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21. CDSiC Innovation Center: Quarterly Report (pdf file)
    cdsic.ahrq.gov/sites/default/files/2024-05/Innovation%20Center%20Q1%202024%20Progress%20Report.pdf
    January 01, 2024 - Design and Development of a Chatbot Prototype to Support Patient-Clinician Communication ......... … The aim is to improve accuracy and efficiency in patient- clinician communication by using a chatbot … Communication Prototype Specification & Requirements Document Complete Patient-Clinician Prototype … • For the Patient-Clinician Prototype, members felt that this was an appropriate way to explore the … Design and Development of a Chatbot Prototype to Support Patient-Clinician Communication Innovation

22. Standards and Regulatory Frameworks Workgroup: Improving Interoperability of Patient Apps With the Health IT Ecosystem (pdf file)
    cdsic.ahrq.gov/sites/default/files/2023-08/CDSiC%20App%20Interoperability%20Report_508.pdf
    January 01, 2023 - In all cases, clinician- and patient-facing technologies are integrated such that users and systems … Alerts must be accurate, timely, clear, delivered securely, and reduce clinician alert fatigue. … The CDS returns recommendations to the ordering clinician. … Three types of activities may prompt clinician notification. 1. … This will reduce clinician burden and improve clinician decision making.

23. Innovation Core 2: Conducting and Coordinating Clinical Decision Support (CDS) Projects | CDSiC
    cdsic.ahrq.gov/cdsic/innovation-center/conducting-coordinating-cds
    May 22, 2025 - identifying best practices and approaches to support implementation of PC CDS within patient “life flows” and clinician … Related Resources PAIGE Chatbot for Patient-Clinician Communication: Usability … findings from a scoping review of studies of patient-generated health data (PGHD) dashboards that involved clinician

24. CDS Standards and Regulatory Frameworks Workgroup: An Initial Taxonomy of Override Reasons for PC CDS Recommendations (pdf file)
    cdsic.ahrq.gov/sites/default/files/2024-07/SRF_Taxonomy%20of%20PC%20CDS%20Override%20Recommendations_508_0.pdf
    January 01, 2024 - While some categories may be more relevant to patient-recipients and others to clinician-recipients … For example, a patient or a clinician may choose to decline a recommendation because of issues with … While some categories may be more relevant to patient-recipients and others to clinician-recipients, … The vast majority of identified reasons captured the clinician/health system perspective, however. … While some categories may be more relevant to patient-recipients and others to clinician-recipients,

25. CDSiC Innovation Center: Quarterly Report (pdf file)
    cdsic.ahrq.gov/sites/default/files/2023-08/Innovation%20Center%20Q2%202023%20Progress%20Report.pdf
    January 01, 2023 - The demonstration apps are focused on presenting individual patient data to support patient and clinician … The demonstration apps developed by Core 2 are for patient and clinician use and implement best practices … They include a patient app, a clinician dashboard app, and a software library that allows others to … In Q2 of 2023, the team completed the usability testing of the clinician and patient app prototypes. … The demonstration highlighted the key features incorporated in the team’s clinician- and patient-facing

26. Incorporating Patient Preferences in Patient-Centered Clinical Decision Support (pdf file)
    cdsic.ahrq.gov/sites/default/files/2025-06/TPC%20Topic%20Highlight%20Patient%20Preferences.pdf
    January 01, 2025 - as patient preferences, which provide the basis for how patients wish to: (1) interact with their clinician … Each box shows the different actions the patient, caregiver, clinician, and/or PC CDS technology may … The PC CDS tool then sends a summary of the patient’s data and preferences to their clinician. … START Need to establish care with a new clinician 2. Schedule a new patient appointment 4. … END Send summary of patient data and preferences to patient and clinician PC CDS Role Patient

