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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year6-final-report-2022.pdf
January 01, 2022 - guidelines, and best practices into real-world clinical care through technical
products such as clinical … Practice Guidelines (CPG)-on-Fast Healthcare Interoperability Resources
(FHIR)-based artifact data … • Providing artifact metadata that aligns with the FHIR Clinical Guidelines specification. … from the FHIR
Clinical Guidelines specification.
• Organizational and logic updates to follow best … Services
CPG Clinical Practice Guidelines
CPG-on-FHIR Representation of CPG recommendations in FHIR
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017072-lobach-final-report-2011.pdf
January 01, 2011 - practice guidelines (CPGs), is a central component of the overall care. … Despite the
proven benefits of EBP, use of these proven therapies in clinical practice is suboptimal … workflow and practice are summarized in Table 23. … of
the American College of Cardiology/American Heart
Association Task Force on Practice Guidelines … Use of Clinical Support in Clinical Practice.
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-health-information-technology-testing-feasibility-and/annual-summary/2009
January 01, 2009 - of care by reducing duplicate tests and lost results and increasing adherence to treatment followup guidelines … The EHR has the capability for clinical decision support, evidence-based protocols, and automated feedback … Achieved )
Illustrate how health IT tools can improve compliance with evidence-based laboratory test guidelines … Impact and Findings:
Adherence to guidelines
Implementation of the EHR had limited measurable short-term … areas that have relatively low rates of clinical adherence.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015354-rachman-final-report-2007.pdf
January 01, 2007 - Key Words: Electronic Health Record System, Decision Support, Clinical Data Warehouse,
Clinical Performance … Total clinical staff
number 580. … The plan was to build in relevant decision support/evidence-based guidelines into end user
screens, … Reports are based on
the BPHC Health Disparities and the AMA Consensus Clinical practice measures. … and practice guidelines to support evidence based practice
decision support;
• Developed strategic
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computerised-patient-specific
November 01, 2004 - Computerised patient-specific guidelines for management of common mental disorders in primary care: a … Publication Date: 2004 Nov Volume: 54 Issue: 508 Pages: 832-7 HIT Description: decision support Ð clinical … guidelines / protocols More info... … Study: To compare the effectiveness of case-finding followed by computer-generated patient-specific guidelines … Control patients received usual care with physician access to locally created guidelines.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/information-technology-its
August 16, 2021 - o Internet-based disease management resources
o Teleconsultation
o Electronic health records Clinical … resources- no quantitative data of improved outcomes
o Teleconsultation- some evidence that diagnosis and clinical … o Electronic health records (EHR) Ð with reminders, use of an EHR can improve compliance with guidelines
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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
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digital.ahrq.gov/sites/default/files/docs/page/implementation-and-evaluation-of-electronic-standing-orders-in-primary-care.pdf
June 02, 2010 - contribute to inadequate delivery of clinical
preventive and disease monitoring services … for Disease Control Advisory Committee on Immunization
Practices guideline*** Expert consensus or clinical … experience, AHRQ National Healthcare Quality Report and American
Diabetes Association current guidelines … (n)
ID Urban Family Practice 1224 2
TX Urban Multi -Specialty 28893 25
MD Urban Family Practice 3578 … effectiveness of
an EHR based standing order protocol in a broader
sample of practices and to identify which clinical
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs019023-mane-final-report-2014.pdf
January 01, 2014 - decision
support; real--‐time systems for coupling clinical guidelines with data--‐driven evidence … Data View: Clinical Guideline Component (Aim 2)
We used the treatment guidelines used in the treatment … Data View: Compressed Guideline Design (Aim 1 and Aim 2)
Using the TMAP guidelines, the abstract view … (Poster) A Paradigm Shift: Electronic Health Records Data in Clinical Practice. … Paradigm Shift: Electronic Health Records Data in Clinical Practice.
