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digital.ahrq.gov/ahrq-funded-projects/enhancing-providers-ability-followup-abnormal-test-results/citation/relating
January 01, 2023 - and task difficulty with physicians’ performance during interactions with electronic health records (EHRs … and task difficulty with physicians’ performance during interactions with electronic health records (EHRs
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digital.ahrq.gov/ahrq-funded-projects/implementation-novel-multi-platform-evidence-based-clinical-decision-support/citation/universal
August 01, 2023 - Universal EHRs clinical decision support for thromboprophylaxis in medical inpatients: A cluster randomized … Universal EHRs clinical decision support for thromboprophylaxis in medical inpatients: A cluster randomized
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digital.ahrq.gov/ahrq-funded-projects/advancing-collection-and-use-patient-reported-outcomes-through-health
January 01, 2023 - PROs through patient electronic assessment and subsequent integration into electronic health records (EHRs … sites were of various size, geographic locations, with varied workflows, and using three different EHRs … Using mobile applications developed with standards allows for smoother integration of PRO data into EHRs … standards, which could allow for smoother integration of that data into electronic health records (EHRs … [PRO] data, it is all in a standard format, encoded the same way, and can be pushed into different EHRs
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017160-kmetik-final-report-2009.pdf
January 01, 2009 - Although all practices have EHRs in use, they vary in the specific
EHRs product being used. … Experience with their EHRs varies across the 5 sites from
4 years to over 10 years. … Description of Cardio-HIT sites
Cardio-HIT
Site EHRs Product Years of
EHRs Use
Total # MDs in … First, ours was a multi-site, multi-
EHRs product study. … of coded data within EHRs for quality measurement.
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_implementation_checklist.pdf
January 01, 2006 - EHR Implementation Checklist
EHR Implementation Checklist
Establishment of Project Team
Physician champion(s)
Project manager
IT\EHR Lead
Super User
Workflow Coordinator
Development of Project Plan
Scope document
Implementation schedule/timeline
Roles and responsibilities
Change manageme…
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digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records/annual-summary/2008
January 01, 2008 - Multiple statewide surveys of office staff and physicians addressed barriers to adoption and use of EHRs … An additional analysis examined the relationship between EHRs and malpractice claims. … . ( Achieved )
Assess the effects of the statewide program on physician receptivity to and use of EHRs … Measure the effectiveness of academic detailing in fostering successful implementation and usage of EHRs … The relationship between EHRs and quality of care is complex and depends not only on EHR adoption, but
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digital.ahrq.gov/electronic-health-records
January 01, 2023 - Health Records
The widespread adoption and use of electronic health records (EHRs … technology upgrades and continuous quality improvement are all issues when seeking to implement and use EHRs … profiles of and lessons from the AHRQ-funded projects working on implementing and measuring the impact of EHRs … EHRs in Massachusetts: Who Has Them and How Are They Using Them? … ROI will vary by hospital, depending on current medical record practices, but implementation of EHRs
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digital.ahrq.gov/ahrq-funded-projects/natural-language-processing-identify-and-rank-clinically-relevant-information
January 01, 2023 - Natural Language Processing To Identify and Rank Clinically Relevant Information for EHRs in the Emergency … Tools to enhance searching for information in EHRs are typically based on key words. … Project Name: Natural Language Processing To Identify and Rank Clinically Relevant Information for EHRs … Physician
Natural Language Processing to Identify and Rank Clinically Relevant Information for EHRs … Project Name: Natural Language Processing To Identify and Rank Clinically Relevant Information for EHRs
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digital.ahrq.gov/ahrq-funded-projects/impact-meaningful-use-clinical-workflow-emergency-departments
January 01, 2023 - Federal incentives have stimulated the adoption of EHRs and stages of “meaningful use” (MU) implementation … As EHRs have become prevalent, measuring the impact on clinical workflow is increasingly important. … However, many EHRs were developed and tested by information technology developers and were not assessed … Poorly designed EHRs can lead to errors in care that risk patient safety. … and developed recommendations to improve EHRs and patient safety.
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digital.ahrq.gov/ahrq-funded-projects/bringing-high-performing-systems-small-practices/annual-summary/2012
January 01, 2012 - community health care providers to improve quality of care through the use of electronic health records (EHRs … The New York City Primary Care Information Project (PCIP) is comparing the implementation of EHRs at … 80 small ambulatory primary care practices that are early adopters of EHRs and part of an integrated … of paper records provided historical data on quality performance prior to the implementation of the EHRs … After the EHRs were implemented, a manual review of electronic records was conducted for comparison.