27. Standards and Regulatory Frameworks Workgroup: Prioritizing Patient Preferences for Standardization to Support PC CDS (pdf file)
    cdsic.ahrq.gov/sites/default/files/2024-09/SRF_Patient%20Preference%20Standardization%20Priorities_508.pdf
    January 01, 2024 - Some participants held multiple designations or roles (e.g., a clinician who was also an EHR developer … Additionally, clinician and informatician participants stated that in their respective fields they … Another participant noted that patients can miss communication from their clinician if the patient’s … • Builds trust between PC CDS clinician and patient. … Clinician / System • Clinician qualifications/skills • Clinician identity factors • Access to spiritual

28. Standards and Regulatory Frameworks Workgroup: Improving Interoperability of Patient Apps with the Health IT Ecosystem | CDSiC
    cdsic.ahrq.gov/cdsic/interoperability-patientapps
    August 01, 2023 - interoperability is needed between apps and EHRs to allow for patient data collected by apps to be integrated into clinician … technologies, patient data collected by apps remains sequestered in the app, or in portals separate from clinician

29. Implementation, Adoption, and Scaling Workgroup: Key Factors and Considerations for Assessing the Value of Patient-Centered Clinical Decision Support (pdf file)
    cdsic.ahrq.gov/sites/default/files/2024-10/IAS_Key%20Factors%20and%20Considerations%20for%20Assessing%20the%20Value%20of%20PC%20CDS.pdf
    January 01, 2024 - Clinician alert overrides are common, and alert fatigue can inhibit the effectiveness of CDS. … — Researcher Clinician Preferences. … of clinician satisfaction such as meeting clinician end user needs and the CDS integration into clinician … relationship and contribute to clinician burden. … Does PC CDS adoption result in the desired change in clinician and patient behavior?

30. Moving the Needle on Advancing Patient-Centered Clinical Decision Support through the CDSiC’s Four Workgroups | CDSiC
    cdsic.ahrq.gov/cdsic/workgroup-viewpoint
    February 03, 2023 - or cause excessive burden (e.g., alert fatigue), potentially contributing to the growing problem of clinician … CDS, do not incorporate the unique features of either patient or patient/clinician-facing PC CDS. … will identify and define the factors that influence source credibility of PC CDS tools to improve clinician … Product 3: Standardized Representation for Patient Preferences Both clinician and patient-facing CDS … The impact of electronic health record-integrated patient-generated health data on clinician burnout.

31. Measurement and Outcomes Workgroup: Inventory of Patient Preference Measurement Tools for PC CDS Report (pdf file)
    cdsic.ahrq.gov/sites/default/files/2025-03/Final_MO_Patient%20Preference%20Report_6.7.24.pdf
    January 01, 2025 - Notably, patients’ preferences can refer to structural components for care (e.g., clinician or health … Only one of the tools captured in the Inventory relies on clinician notes and medical records to provide … ► To aid and streamline the use of patient-preference data, while reducing patient and clinician … • Builds trust between PC CDS clinician and patient. … Clinician / System • Clinician qualifications/skills • Clinician identity factors • Access to

32. CDSiC Innovation Center Quarterly Report (pdf file)
    cdsic.ahrq.gov/sites/default/files/2023-05/InnovationCenterQ4ProgressReportFinalForDTPFINAL.pdf
    January 01, 2023 - are typically composed of complex, multi-step processes that are predicated on medical knowledge, clinician … Update January 2023 The other set of dashboards being developed in Core 2 will be for patient and clinician … It will include a patient dashboard app, a clinician dashboard app, and a software library that will … The clinician app will include prepackaged visualizations for hypertension (e.g., blood pressure) and … The team then began creating prototype versions of the clinician- and patient-facing dashboard apps to

33. Trust and Patient-Centeredness Workgroup: Patient and Caregiver Perspectives on Generative Artificial Intelligence in Patient-Centered Clinical Decision Support | CDSiC
    cdsic.ahrq.gov/cdsic/AI-perspectives
    July 08, 2024 - support (PC CDS), factors that impact trust in AI technology, and AI’s impact on trust and the patient-clinician … The impact of AI use on the patient-clinician relationship. … The use of these tools has several implications for clinical decision making and the patient-clinician

