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digital.ahrq.gov/sites/default/files/docs/20081118%20%20Using%20CDS%20to%20make%20Informed%20Pt%20Care%20Decisions_revised_cmc.pdf
January 01, 2010 - tie together our clinical decision support and our evidence based guidelines work. … We
really are looking for alignment between our clinical guidelines and clinical content, our organizational … The quality measures we chose were the ones we felt best
represented best practice guidelines. … You can see our four major categories that are here: infrastructure, practice
management, clinical and … What is important to know about this system is that
many of the practice management, clinical and population
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digital.ahrq.gov/sites/default/files/docs/page/amia-ahrq-s43-panel-slides-2020.pdf
January 01, 2020 - Guidelines for the Digital Age
48
https://www.cdc.gov/csels/phio/clinical-guidelines/index.html
https … ://www.cdc.gov/csels/phio/clinical-guidelines/index.html
Participating Stakeholder Groups
49
Guideline … J Am Med Inform Assoc 2011(18) i132-i139
FHIR Clinical Guidelines (CPG-on-FHIR)
53AMIA 2019 Annual … practice
guidelines and other types of guidance more efficiently and effectively
Framework for improving … Practice Guidelines (CPGs) with visualization of
where patient has been—and where they should be going
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022911-chaudhry-final-report-2017.pdf
January 01, 2017 - Methods: We utilized national guidelines to develop CDSS which has 54 clinical
pathways with 13 pathways … Validate the system in non-clinical setting using
clinical experts. … Participants:
A total of 25,500 women ages 18-65 receive care at these practice sites, with 63% at … We then further enhanced the CDSS to address the errors before
implementation in the practice. … in past
clinical practice
5 No Such errors will
gradually be eliminated
once clinical practice
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digital.ahrq.gov/ahrq-funded-projects/computer-automated-developmental-surveillance-and-screening/annual-summary/2011
January 01, 2011 - CHICA was modified to incorporate developmental surveillance and screening within the existing practice … proportion of children who undergo developmental screening at 9-, 18-, and 30-month visits at four practice … evaluation will identify how implementation of the AAP recommendations into CHICA affects adherence to clinical … guidelines. … Qualitatively, they have been looking at the factors that contribute to use of the CHICA system, such as practice
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017167_kopal_pdf_3.pdf
January 01, 2011 - Participants found different components useful, but
overall this study showed improved adherence to guidelines … guidelines and was associated with improvements in blood pressure
control. … and tailoring the intervention allowed for the best fit between the
goals of the intervention and practice … The project team selected features of the intervention
that did not mandate practice patterns. … CDSS intervention was implemented in the context of
a quality improvement effort, one component of practice
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017042_forrest_pdf_3.pdf
January 01, 2011 - Improving Otitis Media Care with Electronic Health Record-Based Clinical Decision Support and Feedback … 1 | ImprovIng otItIs medIa Care wIth eleCtronIC health reCord-Based ClInICal
deCIsIon support and … (OM)—infection of the middle ear— in
children arise from physicians’ lack of awareness of national guidelines … more likely to adhere to guidelines for management of OM than were control practices. … Across both followup periods (months 13 and33), the average
practice-level use of the CDS tool was 17.1
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digital.ahrq.gov/events/national-web-conference-findings-evidence-based-practice-centers-health-it
July 20, 2011 - A National Web Conference on Findings from the Evidence-Based Practice Centers for Health IT … of health IT, CDSS/KMS can serve as information tools to augment clinician decisionmaking with best practice … guidelines and evidence directly at the point of care. … Understand the association between the use of CHI applications and specific clinical outcomes. … Physicians will be able to identify health information technology strategies to implement in their practice
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digital.ahrq.gov/ahrq-funded-projects/computer-automated-developmental-surveillance-and-screening/annual-summary/2010
January 01, 2010 - CHICA will be modified to incorporate developmental surveillance and screening within the existing practice … proportion of children who undergo developmental screening at 9-, 18-, and 30-month visits at four practice … evaluation will identify how implementation of the AAP recommendations into CHICA affects adherence to clinical … guidelines. … The research team has begun the evaluation phase and has started to pull and review clinical charts to
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015002-ferris-final-report-2008.pdf
January 01, 2008 - guidelines. … First, much research in clinical
decision support is uncontrolled. … guidelines. … community practice. … Why don't
physicians follow clinical practice guidelines? A
framework for improvement. Jama.
