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41. Barriers and Facilitators to Implementation and Adoption of EHR in Home Care - 2011 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/barriers-and-facilitators-implementation-and-adoption-ehr-home-care/annual-summary/2011
    January 01, 2011 - population, more home health agencies in the United States are implementing electronic health records (EHRs … The impact of implementing EHRs in hospital and ambulatory care settings has been studied, but little … research has been done on implementing EHRs in home care settings. … recommendations from the research team on developing Meaningful Use criteria specific for home care EHRs

42. Children's EHR Format Enhancement | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/childrens-ehr-format-enhancement
    January 01, 2023 - It also provided guidance to users about the ideal functionality of EHRs for children. … The Format, released in 2013, was well received by software developers, practitioners using EHRs in the … care of children, and provider organizations purchasing and configuring EHRs. … It is hoped that the adaptation of EHRs used in the care of children to meet the 2015 Priority List requirements

43. Cardio-Hit Phase II | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/cardio-hit-phase-ii
    January 01, 2023 - payers, policymakers, performance measure developers, and product vendors of electronic health records (EHRs … evaluate the relative accuracy of reported exceptions, and identify the location of exception data in EHRs … performance measures for coronary artery disease (CAD) and heart failure (HF) within existing practice site EHRs … sites, and detailed data on reported performance and exceptions that were extracted from the practices' EHRs … Retrospective manual reviews of the EHRs were conducted on a sample of 538 CAD and 559 HF patients with

44. Choosing What Clinicians See in an Electronic Health Record Can Reduce Cognitive Burden and Improve Decision Making | Digital Healthcare Research
    digital.ahrq.gov/program-overview/research-stories/choosing-what-clinicians-see-electronic-health-record-can-reduce-cognitive-burden-and-improve
    January 01, 2023 - Increased provider cognitive burden risks to patient safety from poor EHR design While the use of EHRs … has transformed care, EHRs can often pose a burden for clinicians. … Displays in EHRs often force clinicians to navigate through multiple menus and screens to access patient … School of Medicine wanted to know if there was a way to let clinicians decide what information from EHRs

45. Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Record Registry and Clinician Feedback - 2012 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-quality-pediatric-emergency-care-using-electronic-medical-record/annual-summary/2012
    January 01, 2012 - The increasing use of electronic heath records (EHRs) in EDs provides an opportunity to access patient … EHRs also have the potential to develop patient registries using electronic abstraction instead of the … Abstracting data in an automated way from EHRs could make it possible to evaluate the quality of patient … Thereafter, the data dictionary was translated into an XML schema that reflects how the variables map to the EHRs … The goal is to pull data from the EHRs using the data dictionary and schema and have it de-identified

46. Developing and Using Valid Clinical Quality Metrics for HIT with HIE (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017067-kaushal-final-report-2011.pdf
    January 01, 2011 - This is important, because use of EHRs is not static. … Thus, EHRs with HIE are an important and evolving aspect of health care delivery. … The effect of EHRs with HIE on quality are still unclear. … effects of EHRs with health information exchange, has never been more important. … Adoption of EHRs is increasing steeply with the meaningful use program.

47. Advancing Population and Public Health Reporting and Outcomes With Vaccination Data Exchange (APPROVE) | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/advancing-population-and-public-health-reporting-and-outcomes-vaccination-data-exchange-approve
    January 01, 2024 - to retrieve vaccination history from MIIC and offer clinical decision support for immunizations from EHRs … an evolving interoperability tool for electronic vaccination data exchange across public health and EHRs … Despite integration rates of 83 percent of MIIC within EHRs and frequent EHR queries of approximately … The electronic data exchange between MIIC and EHRs is crucial so that providers can quickly query and … Of the healthcare systems studied, 83 percent had MIIC access integrated into their EHRs with an average

48. Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health Information Technology | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/developing-guide-identifying-and-remediating-unintended-consequences
    January 01, 2023 - Patient Safety While there are many benefits to the use of electronic health records (EHRs … This intersection of complex environments and technologies creates subtle unintended consequences when EHRs … research conducted by the project team, and interviews with organizations that recently implemented EHRs … Users of EHRs, such as physicians and nurses, may also find the guide useful.

49. Using Natural Language Processing to Improve Autism Spectrum Disorder Research and Care | Digital Healthcare Research
    digital.ahrq.gov/2020-year-review/research-summary/using-natural-language-processing-improve-autism-spectrum-disorder-research-and-care
    January 01, 2020 - Difficulty of accessing unstructured data for decision making The use of electronic health records (EHRs … on autism spectrum disorders (ASDs) to show how extracting and coding information from free text in EHRs … sought to create methods and tools for leveraging existing and detailed ASD patient information in EHRs … and evaluated natural language processing algorithms to identify ASD behaviors within free text in EHRs

50. Schade CP et al. 2006 "e-Prescribing, efficiency, quality: Lessons from the computerization of UK family practice." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/schade-cp-et-al-2006-e
    January 01, 2006 - Workflow-Related Findings "The UK physicians uniformly stated that EHRs had improved efficiency, … They did not all agree that EHRs actually saved physician time." … "Record legibility and good documentation were popular reasons for adopting EHRs among UK physicians; … "Even [EHRs] that merely replace handwritten prescriptions with computer printed ones, achieve [substantial

51. Electronic Health Record Usability: Interface Design Considerations (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/09-10-0091-2-EF.pdf
    October 01, 2009 - • Identifying and evaluating existing evidence-based style sheets and guidelines for EHRs. … • Identifying and evaluating innovative ways to display complex information in EHRs. … Each offers particular insight into the design and development of more effective EHRs. … • Identifying and evaluating existing evidence-based style sheets and guidelines for EHRs. … • Identifying and evaluating innovative ways to display information in EHRs.

