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1021. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49775/psn-pdf
      November 01, 2016 - optimal way to organize and present electrolyte repletion orders within electronic health records (EHRs … As an example, some EHRs can proactively monitor patient data, such as lab results (e.g., potassium) … been reported in other settings that experience increasing automation as well.(16,17) Well-designed EHRs … against them.(16,18-20) Despite best efforts of developers to build sufficient decision supports within EHRs

1022. Reconciling Records | PSNet
      psnet.ahrq.gov/web-mm/reconciling-records
      September 01, 2017 - Furthermore, documentation and perpetuation of incorrect information in electronic health records (EHRs … Defense 1: EHR Interoperability In both cases, had the inpatient and outpatient EHRs been able to " … information and automatically identify, track, and alert users to discrepancies.( 11 ) Some current EHRs … Defense 4: A New Attitude and Culture With EHRs, we can finally find the information that we are looking

1023. Data for Individual Health (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/2014-jason-data-for-individual-health.pdf
      January 01, 2014 - This includes not only electronic health records (EHRs), but also personal health records (PHRs) … HHS should recognize ecosystem-friendly EHRs as a public good. … This expands the types and roles of data and analytics beyond current EHRs. … that support robust APIs are a more valuable public good than health data in siloed EHRs. … HHS should recognize ecosystem-friendly EHRs as a public good.

1024. Guide to Reducing Unintended Consequences of Electronic Health Records (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
      August 01, 2011 - EHRs can offer many benefits to health care providers and their patients, including better quality of … Neverending demands for system changes Example: As EHRs evolve, users rely more heavily on the software … Electronic health records (EHRs) offer many advantages, but even the most experienced implementers can … USEFUL TOOL Health IT Journeys: ONC has compiled numerous success stories from early adopters of EHRs … The reporting and audit capabilities of EHRs will vary, but it may be CASE EXAMPLE: FMEA + CPOE =

1025. Misidentifying the Unidentified – John Doe and the EHR | PSNet
      psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
      September 27, 2017 - Misidentifying the Unidentified – John Doe and the EHR Citation Text: Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: …

1026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45629/psn-pdf
      September 01, 2018 - They suggest that improving interoperability between hospital and clinic EHRs is an important next step

1027. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44570/psn-pdf
      October 21, 2015 - This report outlines standards to enhance safety-related usability of EHRs by identifying root causes

1028. EHR Use and Care Coordination - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r36hs021082-graetz-final-report-2012.pdf
      January 01, 2012 - EHR Use and Care Coordination - Final Report Grant Final Report Grant ID: 1R36HS021082 EHR Use and Care Coordination Inclusive project dates: 09/01/11 - 12/31/12 Principal Investigator: Ilana Graetz, PhD Performing Organization: University of California, Berkeley Federal Pr…

1029. Closing the Feedback Loop to Improve Diagnostic Quality - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/closing-feedback-loop-improve-diagnostic-quality/annual-summary/2010
      January 01, 2010 - The ambulatory sites all have different electronic health records (EHRs). … The EHRs are the Certification Commission for Health Information Technology (CCHIT)-certified WorldVistA

1030. Accessing the Cutting Edge: Implementing Technology to Transform Quality in SE Kern - 2009 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/accessing-cutting-edge-implementing-technology-transform-quality-se-kern/annual-summary/2009
      January 01, 2009 - Southeast Kern County by implementing health information technology including electronic health records (EHRs … EHRs were implemented in three rural health centers (RHCs) and two provider offices, enabling these practices

1031. Understanding Clinical Information Needs and health Care Decision Making Processes in the Context of Health Information Technology - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs022087-singh-final-report-2018.pdf
      January 01, 2018 - Results: We found clinical workflow and EHRs as main barriers. … In EHRs there is a need for decreasing alert load, implementing EHR designs to facilitate follow-up, … Incidence/Prevalence: EHRs can help ensure reliable delivery of important clinical information,(5) … In one study, 36% of abnormal test results transmitted through commercial EHRs did not have documented … The magnitude of deficiency ranged from one EHR meeting 10 of 11 criteria to three EHRs meeting only

