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381. Quantifying Efficiencies Gained through Shareable CDS Resources - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/shareable-cds-efficiencies-final-report.pdf
     December 01, 2019 - practice guidelines) into interoperable forms (e.g., computable logic). … Clinical practice improvement and redesign: how change in workflow can be supported by clinical decision … The Lifecycle of Clinical Decision Support (CDS): CDS Theory and Practice from Request to Maintenance … Clinical subject matter experts (SMEs) translate clinical guidelines and determine thresholds for the … In practice, however, all participants noted the need to validate and verify the clinical and technical

382. USA, CO, Aurora | Digital Healthcare Research
     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

383. Structuring Care Recommendations for Clinical Decision Support (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/2011_2900900022i2_osheroff_pdf_3.pdf
     January 01, 2011 - Structuring Care Recommendations for Clinical Decision Support 1 | Structuring care recommendationS … for clinical deciSion Support NatioNal ResouRce ceNteR task oRdeR Structuring Care Recommendations … for Clinical Decision Support Principal Investigator: Osheroff, Jerry, M.D. … care recommendations (also known as clinical guideline narratives), into clinical decision support … Structured, coded clinical logic statements that can be electronically processed can increase the speed

384. Improving the Delivery of Health Services at the Health Systems Level - Emerging Research | Digital Healthcare Research
     digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
     January 01, 2020 - AHRQ-funded research is evaluating how telehealth can be more seamlessly integrated into clinical care … outcomes research (PCOR) findings within repositories maintained by AHRQ’s Center for Evidence and Practice … research team hypothesizes that by using CDS implemented with standards and service-oriented architecture, guidelines … be implemented throughout the healthcare system, allowing for faster dissemination and updates when guidelines … practice.  

385. Conducting Measurement Activities for Health Information Technology Initiative - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/conducting-measurement-activities-health-information-technology-initiative/annual-summary/2010
     January 01, 2010 - outcomes of health IT in the new landscape created by the Health Information Technology for Economic and Clinical … completed data analysis on the reduction in medication errors due to CPOE, the adoption and use of clinical … of hospitals (3,054 of 4,701) in the study population had adopted at least one of six types of CDS (clinical … guidelines, clinical reminders, drug allergy alerts, drug-drug interaction alerts, drug-laboratory interaction … CDS technologies that inform courses of action (clinical guidelines, clinical reminders, and drug dosing

386. BD: Good afternoon (pdf file)
     digital.ahrq.gov/sites/default/files/docs/20081027_Transcript_CD_WS.pdf
     October 27, 2008 - increase compliance with certain kinds of care guidelines. … clinical practice through a number of projects we've undertaken, many of which have been funded through … systems that were important for improving practice. … Of these trials 68% showed significant improvement in clinical practice. … The first are there any clinical decision support systems designed to support nursing practice?

387. Conducting Measurement Activities for Health Information Technology Initiative (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/conducting_measurement_activities_for_health_information_technology_initiative_2010_pdf__2.pdf
     January 01, 2010 - outcomes of health IT in the new landscape created by the Health Information Technology for Economic and Clinical … completed data analysis on the reduction in medication errors due to CPOE, the adoption and use of clinical … of hospitals (3,054 of 4,701) in the study population had adopted at least one of six types of CDS (clinical … guidelines, clinical reminders, drug allergy alerts, drug-drug interaction alerts, drug-laboratory … CDS technologies that inform courses of action (clinical guidelines, clinical reminders, and drug dosing

388. Improving Quality through Health Information Technology: Testing the Feasibility and Assessing the Impact of Using Existing Health Information Technology Infrastructure for Better Care Delivery (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/improving_quality_through_health_information_technology_2009_update_2.pdf
     January 01, 2009 - of care by reducing duplicate tests and lost results and increasing adherence to treatment followup guidelines … Semistructured interviews were conducted with IT, laboratory, clinical, and administrative staff to … Achieved)  Illustrate how health IT tools can improve compliance with evidence-based laboratory test guidelines … Impact and Findings: Adherence to guidelines … areas that have relatively low rates of clinical adherence.