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesCrandall2010.pdf
December 01, 2009 - storing patient’s information in an
accessible and standardized fashion, electronic health records
(EHRs … Although EHRs have been shown to be a useful tool for
improving health care quality and safety, health … Health care
organizations must rethink the processes of patient care as they
implement EHRs to ensure … • CDS featuring automatic alerts and notifications within
EHRs helped improve the timeliness of … URINARY TRACT INFECTIONS OCCUR AFTER WORK-
FLOW REDESIGN TO USE ELECTRONIC ALERTS AND
REMINDERS IN EHRS
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015397-bates-final-report-2008.pdf
January 01, 2008 - Scope: The Massachusetts e-Health Collaborative extensively implemented EHRs throughout
three diverse … Merging survey results with claims data
enabled the evaluation of the relationship between EHRs and … An additional
analysis examined the relationship between EHRs and malpractice claims. … The relationship between EHRs and quality of care
is complex and depends not only on EHR adoption but … Larger practices and hospital based practices were more likely to have EHRs.
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digital.ahrq.gov/ahrq-funded-projects/use-dense-display-data-and-information-design-principles-primary-care-health/annual-summary/2010
January 01, 2010 - and information design shortcomings as reasons for the poor adoption of electronic health records (EHRs … As a result, little systematic evidence has been gathered on the usability of EHRs in practices and how … This involves indicating how EHRs are and are not being used optimally. … Identify and evaluate existing evidence-based style sheets and guidelines for EHRs. … Identify and evaluate innovative ways to display complex information in EHRs.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/simon-sr-et-al-2007
January 01, 2007 - [Link]
Abstract
"Background: Electronic health records (EHRs) allow for a variety of functions, … More than 80% of physicians
with EHRs reported having the ability to view laboratory reports … Compared with physicians who had not adopted EHRs, EHR users reported more positive views of the effects … health care; there were no significant differences in these attitudes between high and low users of EHRs … Conclusions: There is considerable variability in the functions available in EHRs and in the extent to
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ramaiah-m-subrahmanian
January 01, 2023 - Electronic health records (EHR)
Type of Health IT Functions
Primary care offices did not have EHRs … Specialty care offices have varying degrees of EHRs implemented. … Context or other IT in place
It must be noted that some of the offices have not yet implemented EHRs … at all, some have implemented EHRs only to carry out certain tasks, and some have completely implemented … EHRs efficiently.
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digital.ahrq.gov/ahrq-funded-projects/cardio-hit-phase-ii/annual-summary/2009
January 01, 2009 - payers, policymakers, performance measure developers, and product vendors of electronic health records (EHRs … one of the first systematic investigations into these key issues that emphasize the use of different EHRs … Physician access to exception data from the EHRs at the point of care is critical for improving clinical … empirical understanding about prevalence and patterns of exception reporting among physicians using EHRs … Retrospective manual reviews of the EHRs were conducted on a sample of 678 records where the numerator
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digital.ahrq.gov/ahrq-funded-projects/ensuring-safe-performance-electronic-health-records
January 01, 2023 - Leapfrog Computerized Provider Order Entry Evaluation tool, which evaluates the medication safety of EHRs … Health Care Theme
Medication Safety
Patient Safety
While electronic health records (EHRs … Computerized Provider Order Entry (CPOE) Evaluation tool, which evaluates the medication safety of EHRs … Work to ensure that inpatient EHRs improve safety by updating a widely used existing test. … noted that there are still areas for improvement, demonstrating the importance of ongoing testing of EHRs
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digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
January 01, 2019 - near miss or error, the health IT black box captures mouse movements and keystrokes made by users of EHRs … While the use of electronic EHRs has improved the coordination and quality of patient care, poor EHR … While the vast majority of potential errors are either caught by safety checks built into EHRs or identified … design and usability
As a practicing clinician, you see themes of errors that happen when using EHRs … EHRs have frequently been identified as sources of error and frustration.
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digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related
January 01, 2023 - near miss or error, the health IT black box captures mouse movements and keystrokes made by users of EHRs … Safety
Patient Safety
Technology Usability
While the use of electronic health records (EHRs … EHRs have frequently been identified as sources of error and frustration. … While the use of electronic EHRs has improved the coordination and quality of patient care, poor EHR … EHRs have frequently been identified as sources of error and frustration.
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digital.ahrq.gov/sites/default/files/docs/citation/r13hs023969-fridsma-final-report-2017.pdf
January 01, 2017 - Breakout B: Networks: Are EHRs Ready for Payment & Delivery Reform?
1. … Breakout C: Advancing Research and Innovation through EHRs
1. … Will an app ecosystem emerge for EHRs (similar to iPhone App Store)? … Which policies can ensure EHRs are developed to facilitate research? … ; and (3)
improving EHRs for research and innovation.