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201. Tierney WM et al. 2003 "Effects of computerized guidelines for managing heart disease in primary care - a randomized, controlled trial." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tierney-wm-et-al-2003
     January 01, 2003 - Tierney WM et al. 2003 "Effects of computerized guidelines for managing heart disease in primary care … Effects of computerized guidelines for managing heart disease in primary care - a randomized, controlled … Physicians viewed guidelines as providing helpful information but constraining their practice and not … Workflow-Related Findings Reminders did not significantly affect practice. … Study Design Randomized controlled trial (RCT) Study Participants Participants were practice

202. Enhancing Quality in Patient Care (EQUIP) Project | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/enhancing-quality-patient-care-equip-project
     January 01, 2023 - Illinois Project Dates 09/30/2004 - 08/31/2007 Technology Data Warehouse Clinical … In partnership with the American Medical Association, GE Clinical Data Systems, First Consulting Group … decision support and performance measures tied to evidence-based practice guidelines. … Informatics staff are continuing to refine clinical decision support algorithms for an expanding number … Trend data already indicate modest improvements in health status and adherence to practice guidelines

203. Improving Laboratory Monitoring in Community Practices: A Randomized Trial - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial/annual-summary/2010
     January 01, 2010 - The overall aim of the project is the assessment of clinical decision support (CDS) point-of-care alerts … research team has been working with sample data to prepare logic rules to adapt pre-existing outpatient guidelines … into inpatient guidelines to develop clinical consensus about the appropriate time interval to notify … group participants viewed laboratory monitoring as a critical, time-consuming task integral to their practice

204. CDS Connect - Year 1 Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year1-final-report.pdf
     October 01, 2017 - technology (IT) focused on clinical decision support (CDS) to incorporate findings into clinical practice … healthcare practice. … in clinical practice. … According to a 2011 IOM report4, trustworthy clinical practice guidelines should (among other things … This recommendation addresses a specific, pervasive issue in implementing clinical practice guidelines

205. Using Precision Performance Measurement to Conduct Focused Quality Improvement - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-precision-performance-measurement-conduct-focused-quality-improvement/annual-summary/2010
     January 01, 2010 - decision support reminder systems, improve data quality, and seamlessly link data to practice-level … This study began at a large academic internal medicine practice and is now being implemented in four … forms of quality improvement, including: 1) peer review of all medical reasons for not adhering to guidelines … followed by academic detailing if a clinician enters an unjustified reason for not following guidelines … The site was able to implement the clinical decision support and reminder tools in the EHR for select

206. FluAlert: Influenza Vaccine Alerts for Providers in the Electronic Health Record | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/flualert-influenza-vaccine-alerts-providers-electronic-health-record
     January 01, 2023 - New York City New York Project Dates 09/30/2009 - 07/31/2013 Technology Clinical … Guidelines recommend that all children age 6 months and older receive the influenza vaccine. … Clinical decision support in electronic health records (EHRs) can remind providers about adherence to … practice guidelines. … Document Type: Journal Publication Research Method: Cross-Over Study , Quantitative Technology: Clinical

207. CDS Connect Maintenance and Update Final Report Year 4 2020 (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year4-final-report-2020.pdf
     January 01, 2020 - Applied Clinical Practice Guidelines (CPG)-on-Fast Healthcare Interoperability Resources (FHIR®) to … guidelines, and best practices into daily practice. … https://www.cdc.gov/ddphss/clinical-guidelines/index.html https://www.cdc.gov/ddphss/clinical-guidelines … Decision Support CMS Centers for Medicare & Medicaid Services CPG Clinical Practice Guidelines CPI … Resources 4.2.1 Clinical Practice Guidelines 4.2.2 Clinical Quality Measures 4.2.2.1 PROMIS® Measures

208. Improving Quality in Cancer Screening: The Excellence Report for Colonoscopy (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs017017-logan-final-report-2009.pdf
     January 01, 2009 - Scope: Resources of the Clinical Outcomes Research Initiative (CORI), whose mission is to study practice … practice. … The primary mission of CORI is to study endoscopic practice and outcomes in diverse practice settings … The discrete data needed must be recoverable and complete, and guidelines for automated categorization … Most endoscopists felt that they were performing within guidelines and would be willing to share their

209. Clinical Decision Support Toolkit: Pediatric Documentation Templates (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/peds_templates_weight_counsel_final.pdf
     June 16, 2021 - Clinical Decision Support Toolkit: Pediatric Documentation Templates Pediatric Documentation … This web site includes views of each page of the template, as well as a sample clinical note. … improving_pediatric_safety_and_quality.html&gn=1R01HS015002-01 Template Example Completed Clinical … These guidelines, and their interpretation by clinicians at Partners Healthcare System, may not represent … Moreover, guidelines change over time (for example, the age range for children who should receive

210. An Interactive Preventive Health Record (IPHR) to Promote Patient-Centered Preventive Care - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r18hs017046-krist-final-report-2011.pdf
     January 01, 2011 - guidelines, can be added to integrated PHR- EMRs. … operated independently for clinical activities and had a unique practice culture. … Panel III guidelines. … Scientific Statements and Practice Guidelines for 2009-2010. American Heart Association. … Welcome to Fairfax Family Practice Centers. Fairfax Family Practice Centers.

