, 2014 - For all domains, there
was general consensus in each focus group that CQMs should be evidence-based, … domain, while participants at the two other focus groups agreed
that, while important, CQMs in other domains … Patient Safety, Efficient Use of Healthcare Resources, Care
Coordination or Patient/Family Engagement domains … these CQMs were not felt to have as much
impact on the health of the US population as the initial two domains … Consider performance thresholds for some CQMs
. 6..
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-pilot-final-report.pdf
September 01, 2018 - Technical capability to implement the Pain Management Summary CDS
6. … Commitment of designated point(s) of contact for technical, clinical, and
operational domains
Pilot … In addition to the high-level pilot outcomes, MITRE created research questions across the three
domains—technology … Development of the initial pilot analytic plan
6. … Agile
Alliance. http://agilemanifesto.org/principles.html.
6 Quest Diagnostics.
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-environmental-scan.pdf
December 01, 2017 - resources posted on government
and non-profit websites for work conducted in the CDS and pain management domains … Emotional support-relieving fear and anxiety
6. … interest; several published entire suites of CQMs in the pain management [68-70] and
opioid [71,72] domains … More
interactive tools are described in Section 6. … (2012) Journal of Opioid Management. 2012; 8(6): 351-62.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026058-lakes-final-report-2022.pdf
January 01, 2022 - These goals could be set in multiple domains, customized to the treatment plan. … goals are set,
participants were able to track their progress daily and weekly in each of the target
domains … During this time, we also conducted reviews of DHI for
ADHD targeting specific domains of functioning … ACM CHI2020. https://doi.org/10.1145/3313831.3376837
6. … Retrieved from
http://www.gartner.com/newsroom/id/2636073
6. ABI Research. (2013).
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs024690-epstein-final-report-2021.pdf
January 01, 2021 - or without concurrent
pharmacological treatments, is an effective strategy for targeting specific domains … Children with
ADHD experience significant impairments across multiple domains of functioning, including … Items are rated on a scale ranging from 0 (no impairment) to 6 (extreme impairment). … Items are summed in each
of these domains to provide estimates of these constructs (Bennett et al., … Control) and Time
(baseline, 6-, and 12-months) variables in the analyses.
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digital.ahrq.gov/sites/default/files/docs/citation/evaluation-stage-3-meaningful-use-pa-ut-final-report.pdf
February 01, 2015 - certification criteria in the Patient and Family Engagement,
Care Coordination, and Interoperability domains … Healthcare and Geisinger Health System selected objectives and criteria to
pilot, from three Stage 3 MU domains … are detailed in the
following section, which includes cross-cutting themes in each of the Stage 3 MU domains … Cross-Cutting Findings contains cross-cutting themes that are relevant for multiple domains;
Domain-Specific … Infrastructure improvements would bolster
compliance in all other domains of MU.
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-verbal-orders-quick-reference-guide.pdf
March 01, 2009 - Measurement
Definitions
A definition of verbal orders comes from work by
Wakefield and colleagues:6 … Arch Pediatr Adolesc Med
1994;148:1322 6.
6. Wakefield DS, Ward MM, Groath D, et al.
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digital.ahrq.gov/sites/default/files/docs/factors-contributing-use-hie-slides-031616.pdf
April 21, 2016 - Explain the benefits of HIE implementation in LTPAC settings.
6. … .
57
Overarching Interoperability Goals
2015-2017: Send, receive, find, and use priority data
domains … Medication allergies Health concerns
i
2015-2017
Send,
receive,
find, and
use priority
data
domains … Nebraska Department of Administrative Services*
6. … National Healthy Start Association (SC – based in DC)
6.
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digital.ahrq.gov/sites/default/files/docs/citation/workflowredesignrfi.pdf
July 01, 2010 - ....................................................................................22
different domains … Request for Information responses: Impact of particular health IT applications on different domains of … Request for Information responses: Impact of particular health IT applications on different domains of … Request for Information responses: Impact of particular health IT applications on different domains of … Request for Information responses: Impact of particular health IT applications on different domains of
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digital.ahrq.gov/sites/default/files/docs/page/Clinical%20Decision%20Support%20Initiative%20Consortium.pdf
May 20, 2008 - clinical decision support at scale, across multiple healthcare
delivery organizations, and multiple domains … Evaluation Process for each CDS Assessment and Research Area
6.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024988-leroy-final-report-2020.pdf
January 01, 2020 - classification tasks, but is suboptimal with small and unbalanced datasets, which are common in many
domains … Table 6. … classification tasks, but is suboptimal with small and unbalanced datasets, which are common in many
domains … Kurzius-Spencer, "Optimizing Corpus
Creation for Training Word Embedding in Low Resource Domains: A … Methods Inf Med 2015;54(6):522-9. PMID 26391807.
6.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023613-choi-final-report-2017.pdf
January 01, 2017 - It included domains for:
laboratory results; medications with plain language summaries; clinical trial … population,
and have included quantitative assessments to integrate the findings with our qualitative domains … (30%)
Intermediate 6 (30%)
High 8 (40%)
Cell source
PBSC 14 (70%)
BM 6 … Bone Marrow Transplant
2016 Jun;51(6):885-8. PMID: 26926228.
6. Raj M, Choi SW, Platt J. … American Society of
Hematology Annual Meeting; 2016 Dec 2-6; San Diego, CA.
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digital.ahrq.gov/sites/default/files/docs/citation/EHR_Usability_Toolkit_Background_Report.pdf
January 26, 2006 - demand, performance, effort, and frustration.94,177-179
Although NASA-TLX has been used in single domains … many general usability evaluation methods that have been successfully
used in health care and other domains … background and development
of the USE questionnaire which measures usability across
many different domains … 3.2 frustrating satisfying
1 2 3 4 5 6 7 8 9 NA
3.3 dull stimulating
1 2 3 4 5 6 7 8 9 NA
3.4 … 3 4 5 6 7 8 9 NA
4.3 Screen layouts were helpful never always
1 2 3 4 5 6 7 8 9 NA
4.4 Sequence