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digital.ahrq.gov/ahrq-funded-projects/using-precision-performance-measurement-conduct-focused-quality-improvement
January 01, 2023 - Chicago
Illinois
Project Dates
09/01/2007 - 08/31/2011
Technology
Clinical … three strategies for quality improvement:
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 … implications of using adjusted versus unadjusted methods to measure health care disparities at the practice … implications of using adjusted versus unadjusted methods to measure health care disparities at the practice
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digital.ahrq.gov/sites/default/files/docs/biblio/Poon.ppt
August 01, 2006 - Peers
Policy makers
Array of Measures
Quality and Safety
Clinical Outcomes
Clinical Processes … Which guidelines are you going to choose?
What about local accepted behavior? … 1
Practice 2
Practice 3
Practice 4
Practice 5
Practice 6
Practice 7
Practice 8
Deployment … of Intervention
Q1Q2Q3Q4Q1Q2Q3Q4Q1Q2
Practice 1
Practice 2
Practice 3
Practice 4 … Practice 5
Practice 6
Practice 7
Practice 8
200620072008
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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
-
digital.ahrq.gov/sites/default/files/docs/epc-hit-slides-072011.pdf
July 20, 2011 - Improving clinical practice using clinical decision
support systems: a systematic review of trials to … Improving clinical practice using clinical decision
support systems: a systematic review of trials to … practice guidelines that focused on
a single or limited set of medical
conditions (42 studies, 28.4% … studies +
– Potential drug interactions, wrong doses
• Compliance: 28 of 36 studies +
– Reminders, guidelines … studies
• Errors: 8 of 13 studies +, 1 -
– Timing of administration
• Compliance: 2 of 3 studies +
– Guidelines
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digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial/annual-summary/2011
January 01, 2011 - The overall aim of the project is the assessment of clinical decision support (CDS) point-of-care alerts … The research team convened an expert panel to adapt existing inpatient guidelines for the notification … group participants viewed laboratory monitoring as a critical, time-consuming task integral to their practice
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023952-chrischilles-final-report-2018.pdf
January 01, 2018 - This was a pragmatic design consistent with clinical practice: after a mailed invitation co-signed by … practice. … Measuring adherence to practice guidelines for the management
of hypertension: an evaluation of the … Why don't physicians follow clinical practice guidelines? A
framework for improvement. … Innovation And Clinical Excellence) program.
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digital.ahrq.gov/location/usa-co-aurora
January 01, 2023 - decision support, and reduce the manual burden on clinical staff in routine care. … StartSmart(TM): Health Information Technology to Improve Adherence to Prenatal Guidelines
Description … Integrating Patient-Reported Outcomes and Electronic Health Record Data to Improve Clinical Decision … Description
Participation in a virtual obesity health collaborative that included training in obesity guidelines … , support, and use of the computer system HeartSmartKids™, improved adherence to guidelines; had a positive
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digital.ahrq.gov/sites/default/files/docs/activity/using_precision_performance_measurement_to_conduct_focused_quality_improvement_2010pdf_2.pdf
August 01, 2011 - 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
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026432-rudin-final-report-2023.pdf
January 01, 2023 - practice guidelines that call for clinicians to adjust treatment based on serial
monitoring of patients … ’ reported symptoms.1, 7-11
In fact, adhering to clinical guidelines has been shown to improve health … practice model to achieve sustained
adoption in clinical care. … New asthma guidelines emphasize control, regular monitoring. … Applied clinical informatics.
2019;10(05):783-93.
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digital.ahrq.gov/sites/default/files/docs/survey/provider-pre-implementation-survey.pdf
September 14, 2016 - What is your clinical role? … ’s care or status falls
within recommended practice guidelines
[ ] [ ] [ ] [ ] [ ]
e. … While working at the University of Missouri Health
Care, have you ever studied or evaluated your
practice … indicate the reason(s) why and/or the barriers
you experienced that prevented you from studying your practice … How often do you study your practice
patterns?
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digital.ahrq.gov/ahrq-funded-projects/use-electronic-health-records-addressing-overweight-and-obesity-primary-care
January 01, 2023 - Boston
Massachusetts
Project Dates
09/30/2010 - 08/31/2015
Technology
Clinical … Type of Care
Primary Care
Health Care Theme
Chronic Disease Management
Clinical … Decision Making
Overweight and obesity are significant clinical and public health problems … Clinical practice guidelines urge providers to screen for these problems and recommend appropriate treatment … The study randomized 23 clinical teams within the practices to intervention or control groups.