34. Trust & Patient-centeredness Workgroup: Methods for Involving End-users in PC CDS Co-design (pdf file)
    cdsic.ahrq.gov/sites/default/files/2023-09/TPC_Codesign%20Report%20to%20AHRQ%20FINAL.pdf
    January 01, 2023 - Focus groups provide a unique opportunity to gather patient and clinician perspectives around how PC … Examples of Focus Groups to Obtain Input Category End-user Description Pre-design Clinician-facing … that informed design elements of the eventual tool.55 Evaluative Design Clinician-facing … Clinician-facing Researchers have also used usability interviews with clinicians to understand … Direct Observation Clinician-facing Direct observation of end-users has been used in

35. CDSiC Stakeholder Community and Outreach Center: Quarterly Report (pdf file)
    cdsic.ahrq.gov/sites/default/files/2023-09/Stakeholder%20Center%202023%20Q3%20Report%20to%20AHRQ%209.27.23.pdf
    January 01, 2023 - Measurement Measurement focuses on evaluating a tool’s impact on desired outcomes, such as improved clinician … Little is known about the impact of PC CDS on clinician workflows on the whole, and there has been even … CDS, clinician- and patient-facing CDS that supports shared decision making, and patient-facing CDS … The inventory contains over 150 measures to assess PC CDS performance that capture clinician and patient … evaluate the performance of an evidence-based PC CDS) and who they are (e.g., community hospital, clinician

36. CDSiC Innovation Center: Quarterly Report (pdf file)
    cdsic.ahrq.gov/sites/default/files/2023-06/InnovationCenterQ12023ProgressReportDraft.pdf
    January 01, 2023 - are typically composed of complex, multi-step processes that are predicated on medical knowledge, clinician … The other set of dashboards being developed in Core 2 will be for patient and clinician use and implement … It will include a patient dashboard app, a clinician dashboard app, and a software library that will … The clinician app will include prepackaged visualizations for hypertension (e.g., blood pressure) and … The team also finalized a prototype version of the clinician-facing dashboard app and engaged in several

37. Artificial Intelligence-Supported Patient-Centered Clinical Decision Support: A Summary of Considerations (pdf file)
    cdsic.ahrq.gov/sites/default/files/2025-06/IAS%20Topic%20Highlight%20AI%20and%20PC%20CDS_508%20Compliant.pdf
    January 01, 2025 - clinicians with diagnosing disease, offer suggestions on best treatment options, and send patient or clinician … which a generative AI tool converts a recorded transcript of a conversation between a patient and a clinician … The clinician can then review the AI-generated content and send a customized response to a patient through … AI as a co-pilot: AI should be used as a tool that complements patient-clinician interactions, not as … PAIGE Chatbot for Patient- Clinician Communication: Usability and Utility Assessment.

38. Exploring How Artificial Intelligence (AI) Can Enhance Patient-Centered Clinical Decision Support | CDSiC
    cdsic.ahrq.gov/cdsic/AI-viewpoint
    February 25, 2025 - , patients, and caregivers, with potential downstream consequences for using AI guidance in patient–clinician … effects of improved transparency and explainability of these tools on building patient trust and patient-clinician … practices center on viewing AI as a complement—rather than a substitute—to human interaction, providing clinician … Patients rejected the notion of AI tools eliminating essential clinician involvement and cautioned against … then generates a summary of the conversation, which is reviewed by the patient and can be sent to the clinician

39. AHRQ CDSiC Project Summary (pdf file)
    cdsic.ahrq.gov/sites/default/files/2024-10/FINAL%20CDSiC%20Project%20Summary%20PDF_508c.pdf
    January 01, 2024 - Decision Making • Taxonomy of Patient Preferences • Capturing Patient Preferences for PC CDS Within Clinician … for PC CDS and Report * PROTOTYPES • Medication Adherence Prototype Assessment Report * • Patient-Clinician

40. CDSiC Innovation Center Quarterly Report, July to September 2024 | CDSiC
    cdsic.ahrq.gov/cdsic/innovation-center-quarterly-report-july-september-2024
    September 30, 2024 - support medication adherence, and 2) design and development of a chatbot prototype to support patient-clinician … consider the use of artificial intelligence in decision support tools, and begin to explore patient and clinician