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201. 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

202. Transforming Health Outcomes for Patients with Chronic Conditions Using Tailored Health Information Technology | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-dorr.html
     December 01, 2022 - Key to the coordination is sharing information from electronic health records (EHRs), but most EHRs cannot … system (ICCIS) to determine whether it could be implemented in a diverse set of clinics using certified EHRs … Despite the near universal adoption of EHRs (which has resulted in an increased amount of clinical data

203. Improving Health Information Technology (IT) Patient Safety: A Resource List for Users of the AHRQ Health Information Technology Supplemental Item Set (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/patient-safety-technology-resources.pdf
     May 01, 2023 - liability insurance companies) improve reporting of unsafe conditions associated with health IT and EHRs … can make a big difference in maximizing office efficiencies and improving care coordination using EHRs … This list was created by a panel of experts and focuses on leveraging the potential of EHRs to enhance … https://wire.ama-assn.org/practice-management/8-top-challenges-and-solutions-making-ehrs-usable https … Eight Top Challenges and Solutions for Making EHRs Usable V. General Resources 1.

204. 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

205. 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

206. 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.

207. Predicting the adoption of electronic health records by physicians: when will health care be paperless? | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/predicting-adoption-electronic
     the Bass Model System Penetration:  The model predicts that by 2014 about 62% of practices will have EHRs … Best estimate of the time until 90% of practices have EHRs is beyond 2020. … Extrinsic Factors in valuing cost and benefits:  EHRs represent a disruptive change, cost subsidies in

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42250/psn-pdf
     June 03, 2013 - long-term-follow-evaluation-electronic-health-record-prescribing-safety Many institutions are now moving from relatively unsophisticated electronic health records (EHRs … Prior studies have also shown that at least 1 year of use is required to obtain the safety benefits of EHRs … provides an excellent example of the ongoing monitoring and adaptation required to effectively implement EHRs

209. 2. Synthesis of Key Findings by Category | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section2.html
     October 01, 2015 - charts) and developing workarounds with their EHRs. … These strategies included using various combinations of EHRs, personal health records (PHRs), and HIE … The diversity of EHRs used by practices and the amount of modifications needed to those EHRs further … Practice staff often needed training and TA to effectively use their EHRs. … Comparing the Children’s EHR Format with existing EHRs was challenging but valuable.

210. Necessary But Not Sufficient: The HITECH Act and Health Information Technology's Potential to Build Medical Homes (pdf file)
     pcmh.ahrq.gov/sites/default/files/attachments/necessary-but-not-sufficient-hitech-act-white-paper.pdf
     January 01, 2011 - ..........................................................9 The Concept of Meaningful Use of EHRs … PHRs are the patient counterpart to EHRs, although EHRs are far more common right now and are receiving … In sum, comprehensive EHRs, and to a lesser extent basic EHRs, can support the medical home in important … Thus, the question is how practices are currently implementing health IT, and particularly EHRs, so … Finally, the comprehensive, team-based-care principle could be compromised if EHRs codify workflows

211. Erie Family Health Center All Staff Meeting July 5, 2000 (pdf file)
     digital.ahrq.gov/sites/default/files/docs/implementation/Rachman%202-I%20CHB.pdf
     July 05, 2000 - Implement EHRS in a network of Community Health Centers in a manner that ensures consistency and accuracy … Utilize the EHRS/data warehouse to facilitate and encourage the use of evidence-based practice measures … Utilize the EHRS/data warehouse to facilitate continuous improvement of health care quality and safety … Promote and support the realization of the full potential of EHRS use in ambulatory care settings, … Backup / Recovery Security Management Summary Securing the right IT expertise is a challenge in EHRS

212. Assessing the relationship between patient safety culture and EHR strategy. | PSNet
     psnet.ahrq.gov/issue/assessing-relationship-between-patient-safety-culture-and-ehr-strategy
     December 21, 2018 - Early adopters of EHRs did appear to have a stronger culture of safety, but this finding could either … mean that EHRs improved safety or that hospitals that emphasized other measures to improve safety culture … also tended to adopt EHRs earlier.

213. HIT Resource List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitresourcelist.pdf
     January 01, 2019 - liability insurance companies) improve reporting of unsafe conditions associated with health IT and EHRs … stakeholders to develop best practices and recommendations for copying and pasting health information in EHRs … Eight Top Challenges and Solutions for Making EHRs Usable https://wire.ama-assn.org/practice-management … This list was created by a panel of experts and focuses on leveraging the potential of EHRs to enhance … Primer: Electronic Health Records https://psnet.ahrq.gov/primers/primer/43/electronic-health-records EHRs

214. Opportunities for Future Measurement of Care Coordination with Electronic Data | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/prospectscare/prospects2.html
     July 01, 2018 - The Meaningful Use measures will enable further care coordination measurement using data from EHRs to … However, linking APCD data with EHRs is currently only possible within the limited number of States that … Currently, the ability to link APCD data with outside data sources, such as EHRs, is possible in only … Given that there is currently no usual location where outside information is stored within EHRs, and … One panelist noted that linking EHRs to patient registries would offer another potentially rich data

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49691/psn-pdf
     September 01, 2013 - /psnet.ahrq.gov//#references Of the hospitals and providers who have not already made the move to EHRs … financial payments given to eligible hospitals and providers who follow a set of standards in using EHRs … Implementation of EHRs is known to be challenging, regardless of whether a provider or organization is … that can be identified from the experiences of organizations in implementing EHRs.(7,10-12) These are … Transitioning between ambulatory EHRs: a study of practitioners' perspectives.

216. CHIPRA Quality Demonstration Grant Program Evaluation Highlight No. 5 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
     September 08, 2015 - • Investigating a model format for pediatric electronic health records (EHRs). … rewards participating health systems for reporting any of the Child Core Set measures from their EHRs … • Commitment to EHRs as the quality infrastructure. … The Pennsylvania project sets its sights on EHRs as the infrastructure for quality measurement and … improvement and rewards health systems that use EHRs accordingly.

217. 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.

218. Bringing High-Performing Systems to Small Practices (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/r18hs018275-parsons-annual-summary-2012.pdf
     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.

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865883/psn-pdf
     May 15, 2024 - Design and user issues are persistent detractors from the reliability of electronic health records (EHRs … This piece explores the lack of knowledge regarding the intersection of EHRs and diagnostic error.

220. Practical Approaches to Using Electronic Health Records for Research: Challenges and Mitigation Strategies (pdf file)
     digital.ahrq.gov/sites/default/files/docs/provider-engagement-slides-031511.pdf
     March 15, 2011 - Using Electronic Health Records for Research: Challenges and Mitigation Strategies Using EHRs … version upgrades, enhancement requests typically take longer to implement than planned Using EHRs … for Research: Setting the Stage (III)  Limitations of EHRs for Research Studies – Most EHR … for Research: Setting the Stage Using EHRs for Research: Setting the Stage (II) Using EHRs for Research … : Setting the Stage (III) Using EHRs for Research: Setting the Stage (IV) Today’s Presenters Dr