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321. Care Coordination Enabled by Health IT: What Will It Take? - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r18hs022693-scholle-final-report-2014.pdf
     January 01, 2014 - Records Survey 2012, 2012; Solberg, 2008) and pretested the survey with several clinicians who use EHRs … Results Survey Results Care coordination activities and use of EHRs for care coordination Nearly … Even though all of the practices in our study had fully implemented EHRs, the facsimile or unstructured … that capture acknowledgements as discrete data; All practices had EHRs that could attach referral … Notification of significant health care events Yes No Not captured as discrete data in EHRs

322. Improving Accuracy of Electronic Notes Using a Faster, Simpler Approach - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs023631-payne-final-report-2018.pdf
     January 01, 2018 - Physicians have voiced strong concerns that writing notes in EHRs takes more time than using paper or … care.3 Documentation requirements have also contributed to widespread physician dissatisfaction with EHRs … Moving from paper to electronic physician documentation has improved the availability of notes within EHRs … The latter is available in most EHRs. … Resources (HL7 FHIR8) for the same purposes, making this application more portable across commercial EHRs

323. Evaluation of Stage 3 Meaningful Use Objectives: Analysis in Maryland and Arkansas | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluation-stage-3-meaningful-use-objectives-analysis-md-and-ar
     January 01, 2023 - of the objectives, showed variable feasibility rates to implement each measure using their existing EHRs

324. Improving Allergy Documentation and Clinical Decision Support in the Electronic Health Record (EHR) - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs025375-zhou-final-report-2022.pdf
     January 01, 2022 - Many EHRs have limitations in allergy documentation and alerting. … However, the allergy modules in most existing EHRs have serious limitations in how allergies and reactions … First, while EHRs allow structured/coded entries, reactions are frequently entered as free text, perhaps … We also examined the heterogeneity of drug allergies and reaction picklists in the EHRs of two U.S. … However, different hospitals use EHRs from different vendors with different features and clinical terminologies

325. Clinical Information Needs of CHCs for HIT (CLINCH-IT) - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs023324-cohen-final-report-2020.pdf
     January 01, 2020 - medical and socioeconomic needs and to use the study findings, and to propose principles for redesigning EHRs … this quote below shows, this included those CHCs that had checklist-based screening tools in their EHRs … below; an SUS score of 73 in phase 2 of the prototype dashboard outperforms 100% of the predominant EHRs

326. Evidence-based Contingency Planning for Electronic Health Record Downtime - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs024350-wernz-final-report-2018.pdf
     January 01, 2018 - With the prevalence of EHRs, system downtime is a growing area of concern and is coming to the forefront … Widespread damage to hospitals resulted in lost network connectivity and power outages, and EHRs were

327. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs017029-kaushal-final-report-2011.pdf
     January 01, 2011 - detailed prescription reviews over time to identify errors made by providers who transitioned between EHRs … government is investing billions of dollars to promote meaningful use of electronic health records (EHRs … effective clinical decision support and medication management, as well as demonstration of the ability of EHRs … 1) Study Design The goal of specific Aim 1 was to measure the effects of transitioning between EHRs … meaningful use incentives, more providers and healthcare organizations will be transitioning between EHRs

328. Exploring Financial and Non-Financial Costs and Benefits of Health Information Technology: The Impact of an Ambulatory Electronic Health Record on Financial and Workflow in Primary Care Practices and Costs of Implementation (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r03hs018220-fleming-final-report-2011.pdf
     January 01, 2011 - data to inform decisions regarding EHR adoption are not readily available for commercially-available EHRs … promises to improve practices’ efficiency, quality, and service despite the paucity of evidence that EHRs … document financial consequences or clinical benefits”.5 A study of 30 physician organizations with EHRs … for research that describes the “financial, time, and quality outcomes” realized by practices using EHRs … Despite optimism about the financial benefits of EHRs, the need for investigation of the overall return

329. DEVISE: Data Exchange of Vaccine Information between an Immunization Information System and Electronic Health Record | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/devise-data-exchange-vaccine-information-between-immunization-information
     January 01, 2023 - City’s IIS, allowing providers to query patients’ immunization records and import them into their own EHRs

330. Improving Safety and Quality of Emergency Care Using Machine Learning-Based Clinical Decision Support at Triage | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-emergency-care-using-machine-learning-based
     September 30, 2023 - Leveraging the power of machine learning can improve triage While electronic health records (EHRs) do

