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digital.ahrq.gov/ahrq-funded-projects/using-telemedicine-system-promote-patient-care-among-underserved-individuals/annual-summary/2011
January 01, 2011 - Despite the importance of controlling hypertension and the availability of therapy, the clinical application … of well-established guidelines has been sub-optimal and inadequate blood pressure (BP) control remains … his research team developed a patient-centered tool for managing hypertension within a primary care practice … , and satisfaction with the practice. … (Achieved)
Determine the percentage of patients meeting guidelines for anti-hypertensive medication
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digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology/annual-summary/2010
January 01, 2010 - While the use of clinical decision support systems (CDSS) has the potential to make evidence-based practice … guidelines available to clinicians at the point of care, there is uncertainty and concern about workflow … disruption, usability in practice, and utility of the content. … In 2009, Duke University’s Evidence-based Practice Center (EPC) was awarded a contract to develop a synthesis … report summarizing the evidence on the use and effectiveness of CDSS across clinical settings.
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2010
January 01, 2010 - (AHRQ) funded On-Time Pressure Ulcer (PrU) Healing Project which helps nursing homes implement best practice … guidelines in PrU care through workflow redesign and process improvements. … The evaluation of the On-Time PrU Program will help make guidelines available to other practices. … workgroup meetings informed the standardization of fall documentation and the development of tools to guide clinical … Included in the tools were:
Standardized set of documentation data elements and definitions
Clinical
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digital.ahrq.gov/ahrq-funded-projects/guidelines-decision-support-glides/annual-summary/2011
January 01, 2011 - Guidelines Into Decision Support (GLIDES) - 2011
Project Name
Guidelines Into Decision … and evaluation of demonstrations that advance the understanding of how to incorporate computerized clinical … The overall goal of the project is to recommend methods to assist clinical organizations across the country … School of Medicine's Department of Pediatrics and the Center for Medical Informatics, and is assisted by clinical … American Academy of Otolaryngology, the American Urological Association, and the American Society for Clinical
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs018538-gesteland-final-report-2014.pdf
January 01, 2014 - Using Health Information Technology to Support Population-Based Clinical Practice - Final Report … Importance of population-based principles in clinical practice of ARI. … c) Evidence-based practice: Knowledge of guidelines for antibiotic use in ARI and efficacy of over-
the-counter … clinical guidelines into an organized clinical response. … practice and actual use in clinical practice we conducted structured observations and
contextual interviews
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015226-gandhi-final-report-2008.pdf
January 01, 2008 - Atrius Health is an integrated multispecialty group practice with approximately 250 primary
care physicians … tracks new orders for
laboratory tests and colonoscopies and produce reports viewable by physicians, practice … Cluster randomization will be at the physician level, with half the physicians within a practice
randomized … A survey was conducted at three Atrius
Health clinics, an integrated multispecialty group practice, … their own earning potential improved (56% were neutral), and 20% agreed that revenue
for the entire practice
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015420-shiffman-final-report-2007.pdf
January 01, 2007 - practice guidelines for the management of asthma in
adults and children. … including support for flexible charting of growth parameters, prescription
by weight, immunization practice … Over 5 quarters, residents practicing in our pediatric Primary Care Center and advanced
practice RNs … AHRQ Expert Panel on Electronic
Guidelines, Washington, DC. December 12, 2006. … Electronic
Medical Records in a Sub-Specialty Practice: One Asthma
Center’s Experience.
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digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-integrated-technology/annual-summary/2009
January 01, 2009 - Evidence-based treatment guidelines have been developed to improve the identification and treatment of … These findings suggest that improvements in compliance with clinical guidelines at OHSU were a significant … practice and satisfaction found that providers frequently or always felt that the nonintegrated EHR … that use of the decision support tools was high, especially with the dating calculator (84.9 percent), guidelines … The introduction of a clinical information system into a busy labor and delivery setting did not reduce
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digital.ahrq.gov/organization/university-washington
January 01, 2023 - Customizing Value-Based Methods to Prioritize Implementation of Pharmacogenomic Clinical … a publicly available cost-effectiveness model for programs combining pharmacogenomics testing with clinical … Developing Design Principles to Integrate Patient-Reported Outcomes (PROs) Into Clinical Practice Through … Workflow Requirements for PRO Dashboards
Description
This research developed generalizable guidelines … for the use of electronic patient-reported outcomes (PROs) in clinical practice across healthcare systems
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shiffman-rn-et-al-1999
January 01, 1999 - authors focused on studies in which "computers were used as part of an implementation strategy for clinical … practice guidelines ... not simply to provide computer-based decision support." … "Eighteen of the 20 studies evaluated provider adherence to the guidelines.
