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Total Results: 126 records

Showing results for "clinical judgment".

21. McCowan C et al. 2001 "Lessons from a randomized controlled trial designed to evaluate computer decision support software to improve the management of asthma." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mccowan-c-et-al-2001
    January 01, 2001 - whether computer decision support software used in the management of patients with asthma improves clinical … computer decision support software that implements guidelines during patient consultations may improve clinical … whether computer decision support software used in the management of patients with asthma improves clinical … management recommendations and reminders were popular with the users and were deemed to provide relevant clinical

22. Designing User-Centered Decision Support Tools for Chronic Pain in Primary Care | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/designing-user-centered-decision-support-tools-chronic-pain-primary-care
    January 01, 2023 - created new electronic health record-based decision support tools to guide clinicians’ perceptions and judgments … Therefore, research is needed to characterize clinical work environments, information needs and use, … This study demonstrated the value of a user-centered approach to designing clinical decision support … Four design approaches were found to be key for EHR and clinical decision support developers to help … created new electronic health record-based decision support tools to guide clinicians’ perceptions and judgments

23. Baron RJ et al. 2005 "Electronic health records: just around the corner? Or over the cliff?" | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/baron-rj-et-al-2005
    January 01, 2005 - health records in a small office: financing; interoperability, standardization, and connectivity of clinical … "Variations in clinical style and work flow among the physicians, which had seemed acceptable if unnoticed … entering medication lists or immunization histories), but we worried that our staff, who have only limited clinical … training, might make mistakes, and decisions about what data to abstract require the clinical judgment … communicate more quickly and clearly with patients on the telephone and by letter, transmit important clinical

24. Improving Management of Test Results that Return After Hospital Discharge - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/k08hs018539-were-final-report-2014.pdf
    January 01, 2014 - The reviewers used an algorithm modified from Roy et al.6 The reviewers used their clinical judgment … Limitations: Determination of whether a test was actionable or not involved some degree of reviewer judgment … judgment. … who did not respond; physician-reviewers and the data analyst were not blinded, and some degree of judgment … Applied Clinical Informatics. April 4; 2012: 3(2):154-63. (PMCID: PMC3613020).

25. Care Planning | Digital Healthcare Research
    digital.ahrq.gov/health-care-theme/care-planning
    January 01, 2023 - Principal Investigator(s) Zhu, Xi Integrating Contextual Factors into Clinical … Contextual Error and Improve Outcomes in Ambulatory Care Description This research studied whether clinical … created new electronic health record-based decision support tools that guide clinicians’ perceptions and judgments

26. Computer Assisted Medication and Patient Information Interface (CAMPII) | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/computer-assisted-medication-and-patient-information-interface-campii
    January 01, 2023 - customized paper instruments, the medical chart, and a comprehensive “gold standard” interview by a clinical … The project successfully designed MMH with input from clinical and human factors experts and patients … Interface (CAMPII) Document Type: Journal Publication Research Method: Cross-Over Study Technology: Clinical … Assisted Medication and Patient Information Interface (CAMPII) Document Type: Report Technology: Clinical

27. Harle, Christopher Albert | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/harle-christopher-albert
    January 01, 2023 - protocol for a type III hybrid effectiveness-implementation trial to evaluate scaling interoperable clinical … protocol for a type III hybrid effectiveness-implementation trial to evaluate scaling interoperable clinical … Principal Investigator Harle, Christopher Albert Project Name Scaling Interoperable Clinical … Decision Support for Patient-Centered Chronic Pain Care Scaling Interoperable Clinical … created new electronic health record-based decision support tools that guide clinicians’ perceptions and judgments

28. Saleem JJ et al. 2005 "Exploring barriers and facilitators to the use of computerized clinical reminders." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/saleem-jj-et-al-2005
    January 01, 2005 - Saleem JJ et al. 2005 "Exploring barriers and facilitators to the use of computerized clinical reminders … Exploring barriers and facilitators to the use of computerized clinical reminders. … Computerized clinical reminders (CRs) can improve compliance with these practices in outpatient settings … Type of Health IT Computerized clinical reminders (CRs) and alerts Type of Health IT Functions … Reminders aimed at providers may require more clinical judgment...To satisfy the CRs, the clinician must

29. Treating Comorbid Depression During Care Transitions with Relational Agents | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/treating-comorbid-depression-during-care-transitions-relational-agents
    January 01, 2023 - heart failure, chronic obstructive pulmonary disease, or chronic pain and is a strong predictor of poor clinical … Most participants also felt that working with Sophie removed much of the judgment and stigma involved

30. Integration of an NLP-based Application to Support Medication Management - 2012 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/integration-nlp-based-application-support-medication-management/annual-summary/2012
    January 01, 2012 - EHR, while critical medication information may exist in an unstructured format in the EHR’s free-text clinical … a previous AHRQ-funded project, Improving Outpatient Medication Lists Using Temporal Reasoning and Clinical … Reasoning and Mapping System (MTERMS) to extract and encode medication information from electronic clinical … judgments, changes, and other decisions. … The providers agreed that the tool will help them identify missing medications found only in clinical

31. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Materials Management and Production Processes (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/Materials%20Management%20and%20Production%20Processes.pdf
    June 16, 2021 - decision-making  (ii) they believe that EBM-generated knowledge is useful and is commonly used in daily clinical … decision-making – however, not using EBM does not adversely affect their daily clinical decision- making … ;  (iii) they have high confidence in their own judgment compared with low confidence in clinical … iv) journal summaries of the latest research related to a subject are the most useful resources in clinical … Establishment of “managerial epidemiology” Respect for bounded clinical autonomy Build commitment

32. Electronic Support for Public Health - Vaccine Adverse Event Reporting System - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/electronic-support-public-health-vaccine-adverse-event-reporting-system/annual-summary/2010
    January 01, 2010 - ESP provides a ready-made platform for automatically converting clinical, laboratory, prescription, and … about the patient, including vaccine type, lot number, and possible adverse effect, to inform their clinical … judgment regarding whether they wish to send a report to VAERS.

33. Supporting Clinicians to Improve Decision Making and Patients’ Care | Digital Healthcare Research
    digital.ahrq.gov/2020-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care
    January 01, 2020 - Clinical Decision Making Improving clinical decision making is dependent on clinicians’ ability to … the research team hopes will improve clinical care processes and neonatal outcomes.   … The following research explored ways to improve technology design and use, including clinical workflow … The research team conducted a mixed methods study of community health center clinicians and clinical … , the researchers created new EHR-based decision support tools to guide clinicians’ perceptions and judgments

34. Ahrqplenary6.05 (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/AHRQPlenary6.05.pdf
    November 01, 2004 - kinds of research to fund, to choices by hospitals about where to focus their attention and dollars, to judgments … Regulations Reporting Systems Teamwork Training and Simulation Clinical Information Technology Malpractice … not be questionedbe questioned 0% 10% 20% 30% 40% 50% Surgeons Pilots Sexton, BMJ, 2000 Clinical … Information Technology: B-Clinical Information Technology: B-  Benefits may be overstated, ? … medicine Pathophysiology of Progress in Patient Safety Proposed relevance to patient safety New clinical

35. Clinician Survey on Quality Improvement, Best Practice Guidelines and Information Technology (pdf file)
    digital.ahrq.gov/sites/default/files/docs/survey/clinician-survey-quality-improvement.pdf
    June 16, 2021 - Technology Cooperative, Davenport WA This is a questionnaire designed to be completed by physicians, clinical … Best practice guidelines limit my ability to apply clinical judgment      7d. … Accessing clinical data (e.g., x-rays, labs)      10c. … The use of computers to share clinical information has improved the quality of my work      … The use of computers to share information about conditions and possible treatments makes good clinical

36. Designing User-Centered Decision Support Tools for Chronic Pain in Primary Care (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs023306-harle-final-report-2020.pdf
    January 01, 2020 - Key Words: Chronic pain, opioids, clinical decision support, primary care … expertise in individual and team decision making,” “the nature of clinical work in context,” and “ … knowledge, we created new EHR-based decision support tools that guide clinicians’ perceptions and judgments … The Institute of Medicine recognized a need to transform perceptions and judgments of pain because pain … information and taking relevant clinical action (Figure 1).

37. Closing the Feedback Loop to Improve Diagnostic Quality - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r18hs017060-weiss-final-report-2011.pdf
    January 01, 2011 - Patient satisfaction with their clinical care c. … criteria and a process of training and mutual discussion to develop a reasonably consistent set of judgments … based on clinical relevance and importance. … If the diagnosis lists were considered consonant, an additional judgment was required to be sure that … If dissonant, an additional judgment was required to identify the source of the dissonance.

38. Privacy and Security Solutions for Interoperable Health Information Exchange
    digital.ahrq.gov/sites/default/files/docs/page/iavr_executivesummary.html
    December 29, 2006 - One state team referred to Clinical Laboratory Improvement Amendments (CLIA) as a barrier to eHIE. … Networking Issues Most state teams reported quite limited interorganizational exchanges of clinical … document certain disclosures of health information; and other issues, including importance of human judgment … In fact, most exchanges occur person to person, especially in emergency situations, and human judgment … It will be crucial to include these points at which human judgment is required in the specifications

39. Executive Summary | Digital Healthcare Research
    digital.ahrq.gov/2020-year-review/executive-summary
    January 01, 2020 - created new electronic health record-based decision support tools to guide clinicians’ perceptions and judgments … Institute Aaron Zachary Hettinger Designing Intelligent Systems to Support Cognitive Work of Clinical … Its use also can inform the design of health IT solutions to improve effectiveness of clinical work in … In 2020, AHRQ funded 23 new research projects to address priority areas, including improving clinical … decision making, integration of patient-reported outcomes (PROs) into clinical care, and use of telehealth

40. Microsoft Word - IAVR_ExecSumm.doc (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/IAVR_ExecSumm_1.pdf
    December 29, 2006 - One state team referred to Clinical Laboratory Improvement Amendments (CLIA) as a barrier to eHIE. … Networking Issues Most state teams reported quite limited interorganizational exchanges of clinical … document certain disclosures of health information; and  other issues, including importance of human judgment … In fact, most exchanges occur person to person, especially in emergency situations, and human judgment … It will be crucial to include these points at which human judgment is required in the specifications