389. 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

390. eHealth Records to Improve Dental Care for Patients with Chronic Illnesses - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/ehealth-records-improve-dental-care-patients-chronic-illnesses/annual-summary/2010
     January 01, 2010 - guidelines. … Targeted Use: The proportion of instances in which access to the Web-based clinical guidelines was done … Ongoing Use: The proportion of providers who accessed the Web-based clinical guidelines for all patients … The rate at which the providers accessed the clinical guidelines in response to the CDS alert was evaluated … This project demonstrated that utilization of clinical guidelines for medically compromised patients

391. Appendix B to the Final Report Barriers to Meaningful Use in Medicaid: Analysis and Recommendations (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixB.pdf
     August 29, 2012 - care professional who can enter orders into the medical record per State, local, and professional guidelines … Implement 5 clinical decision support interventions related to 5 or more clinical quality measures … Provide clinical summaries for patients for each office visit Clinical summaries provided to patients … data to public health agencies except where prohibited, and in accordance with applicable law and practice … other than a cancer registry), except where prohibited, and in accordance with applicable law and practice

392. Improving Laboratory Monitoring in Community Practices: A Randomized Trial - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial/annual-summary/2012
     January 01, 2012 - The overall aim of the project was to assess clinical decision support (CDS) point-of-care alerts and … group participants viewed laboratory monitoring as a critical, time-consuming task integral to their practice … The team convened an expert panel to adapt existing inpatient guidelines for the notification of test

393. eHealth Records to Improve Dental Care for Patients With Chronic Illnesses (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/ehealth_records_to_improve_dental_care_for_patients_with_chronic_illnesses_2010_pdf__2.pdf
     January 01, 2010 - Total Use: The overall frequency with which providers accessed the Web-based clinical guidelines. 2. … Targeted Use: The proportion of instances in which access to the Web-based clinical guidelines was … Ongoing Use: The proportion of providers who accessed the Web-based clinical guidelines for all patients … The rate at which the providers accessed the clinical guidelines in response to the CDS alert was evaluated … This project demonstrated that utilization of clinical guidelines for medically compromised patients

394. Participation by Primary Care Practices in Health Information Exchange in Minnesota - 2009 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/participation-primary-care-practices-health-information-exchange-minnesota/annual-summary/2009
     January 01, 2009 - Information was collected on characteristics of the practice, EHR capacity, and the degree of HIE. … The practice contact person from each site identified at least three informants from among those knowledgeable … One practice had programmed an interface between their EHR system and the hospital laboratory information … Eight of the nine practices did not meet their goal of exchanging clinical data with their associated … Overall, data security and privacy were acknowledged as challenging issues that warranted Federal guidelines

395. 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.

396. Using Information Technology to Provide Measurement Based Care for Chronic Illness - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs017189-trivedi-final-report-2010.pdf
     January 01, 2010 - Even in guideline-driven practice, clinical treatment of depression varies widely among practitioners … The guidelines and algorithms, from which the decision support system was developed, were derived from … decision making for treatment through the computer is a by-product of every day clinical practice. … It also provides a link to the American Psychiatric Association Practice Guidelines that provide information … Practice Guidelines, and the CDSS User manual.

397. Improving Laboratory Monitoring in Community Practices: A Randomized Trial (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/2011_017201_simon_pdf_3.pdf
     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

398. Information Technology Implementation by Cognitive Engineering of Organizational Routines - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs018170-green-final-report-2014.pdf
     January 01, 2014 - Internal guidelines do exist but location is not widely known. … Decision making around clinical guidelines involves a process of group consensus through provider meetings … Practice administrator has some planning skills but rest of practice largely reactive. … Routine reports reviewed by practice administrator, but not by practice as a whole. … Training high--‐performance skills: Fallacies and guidelines. Hum. Factors 1985;27:285--‐300.

399. Participation by Primary Care Practices in Health Information Exchange in Minnesota (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/participation_by_primary_care_practices_in__2009_update_2.pdf
     January 01, 2009 - (Achieved)  Determine the motivation and barriers to primary care practice participation in HIE. … Information was collected on characteristics of the practice, EHR capacity, and the degree of HIE. … One practice had programmed an interface between their EHR system and the hospital laboratory information … Eight of the nine practices did not meet their goal of exchanging clinical data with their associated … Overall, data security and privacy were acknowledged as challenging issues that warranted Federal guidelines

400. eHealth Records to Improve Dental Care for Patients with Chronic Illnesses - 2011 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/ehealth-records-improve-dental-care-patients-chronic-illnesses/annual-summary/2011
     January 01, 2011 - This project involved a randomized clinical trial to evaluate the effectiveness of simple reminders in … This project involved a randomized clinical trial to evaluate the effectiveness of simple reminders in … The impact of two clinical decision support (CDS) approaches was compared with a usual-care control group … This study demonstrated that utilization of clinical guidelines for medically compromised patients can … care guidelines or the alerts became less effective.