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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/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/activity/improving_laboratory_monitoring_in_community_practices__a_randomized_trial_2010_pdf__2.pdf
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
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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/page/ahrq-dhr-2021-year-in-review.pdf
January 01, 2021 - They interviewed
and surveyed patients and care teams on their attitudes toward
clinical practice guidelines … https://digital.ahrq.gov/ahrq-funded-projects/translating-hypertension-guidelines-practice-development-interoperable-clinical … https://digital.ahrq.gov/ahrq-funded-projects/translating-hypertension-guidelines-practice-development-interoperable-clinical … https://digital.ahrq.gov/ahrq-funded-projects/translating-hypertension-guidelines-practice-development-interoperable-clinical … https://digital.ahrq.gov/ahrq-funded-projects/translating-hypertension-guidelines-practice-development-interoperable-clinical
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digital.ahrq.gov/ahrq-funded-projects/integrating-patient-generated-digital-health-data-electronic-health-records
January 01, 2023 - Stakeholder
Type of Care
Primary Care
Self-Management
Health Care Theme
Clinical … activities to support organizations’ effort to deploy a new and complex care delivery modality into practice … advancement of digital technologies, patients can easily collect their own health data outside of the clinical … Patient-Generated Digital Health Data into Electronic Health Records in Ambulatory Care Settings Document Type: Clinical … /Practice Guidelines
Integrating Patient-Generated Digital Health Data into Electronic Health Records
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/chicago-alliance-community
August 31, 2007 - In partnership with the American Medical Association, GE Clinical Data Systems, First Consulting Group … system to include the spectrum of health services provided in a community health center, as well as clinical … 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
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/bindels-r-et-al-2003
January 01, 2003 - guidelines for ordering diagnostic tests was developed. … Before implementing the automated feedback system in daily practice, we assessed the potential effect … guidelines." … "There was a strong decrease in the proportion of tests not in accordance with the practice guidelines … Their test ordering behaviour is already largely in line with the guidelines."
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/meta-analysis-effect-use
January 01, 2001 - Years of study: 1967-2000 Study Design: Meta-analysis of 17 clinical trials. Outcomes: HbA1c. … diabetes self-management of children and adolescence, and one was the implementation of computerized clinical … guidelines for diabetes management in general practice.
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-3-applying-cds-medication-management
Medication Selection/Reconciliation (prescriber, nurse, pharmacist)
Select, for a clinical condition … The selection should be based on clinical evidence, best practice, patient characteristics, and cost-effectiveness … height and age), as well as pertinent disease management knowledge (for example, evidence-based best practice … Provide dosing recommendations, ideally specific to patient and clinical condition. … Recheck right dose/route/frequency, administration technique and timing, monitoring guidelines.
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digital.ahrq.gov/2018-year-review/research-dissemination/conference-proceedings/ahrq-funded-research-2018-amia-annual-symposium
January 01, 2018 - Workflow in Emergency Departments
Panel - EHR Log Data: An Untapped Health Data Goldmine for Clinical … Learning Network
From Evidence to Action: Enabling Opioid Pain Management Guidelines Through Patient-Centered … Clinical Decision Support
Panel Presentation
Dixon, Brian
Improving Population Health Through … Practice Through Health Information Technology: Data, User Experience, and Workflow Requirements for … Practice Workflow
Poster
Leroy, Gondy
Enabling Large-Scale Research on Autism Spectrum Disorders
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digital.ahrq.gov/location/usa-wa-seattle
January 01, 2023 - Customizing Value-Based Methods to Prioritize Implementation of Pharmacogenomic Clinical Decision Support … 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/sites/default/files/docs/page/clinical-decision-support-consortium-how-far-have-we-come.pdf
June 03, 2010 - Dissemination Process for each Assessment and Research Area
CDSC Conceptual Approach
4
CDSC Evidence-based Guidelines … External repository of clinical content with web-based viewer
2. … Clinical Decision Support Capabilities of
Commercially-available Clinical Information Systems. … Facilitate selective filtering with guidelines
5. 5. … Support the HL7 InfoButton standard in guidelines
6. 6.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017160-kmetik-final-report-2009.pdf
January 01, 2009 - Process-based performance measures can potentially create
incentives for physicians to adhere to guidelines … Pitfalls of converting practice guidelines into
quality measures: lessons learned from a VA
Performance … Tools for guiding clinical
practice from the American Heart Association and the
American College of … Evidence-based guidelines as a
foundation for performance incentives. … Available at:
http://www.ama-assn.org/ama/pub/ physician-
resources/clinical-practice-improvement/programs
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017016-williams-final-report-2010.pdf
January 01, 2010 - guidelines. … guidelines. … A study using EMR data found considerable practice variation
in adherence the AHRQ-recommended 5As guidelines … Some are difficult for
health systems to address: inadequate resources, poor quality clinical guidelines … Treating tobacco use and dependence: a clinical practice
guideline. U.S.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022701-ornstein-final-report-2014.pdf
January 01, 2014 - For the category “Clinical QI Strategies”, practice means ranged from a high of 88.3 for medication … care”, “EHR is customized in practice to facilitate high
quality clinical care”, and “Participation … care 72.7 (14.1) 0.29†
EHR is customized in practice to facilitate high quality clinical care 71.4 … †
Practice has financial burdens using EHR to achieve high quality 47.1 (18.2) 0.07
clinical care … Guidelines.
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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
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effects-clinician-ordering
January 01, 2001 - Purpose of Study: Evaluate the impact of computerized ordering guidelines on clinician test ordering … Description: A locally developed clinical practice guideline was developed for the appropriate imaging … study for specific clinical conditions.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/using-claims-data-based-sentinel
February 01, 2005 - Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of … guidelines More info... … Study: To assess the effect of a sentinel system that scans administrative claims information and clinical … Strategy: Issues for inclusion in the clinical rules engine were identified from national clinical trials … , published guidelines, and FDA approved labeling by an in-house committee of MDs, working in consultation
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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.