331. Blackbox: A Multidisciplinary Team-Based Framework for HIT Error Pattern Detection - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdf
     January 01, 2019 - Medicaid.1 In fact, as of 2016, over 95% of these eligible hospitals have meaningful use certified EHRs … in place.2 While this widespread adoption of EHRs and computerized physician order entry (CPOE) has … healthcare, we currently lack the methods and data necessary to answer these questions in situ with EHRs … Many EHRs, including the one used in this study, are highly relational and optimized to receive data

332. Integrating Patient-Reported Outcomes into Practice: Benefits, Challenges, and Recommendations for Action | Digital Healthcare Research
     digital.ahrq.gov/national-webinars/integrating-patient-reported-outcomes-practice-benefits-challenges-recommendations
     February 27, 2024 - explored recommendations for action to improve the integration of PROs in clinical practice, within EHRs

333. Advancing Patient-Centered Clinical Decision Support | Digital Healthcare Research
     digital.ahrq.gov/program-overview/research-stories/advancing-patient-centered-clinical-decision-support
     January 01, 2023 - app for postpartum monitoring of hypertensive disorders that integrated patient-contributed data into EHRs

334. Discovery and Visualization of New Information from Clinical Reports in the Electronic Health Record | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/discovery-and-visualization-new-information-clinical-reports-electronic-health
     January 01, 2023 - EHRs contain a mixture of highly structured data, semi-structured templated data, and unstructured narrative

335. Discovery and Visualization of New Information from Clinical Reports in the EHR - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs022085-melton-meaux-final-report-2018.pdf
     January 01, 2018 - Scope: Increased interoperability of health data systems and EHRs result in rapidly growing volumes … Unstructured narrative text is an important part of modern EHRs. … understand key barriers in using clinical text and learned from current EHR vendor UIs (two separate EHRs … Increased interoperability of HIT systems and EHRs result in rapidly growing volumes of electronic patient … clinical document usage in practice We successfully leveraged two sets of providers at two sites with two EHRs

336. USA, TN, Nashville | Digital Healthcare Research
     digital.ahrq.gov/location/usa-tn-nashville
     January 01, 2023 - Investigator(s) Salwei, Megan Elizabeth Core Functionality for Pediatric EHRs

337. Health Information Exchange Utilization and Inter-hospital Transfer Outcomes - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs026732-usher-final-report-2023.pdf
     January 01, 2023 - Finally, we examined impact of integration of two separate EHRs on transfers within a 11-hospital network … Finally, we evaluated the impact of the merger of two separate EHRs across a 11-hospital integrated … Finally, integration of EHRs across systems occurred during the tail end of the omicron surge and the … RQ3: The primary exposure variable was complete integration of EHRs for patients who transferred across … Following the complete integration of two EHRs, the predicted risk of patient transfers significantly

338. AHRQ-Funded Research Supports Clinicians’ Work | Digital Healthcare Research
     digital.ahrq.gov/2018-year-review/research-summary/supports-clinicians-work
     January 01, 2018 - professionals’ abilities and limitations when interacting with computers or other technologies such as EHRs

339. Evaluation of Stage 3 Meaningful Use Objectives: Pennsylvania and Utah (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/evaluation-stage-3-meaningful-use-pa-ut-final-report.pdf
     February 01, 2015 - Use [MU]) was mandated under the 2009 American Recovery and Reinvestment Act to broaden the use of EHRs … that small health care organizations with fewer resources face difficulties trying to enhance their EHRs … Although HIEs and/or enterprise EHRs mitigate this problem to some extent by increasing the number of … A third, related issue is the need for EHRs to be able to distinguish patient- and provider-generated … If the latter, EHRs will need to capture patient preferences for language of educational materials,

340. SAFEHealth: Secure Architecture for Exchanging Health Information - Grant Final Report Grant ID: 1UC1HS015220 (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015220-garber-final-report-2009.pdf
     January 01, 2009 - to accomplish anyway), or obtaining “Opt-In” consents from patients (which might require modifying EHRs … record • Clinical data flows from EHR to EHR, and is viewed by clinicians directly within their EHRs … clinical data to be exchanged between these authorized entities and allowing import into the local EHRs