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digital.ahrq.gov/ahrq-funded-projects/improving-otitis-media-care-electronic-health-record-ehr-based-clinical
January 01, 2023 - visual displays of prior OM events and treatments, a data collection form, recommendations based on guidelines … study found that those practices which used the CDS tool had significantly greater adherence to OM guidelines … Decision Support System Population: Physician
Improving adherence to otitis media guidelines … with clinical decision support and physician feedback. … Improving adherence to otitis media guidelines with clinical decision support and physician feedback.
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digital.ahrq.gov/sites/default/files/docs/biblio/09-0054-EF-Updated_0.pdf
June 01, 2009 - Clinical Practice Improvement and Redesign: How Change in Workflow Can Be Supported by Clinical Decision … Clinical practice improvement and redesign: how change in workflow can be
supported by clinical decision … Improving clinical practice using clinical
No. 01-E058, Rockville, MD: Agency for decision support systems … Aviat Space Environ Med 1994 guidelines for integration into clinical workflow. … Paper presented at:
clinical guidelines, and financial incentives as Proceedings of the ACM CHI'92 Conference
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
January 01, 2023 - Adults
Elderly
Type of Care
Long-Term Care
Health Care Theme
Clinical … Improvement for Long-term Care project was funded by AHRQ in part to assist nursing homes to implement best practice … guidelines in pressure ulcer care through workflow redesign and process improvements integrated into … Prevention program, including standardized documentation data elements that can be integrated into everyday practice … worked with facilities to develop a feasible implementation plan to integrate these tools into daily practice
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018157-hazlehurst-final-report-2013.pdf
January 01, 2013 - Practice might vary by
patient-level variables (e.g., comorbidity status, race/ethnicity, sex), physician … To fulfill the EMR’s promise, new technologies are needed that support both clinical practice
and process … Treating tobacco use and dependence: an
introduction to the US Public Health Service Clinical
Practice … Clinical Guidelines on the Identification,
Evaluation, and Treatment of Overweight and Obesity
in Adults … Endocrine Practice 1998; 4(5):297-300.
51.
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digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall
January 01, 2023 - practice. … Transforming Guidelines into Action: Clinical Decision Support at the Point of Care AHRQ hosted a presentation … primary care practice. … Fall risk management using clinical decision support in a rural nursing-led primary care practice. … practice, and patients are able to actively participate in their healthcare to minimize the risk of
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digital.ahrq.gov/ahrq-funded-projects/improving-otitis-media-care-electronic-health-record-ehr-based-clinical/annual-summary/2010
January 01, 2010 - Improving Otitis Media Care with EHR-based Clinical Decision Support and Feedback - 2010 … Project Name
Improving Otitis Media Care with Electronic Health Record (EHR)-based Clinical Decision … the treatment of otitis media (OM) in children arise from physicians’ lack of awareness of national guidelines … The report also includes the performance of providers with the highest (top 10 percent) adherence to guidelines … Feedback was analyzed at the physician, practice, and network levels and given to both intervention and
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017205-davidson-final-report-2010.pdf
January 01, 2010 - To implement a first common evidence-based template into the EHR at each CHC
practice, based on the … To guide, support and evaluate each CHC practice to build capacity and monitor
associated costs as they … Type Topic Example
Overview Process of conducting redesign within a practice or clinic system
Overview … The tool must deliver patient-level reports that include actionable
information (based on clinical guidelines … Guidelines Collaborative tobacco
cessation guidelines recommendations and pharmacology table.
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digital.ahrq.gov/sites/default/files/docs/survey/pcip-evaluation-provider-survey.pdf
June 16, 2021 - Applying clinical practice
guidelines
11. … What is your primary clinical specialty? … General Practice
Family Practice
Internal Medicine
Ob/Gyn
Pediatrics
Behavioral specialist … How many years have you been in practice? _____________
52. … In a typical week, how many hours do you work at this practice?
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs020696-ballard-final-report-2013.pdf
January 01, 2013 - guidelines available at the point of care and/or provide active evidence-based clinical decision
support … guidelines. … Guidelines. … Improving clinical practice using clinical decision
support systems: a systematic review of trials to … Impact
of EHR-based clinical decision support on adherence
to guidelines for patients on NSAIDs: a
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digital.ahrq.gov/funding-mechanism/clinical-decision-support-services
January 01, 2023 - Clinical Decision Support Services
Identifying best practices for clinical … Clinical decision support capabilities of commercially-available clinical information … Clinical decision support capabilities of commercially-available clinical information systems. … Project Name
Guidelines Into Decision Support (GLIDES)
Evaluating the use … Project Name
Guidelines Into Decision Support (GLIDES)
A set of preliminary