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2461. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide2.html
      February 01, 2016 - Commission, Surgical Care Improvement Project, and meaningful use criteria for electronic health records (EHRs

2462. 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

2463. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46975/psn-pdf
      November 16, 2018 - electronic-health-record-usability-issues-and-potential-contribution-patient- harm As electronic health records (EHRs

2464. Title Page (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016162-richards-final-report-2009.pdf
      January 01, 2009 - of lower start-up costs, but imposed the limitation that exchange users have to navigate multiple EHRs … develop a many-to- many interface solution where multiple laboratories can send results to multiple EHRs … Initially, KeyHIE used single sign-on (SSO) into the EHRs of participating HCOs to provide users access … directly from KeyHIE (using single-sign-on technology into Web-based EHRs). … • Facilitated Access to Regional EHRs – We tested the hypothesis that faster, easier access to

2465. Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
      April 01, 2018 - Data were abstracted from EHRs at all three sites. … IT Standards explicitly address the receipt of laboratory results and other diagnostic tests into EHRs … In addition, these standards indicate the requirement for EHRs to track specific patient conditions, … Continuing advances in the development and implementation of EHRs may establish the feasibility of … regularly implementing this measure with data supplied by EHRs.

2466. 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.

2467. 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.

2468. 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

2469. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43054/psn-pdf
      June 16, 2014 - These findings highlight concerns about unintended consequences of EHRs.

2470. 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

2471. 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

2472. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49766/psn-pdf
      August 21, 2016 - Commercially available electronic health records (EHRs) may not provide adequate mechanisms for real-time … Commercial EHRs may not provide out-of-the-box tools for real-time notification of a patient's care … Commercial EHRs can be configured to deliver notifications to the patient's care team (if necessary

2473. 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.

2474. 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.

2475. 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

2476. 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

2477. 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

2478. 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.

2479. 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

2480. DEVISE: Data Exchange of Vaccine Information between an Immunization Information System and Electronic Health Record - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs022667-stockwell-final-report-2014.pdf
      January 01, 2014 - Importing data from IIS into EHRs, a likely meaningful use Stage 3 objective, may help address these … allows providers to query electronically for patients' records bringing them directly into EHRs … unnecessary extra immunization.10,13 Lack of bidirectional exchange of immunization information with EHRs