211. Executive Summary | Digital Healthcare Research
     digital.ahrq.gov/program-overview/research-reports/2023-year-review/executive-summary
     January 01, 2023 - By providing evidence-based insights and practical guidelines and resources, we create value for patients … and implementing that agenda—and disseminating the resulting evidence to inform policy and improve practice … As noted in this year’s Spotlight, DHR serves as a nexus for research, policy, and practice—bringing … real-world insights to bear on policy and practice and, conversely, incorporating the concerns of policymakers … optimize the future of our CDS Connect platform, which helps accelerate the adoption of standards-based clinical

212. The Impact of an Adaptive Patient-Centered Web Application on Medication Optimization in HFrEF Patients | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/impact-adaptive-patient-centered-web-application-medication-optimization-hfref
     January 01, 2023 - Mechanism(s) Disseminating and Implementing Patient-Centered Outcomes Research (PCOR) Evidence into Practice … through Interoperable Clinical Decision Support (R18) AHRQ Funded Amount $2,988,632 … Ann Arbor Michigan Project Dates 09/30/2022 - 09/29/2025 Technology Clinical … awareness that a patient is having worsening HF, lack of adherence to an appropriate diet, and failure of guidelines-based … and promote GDMT, healthcare systems lack an effective patient-centered EHR tool that incorporates clinical

213. Nease DE et al. 2008 "Impact of a generalizable reminder system on colorectal cancer screening in diverse primary care practices - a report from the prompting and reminding at encounters for prevention project." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/nease-de-et-al-2008
     January 01, 2008 - Our outcome measures were pre- and post-study practice-level CRC screening rates among patients seen … T-tests adjusted for within practice correlation showed improvement in screening rates across all 12 … Type of Health IT Computerized clinical reminders (CRs) and alerts Type of Health IT Functions … Preventive Services Task Force guidelines by age and history of prior screening services, be these fecal … Simply printing reminders does not ensure that they are available, accepted, and used by a practice."

214. CDS Connect: Final Report 2024 (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year-8-final-report-2024.pdf
     January 01, 2024 - CDS “artifacts”—actionable medical knowledge (e.g., clinical practice guidelines, peer-reviewed articles … practice through electronic health systems and applications. … practice through interoperable CDS. … practice. … the most up-to-date clinical evidence.

215. Impact of Health IT on Lab Order Use in Community Health Centers (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/healthitandlaborders.pdf
     November 01, 2011 - With a goal of turning research into practice, ACTION links many of the Nation's largest health care … The guidelines call for a hepatitis screening or evidence of a vaccination. Table 6. … practice guidelines and performance reporting easier compared to doing Paper chart reviews. … practice guidelines. … guidelines.

216. Health Information Exchange Policy Issues | Digital Healthcare Research
     digital.ahrq.gov/health-information-exchange-policy-issues
     January 01, 2023 - Background In today's age of electronic transactions, electronically available health care data, such as clinical … Accountability Act (HIPAA) statutes, which aim to ensure that medical data, including electronically available clinical … The Common Framework is a small set of nationally uniform technical and policy guidelines for health … The guidelines contained in the Common Framework are associated with a specific technical architecture … The guidelines may be adopted by any network, regardless of its size or underlying hardware and software

217. 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 - Indianapolis Indiana Project Dates 09/30/2015 - 07/31/2020 Technology Clinical … Therefore, research is needed to characterize clinical work environments, information needs and use, … practice guidelines  Prototype and preliminarily evaluate new decision support designs to meet clinicians … 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

218. A Risk Based Approach to Improving Management of Chronic Kidney Disease | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/risk-based-approach-improving-management-chronic-kidney-disease
     January 01, 2023 - Boston Massachusetts Project Dates 09/30/2009 - 07/31/2013 Technology Clinical … Existing clinical practice guidelines promote monitoring for progressive kidney disease, as well as aggressive … The specific aims of this project were to: Use computerized clinical information systems to identify … of 9,502 primary care patients with CKD cared for by 158 PCPs at a multispecialty integrated group practice … Based Approach to Improving Management of Chronic Kidney Disease Document Type: Report Technology: Clinical

219. Evaluating Diagnostic Decision Support Systems for Patients Requiring Urgent Primary or Emergency Care or with Stroke | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluating-diagnostic-decision-support-systems-patients-requiring-urgent
     July 01, 2023 - Population Adults Type of Care Acute Care Health Care Theme Clinical … Outputs will be compared with existing SCs, algorithms, and guidelines on diagnosis and management of … Millions use healthcare apps for diagnosis, but little research proves their accuracy in practice Many … Hamish Fraser, an associate professor of medical science and health systems policy and practice at Brown … Outputs will be compared with existing symptom checkers, algorithms, and guidelines on diagnosis and

220. Clinical Practice Improvement and Redesign: How Change in Workflow Can Be Supported by Clinical Decision Support (pdf file)
     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