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cds.ahrq.gov/sites/default/files/cds/artifact/18/Pilot%20Report_Final_0.docx
March 01, 2018 - Clinicians utilize the pilot CDS artifact when appropriate.
4. … Do clinicians, staff, or patients value the pilot CDS? … Does the pilot CDS reduce cognitive burden for clinicians? … leadership signed, and returned the consent forms to the clinicians. … The clinicians’ initial reactions to the CDS were positive.
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cds.ahrq.gov/sites/default/files/cds/artifact/106/Poster_AAPNCE_10.26.15.pptx
January 01, 1970 - We developed a 62-item questionnaire to assess clinicians’ perspectives on their roles in the evaluation … Most clinicians used health system resources but almost half identified issues with these resources. … No consensus on which factor was most important.
9% of clinicians were unaware of institutional resources … What role do clinicians report as part of obesity management? … Survey question (example)
What are clinicians perceptions of institutional resources?
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cds.ahrq.gov/sites/default/files/cds/artifact/476/CDS%20Connect%20Pilot%20Site%20Training%20Plan_Final_0.docx
July 23, 2024 - TARGET AUDIENCE: Prescribing clinicians at each of the pilot site locations. … · Utilize Clinical Champions at each pilot site to encourage use of the CDS, be a resource to other clinicians … · Clinical Champions will be identified in advance of the training but trained with the rest of the clinicians … 5/25
Both
Make go/no go decision regarding start date
5/30
Both
Hold training sessions with clinicians
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cds.ahrq.gov/sites/default/files/cds/artifact/106/AMIA_presentation.pptx
January 01, 2012 - laboratory evaluations1 are over-reported
Unexplained clinical care and workflow variability exist
Some clinicians … manage obesity, some refer to specialists, and some co-manage
Most clinicians use the BMI %tile and … some use the BMI (numeric) value
Some clinicians use patient handouts but some didn’t know these materials … existed
Many clinicians reported using other resources (links, websites, and handouts)
4
1 AST + ALT … the evidence-based recommendations from the selected Expert Committee ‘guideline’
12
The CDS helps clinicians
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cds.ahrq.gov/sites/default/files/cds/artifact/476/CDSConnectPilotFinalReport508gel10012018.pdf
September 01, 2018 - Do clinicians use any resulting visualizations or tools during the patient
encounter? … Do clinicians and patients believe there is greater patient
engagement when using the CDS? … Do clinicians, staff, or patients value the CDS? … Does CDS reduce cognitive burden for clinicians? … Process Do clinicians or clinical staff require training to use the CDS?
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cds.ahrq.gov/cdsconnect/community/patient_perspective/november2018
November 01, 2018 - Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
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cds.ahrq.gov/sites/default/files/cds/artifact/106/Poster_AMIA_mid_atlantic_HWI_jm.pptx
February 09, 2018 - Summary
The Future
Childhood obesity is a national health crisis
Clinicians do not consistently … recognize obesity or overweight status
Clinicians do not consistently document obesity or overweight … reported it is their role to diagnose obesity, fewer than half of obese patients had a diagnosis
Clinicians … Survey Response Data
Overweight patients:
34,971 (16.76%)
Obese patients:
28,451 (13.64%)
Most clinicians … (92%) reported “always” or “frequently” documenting weight status Most clinicians (88%) reported adding
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cds.ahrq.gov/sites/default/files/cds/artifact/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2024 - • Recommendation 10: When prescribing opioids for chronic pain, clinicians should use
urine drug … The clinical use cases are particularly relevant to clinicians specializing in
primary care, family … The structured representation of this
artifact presents the first five following actions; clinicians … Patients, caregivers, and clinicians use clinical decision support evidence and tools
in the context … Opportunities to address some of these dynamics include educating clinicians and patients to
take a
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cds.ahrq.gov/sites/default/files/workgroups/13461/CDS_Connect_WG_June_2021_Summary_0.pdf
January 01, 2021 - Clinicians might not recognize if the PDDI alert is relevant; an estimated 80 – 90% of PDDI
EHR alerts … The team also runs usability testing with patients and clinicians
in separate events. … The team also believes that
the visual risk assay produced by the app will better engage clinicians
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cds.ahrq.gov/sites/default/files/Lessons%20Learned%20Summary%20Sheet%20CDS%20Connect%20Patient%20Partnering%20Panel%202021.pdf
July 18, 2023 - Administrators, researchers, developers, clinicians—often the ”up party” in an unequal relationship—are … By we, I mean any of us—researchers, clinicians, developers, the public, funders.