1032. Learning from Primary Care Meaningful Use Exemplars - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs022701-ornstein-final-report-2014.pdf
      January 01, 2014 - Developing an evidence base for how practices can successfully use EHRs to achieve high performance … 319 providers in these practices assessing their adoption of theory-based approaches to QI using EHRs … is essential, and may benefit from the study of exemplars, those who have successfully implemented EHRs … EHRs for 6-10 years, seven for 11-15 years, five for 16-20 years and two for more than 20 … There was concern that current EHRs could not yet support this patient-generated data.

1033. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43908/psn-pdf
      February 18, 2015 - Potential advantages to EHRs in this setting include information sharing and error reduction.

1034. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45374/psn-pdf
      April 24, 2018 - The authors suggest that these results underscore the need to improve commercial EHRs for physicians

1035. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43054/psn-pdf
      June 16, 2014 - These findings highlight concerns about unintended consequences of EHRs.

1036. Optimizing the Electronic Health Record for Cardiac Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs022110-windle-final-report-2019.pdf
      January 01, 2019 - • Results: Baseline results: Across 8 sites and 6 different installed EHRs SUS averaged 47.1 (less … EHRs are now used in over 96% of practices in the US. … The inability of EHRs to fulfill these goals stimulated investigation by the American Medical Informatics … This study did not intend, nor was it powered, to compare installed EHRs. … Toward improved heuristic evaluation of EHRs.

1037. Medication Monitoring for Vulnerable Populations via IT (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017018-lehmann-final-report-2010.pdf
      January 01, 2010 - Scope: Use EHRs to understand better medication monitoring as it pertains to quality and safety in … Results: 1) Automatic queries of EHRs to identify patients eligible for quality measures are feasible … therapeutic monitoring in the ambulatory setting, the time is ripe to explore the utility of using EHRs … We actually consider this to be strength however since demonstrating the utility of EHRs for quality … less resource intensive if EHRs are already in place, and that the data collected is valid.

1038. Improving Otitis Media Care with EHR-based Clinical Decision Support (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017042-forrest-final-report-2011.pdf
      January 01, 2011 - and Practice Style on Pediatric Primary Care Acute Visits Conducted With Electronic Health Records (EHRS … clinician computer skill on pediatric primary care acute visits conducted with electronic health records (EHRs … clinician computer skill on pediatric primary care acute visits conducted with electronic health records (EHRs … clinician computer skill on pediatric primary care acute visits conducted with electronic health records (EHRs … clinician computer skill on pediatric primary care acute visits conducted with electronic health records (EHRs

1039. A Partnership for Clinician EHR Use and Quality of Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs017191-pohl-final-report-2011.pdf
      January 01, 2011 - Scope: This study explored the challenges to adopting EHRs in safety net practices including Nurse Managed … vision, skills, incentives, resources, and planning for change management) impact clinician use of EHRs … Scope Background Although EHRs have been proposed as a solution to quality care, in practice they have … This study explored the challenges to adopting EHRs in safety net practices including NMHCs and FQHCs … The project’s goals were to help these centers assess their organizational readiness for EHRs; to foster

1040. Quantifying Electronic Health Record Usability to Improve Clinical Workflow - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs021290-agha-final-report-2017.pdf
      January 01, 2017 - be used to compare the frequency of orders by type as well as to provide baseline for comparing the EHRs … EHRs (or Health IT in general) support multiple communication forms (e.g. notifications, view alerts … physicians often did not adjust to optimize) Two workarounds were reported: using paper instead of EHRs … Despite these differences, high-levels of mastery of the EHRs was visible in many, if not all, of the … As experienced users who were able to effectively complete complex tasks on EHRs despite inefficient