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digital.ahrq.gov/sites/default/files/docs/activity/computer_automated_developmental_surveillance_and_screening_2010pdf_2.pdf
May 01, 2012 - CHICA will be modified to incorporate developmental surveillance
and screening within the existing practice … proportion of children who undergo developmental screening at 9-, 18-, and 30-month
visits at four practice … evaluation will identify how implementation of the AAP recommendations into CHICA affects
adherence to clinical … guidelines. … The research team has begun the evaluation phase and has started to pull
and review clinical charts
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digital.ahrq.gov/sites/default/files/docs/hit-cdm-transcript-062111.pdf
May 23, 2016 - into practical
changes on the day to day basis in clinical practice. … And basically just give them a chance to sort of practice and
get used to using the clinical decision … Did you notice that using the guidelines
changed the daily practice? That’s the first question. … Given the changes in clinical practice were significant, the
changes in outcomes were not material, … However, in a clinical private practice setting where
the profit is closer to neutral it’s difficult
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digital.ahrq.gov/sites/default/files/docs/data-visualization-qas-10192022.pdf
October 19, 2022 - accordance with the American College of Cardiology (ACC) and the American Heart Association (AHA)
guidelines … ANSWER: In practice, not very well; some people enter it in the EHR, some people don't! … Not at the time of these studies, at least not any more than we
usually do in practice. … practice guidelines? … ANSWER: We haven’t studied the topic of clinical practice guidelines and data visualization.
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digital.ahrq.gov/sites/default/files/docs/page/3-GLIDES-Status_Updates.pdf
June 01, 2011 - and replicable processes
– Continue to design, develop, implement, and demonstrate guideline-
based clinical … via NGC
– Which guidelines? … Applying iterative Human Computer Interaction methods to design the intervention
– Engaging Faculty Practice … new “knowledge stack” focusing on GEM / Drools elements
– Discuss “level 5” in the knowledge stack: clinical … local design methods/forms
– Integrating CDS into local policies and workflow
– Standardization of practice
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/emery-j-et-al-2007
January 01, 2007 - in comparison with best current practice. … The design included cluster randomised controlled trial, and involved forty-five general practice teams … Outcomes were measured at practice, practitioner and patient levels. … The primary outcome measure, at practice level, was the proportion of referrals made to the Regional … in comparison with best current practice."
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digital.ahrq.gov/ahrq-funded-projects/evaluation-computerized-clinical-decision-support-system-and-electronic-health/annual-summary/2011
January 01, 2011 - Evaluation of a computerized clinical decision support system and Electronic Health Record (EHR)-linked … Participants found different components useful, but overall this study showed improved adherence to guidelines … guidelines and was associated with improvements in blood pressure control. … The project team selected features of the intervention that did not mandate practice patterns. … CDSS intervention was implemented in the context of a quality improvement effort, one component of practice
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year7-final-report-2023.pdf
January 01, 2023 - CDS "artifacts" – actionable
medical knowledge (e.g.,
clinical practice guidelines,
peer-reviewed … practice through
electronic health systems and applications. … practice through interoperable CDS. … Practice Guidelines (CPG)-
on-Fast Healthcare Interoperability Resources (FHIR®).*
*FHIR® is a registered … practice.
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digital.ahrq.gov/sites/default/files/docs/page/2010_0901_CDSC_TEP.pdf
January 01, 2010 - knowledge
into CDS can be routinized in practice and taken
to scale in order to improve the quality … CDS
• Work on increasing clarity and internal consistency of all
clinical logic included in guidelines … Clinical Decision Support in Small Community
Practice Settings: A Case Study. … California
Goal of Knowledge Representation
Enable efficient and rapid implementation
of best practice … • What’s the business model for transforming guidelines into CDS?
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digital.ahrq.gov/sites/default/files/docs/citation/asthmacarewithhit_081011comp.pdf
July 01, 2011 - practice guidelines, and what guideline development groups were accustomed to
producing. … Technical challenges that are not associated with converting narrative guidelines into clinical
decision … When
providing clinical decision support, the underlying clinical content must reflect current clinical … practice guidelines for the diagnosis and
management of asthma. … into their clinical practice.
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/performance-diabetic-quality
January 01, 2023 - Document Type
Clinical/Practice Guidelines
Document Source
Using Health Information Technology
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digital.ahrq.gov/sites/default/files/docs/biblio/09-0069-EF_1.pdf
June 01, 2009 - Improving clinical practice using clinical
decision support systems: a systematic review of
trials … Clinical decision
support for independent physician practice. … Clinical decision support systems: theory
and practice. … Implementing antibiotic practice guidelines
through computer-assisted decision support:
clinical and … Clinical practice improvement and
redesign: how change in workflow can be
supported by CDS.