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cds.ahrq.gov/sites/default/files/cds/artifact/106/HWI_2017.pptx
January 01, 2017 - In our primary care network, adherence to guidelines was low and uneven across individual clinicians … Healthy Weight Care Assistant”)
July 2016: Weight status documentation* tied to financial incentives for clinicians
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cds.ahrq.gov/sites/default/files/workgroups/1261/CDS_Connect_WG_March2021_Slides.pdf
March 01, 2021 - for CDS Connect
3
CDS Connect Stakeholders
• CDS Authors
• Health IT Systems
• Clinical Teams
• Clinicians … Primary Audience –
CDS Developers
and Informaticians
• Secondary Audience
► Health IT Vendors
► Clinicians … Caregiver
Community Metadata Field(s) (2 of 2)
• Is it impactful to include…
► Who was involved (e.g., clinicians
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cds.ahrq.gov/sites/default/files/cds/artifact/18/2024_CDS_Connect_IG_Statin_CVD_Clinician_Facing.pdf
January 01, 2024 - Clinicians who identify patients with that risk
profile should consider, in consultation with the patient … The artifact is intended for use by clinicians delivering care in an outpatient
setting. … Franklin Community Care (FCC) is a midsize practice with four primary care
clinicians (two physicians … The
recommendation summary states that “the USPSTF recommends that clinicians prescribe a statin
for … Removing the warning will lead to shared decision making with
patients and clinicians, so that those
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cds.ahrq.gov/sites/default/files/workgroups/13461/CDS_Connect_WG_June_2021_Slides_0.pdf
January 01, 2021 - point of care often alert
to PDDIs that have little potential clinical significance
• Frustrating clinicians … : Clinicians override up to 90% of potential DDI alerts,
primarily because clinicians do not consider
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cds.ahrq.gov/sites/default/files/CDS_Connect_Update_Checklist_At_a_Glance_07-16-2024.pdf
January 01, 2024 - At-A-Glance CDS Artifact Update Process to Inform Your Annual Review
Document updated by MITRE July 2024
At-A-Glance: The CDS Connect Artifact Annual Review Process for Contributors
Component Action(s) Owner(s) Others Engaged
CDS Artifact Entry
Page on AHRQ CDS
Connect Repository
Review artifact page to …
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cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - The CDS was developed by a multi-disciplinary team of
clinicians, informaticists, and engineers. … Enhancements Informed by CDC Knowledge Stewards and OCHIN Clinicians and System
Engineers
9
https … Implementation Decision: Display
a Notice at the top of the summary
that reminds clinicians that … This concept was considered as a
potential exclusion; however,
system engineers and clinicians at … Implementation Decision: Display
a Notice at the top of the summary
that reminds clinicians that
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cds.ahrq.gov/sites/default/files/workgroups/216/jan-2017-cholesterol-wg-notes.docx
January 01, 2017 - clinical workload when embedding tool into clinical workflow: facilitating documentation can motivate clinicians … presentation but include appropriate caveats: excessive requirements around triggers can be frustrating to clinicians … clinical visits.
· The tool has undergone many iterations and has been refined over time with input from clinicians
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cds.ahrq.gov/sites/default/files/cds/artifact/111/implementation-checklist_1.docx
November 06, 2020 - Location
Identify Clinical Champion to serve as Implementation Leader
People
Identify Impacted Clinicians
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cds.ahrq.gov/sites/default/files/workgroups/28166/CDS_Connect_WG_Summary_August%202021.pdf
August 19, 2021 - Lomotan asked the WG members to identify possible users of CEDAR (e.g., patients, clinicians,
vendors
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cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_WG_December_2021_Summary.pdf
January 01, 2021 - Nevertheless, the CDS community has
room for improving the balance between patient input and the input of clinicians … A WG member added that the language researchers, clinicians, and CDS developers use to describe
their … Dykes echoed this
sentiment, acknowledging that clinicians often forget that their day-to-day, expertise-laden