52. Value of Health Information Exchange in Ambulatory Care - 2009 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/value-health-information-exchange-ambulatory-care/annual-summary/2009
    January 01, 2009 - the point at which cost or expenses and benefit are equal) more quickly than deploying full function EHRs … This insight may suggest an approach that leverages HIE and less sophisticated EHRs to create value that … can then be invested in deploying full function EHRs. … The savings generated from deploying EHRs with a reduced feature set can be invested to support deployment … of fully interoperable EHRs.

53. Improving Electronic Health Records Patient Education Materials - 2012 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-electronic-health-records-patient-education-materials/annual-summary/2012
    January 01, 2012 - assess whether patient education materials, including those delivered by electronic health records (EHRs … assess the understandability and actionability of patient education materials that can be provided via EHRs … vendors about the availability of the PEMAT and effective patient education capabilities and features of EHRs … Preliminary Impact and Findings: The findings from the review of patient education capabilities of EHRs

54. Advancing Public Health with Interoperable Data Exchange | Digital Healthcare Research
    digital.ahrq.gov/program-overview/research-stories/advancing-public-health-interoperable-data-exchange
    January 01, 2023 - Additionally, the interoperability between MIIC and widely used electronic health records (EHRs) at healthcare … The electronic data exchange between MIIC and EHRs is crucial so that providers can quickly query and … second is an evolving tool for bidirectional exchange to retrieve vaccination history from MIIC through EHRs … Of the healthcare systems studied, 83 percent had MIIC access integrated into their EHRs with an average

55. American Medical Informatics Association Health Policy Conference | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/american-medical-informatics-association-health-policy-conference
    January 01, 2023 - Invitational, held in September 2015, was titled “Unlocking the Potential of Electronic Health Records (EHRs … ): How Policymakers Can Impact the Ongoing Evolution of EHRs.” … Speakers from both the private and public sectors discussed their visions for how EHRs need to evolve … participants examined issues related to the possibilities and pitfalls of reaching near universal adoption of EHRs

56. Barriers and Facilitators to Implementation and Adoption of EHR in Home Care - 2012 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/barriers-and-facilitators-implementation-and-adoption-ehr-home-care/annual-summary/2012
    January 01, 2012 - population, more home health agencies in the United States are implementing electronic health records (EHRs … The impact of implementing EHRs in hospital and ambulatory care settings has been studied but little … research on implementing EHRs in home care settings has been conducted. … recommendations from the research team on developing Meaningful Use criteria specific for home care EHRs

57. Use of Dense Display of Data and Information Design Principles in Primary Care Health Care Information Technology Systems | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/use-dense-display-data-and-information-design-principles-primary-care-health
    January 01, 2023 - usability and information design shortcomings as reasons for poor adoption of electronic health records (EHRs … Little systematic evidence has been gathered on the usability of EHRs in practices and how their design … Further, the role of EHRs in patient care is evolving significantly as adoption is incentivized, health … This involves indicating how EHRs are and are not being used optimally.

58. Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System – Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r18hs026196-Spyropoulos-final-report-2022.pdf
    January 01, 2022 - suite of individual CDS solutions capable of being integrated into clinical workflows within various EHRs … When we had originally conceived of the study, Northwell employed multiple EHRs and our plan was to … The front-end interface consists of clinician-facing EHRs and the CDS apps. … These front-end EHRs are responsible for launching and running the browser based CDS apps. … The back-end data exchange consists of the EvidencePoint API and the back end EHRs.

59. Optimizing the Electronic Health Record for Cardiac Care | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/optimizing-electronic-health-record-cardiac-care
    January 01, 2023 - Clinical Workflow Human Factors Technology Usability As electronic health records (EHRs … This research studied the usability of EHRs, as used by cardiac care physicians and nurses, to inform … a framework for clinician-centered design for EHRs that was validated with a fully functional EHR prototype … To evaluate clinicians' wants, needs, and barriers to using their current EHRs, simulated patients were … present complex clinical case scenarios to clinicians, who documented those scenarios in their own EHRs

60. Appendix F to the Final Report Barriers to Meaningful Use in Medicaid: Analysis and Recommendations (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixF.pdf
    October 31, 2013 - What have you heard about EHRs from them? b. … What concerns or worries about using EHRs might you have based on what you’ve heard? c. … of EHRs? … Moderator: Question IV- AB-12, ask about benefits of using EHRs beyond EHR Incentive payments. … Guide.): • Awareness of peers who have had success with EHRs • Belief there is evidence that EHRs