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261. The EvidenceNOW Model: Providing External Support for Primary Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/about/evidencenow-model.html
     August 01, 2019 - other quality improvement supports they need to use their technology {e.g., electronic health records (EHRs … findings from EvidenceNOW was uncovering the many challenges faced by primary care practices in using EHRs … Data can come from within the practice—from its registries, EHRs, or chart audits—or from eternal sources

262. Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-ok
     January 01, 2023 - care network is the ability to share local health information residing in electronic health records (EHRs … This project documented, studied, and reported the engagement of six primary care practices that use EHRs … data exchange across local and statewide health care systems through a single interface to multiple EHRs

263. AHRQ-Funded Researchers Disseminate Findings in High-Impact Journals | Digital Healthcare Research
     digital.ahrq.gov/2020-year-review/research-dissemination/ahrq-funded-researchers-disseminate-findings-high-impact-journals
     January 01, 2020 - Electronic Health Records Reduces Hospital Order Errors Adding patients’ photographs to the banner of EHRs … measure and noted that this rate was 186 per 100,000 orders for patients with no photograph in their EHRs

264. Electronic Medical Record Systems | Digital Healthcare Research
     digital.ahrq.gov/electronic-medical-record-systems
     January 01, 2023 - Our results suggest that adoption of electronic health records (EHRs) is progressing slowly, at least … For those both with and without EHRs, the top five barriers were related to costs and concerns about … Summary : Despite benefits associated with the use of electronic health records (EHRs), one major barrier … to adoption is the concern that EHRs may take longer for physicians to use than paper-based systems. … Electronic health records (EHRs) are used increasingly to assist clinicians in this process; however,

265. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. | PSNet
     psnet.ahrq.gov/issue/orders-file-no-labs-drawn-investigation-machine-and-human-errors-caused-interface
     April 29, 2018 - interoperabilty and user errors are safety concerns associated with the use of electronic health records (EHRs … This case report provides two examples of problems with order cancellations in EHRs due to ineffective

266. Findings and Lessons From the Enabling Quality Measurement Through Health IT Grant Initiative (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/final-eqm-report-6-21-12.pdf
     May 01, 2012 - and Clinical Health (HITECH) Act, which supports more widespread use of electronic health records (EHRs … Developing New Measures - Using EHRs to de- velop new quality and safety measures, addressed in five … Accuracy of Measurement - Testing the accuracy of data from EHRs for quality and safety mea- surement … • Assessing the accuracy of quality measurement, with an emphasis on the role of EHRs. … • Accuracy of Measurement - Testing the accuracy of data from EHRs for quality and safety measure-

267. McGinn, Thomas G. | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/mcginn-thomas-g
     January 01, 2024 - Novel Multi-Platform Evidence-Based Clinical Decision Support System Universal EHRs … Universal EHRs clinical decision support for thromboprophylaxis in medical inpatients: A cluster randomized

268. Appendix A to the Final Report Barriers to Meaningful Use in Medicaid: Analysis and Recommendations (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixA.pdf
     January 01, 2010 - clinical information among providers and patient- authorized entities Perform at least one test of EHRs … drug formulary for the entire reporting period Incorporate clinical laboratory test results into EHRs … laboratory test results whose results are in positive/negative or numerical format are incorporated into EHRs

269. Chronic Mental Health: Improving Outcomes through Ambulatory Care Coordination - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs017838-baker-final-report-2013.pdf
     January 01, 2013 - a computer self-efficacy beliefs scale; two items assessing past experience and satisfaction with EHRs … technology acceptance in the behavioral health setting Interviews about the benefits and barriers of EHRs … During the interviews, providers were also asked to rate their overall supportiveness toward EHRs. … Most stated they had a positive attitude toward EHRs. … concerns, concern that HIE would negatively Impact workflow and control, and some skepticism that EHRs

270. Keenan, Gail | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/keenan-gail
     January 01, 2023 - Information Technology Support for Safe Nursing Care Integration of NNN into EHRS … Integration of NNN into EHRS: how are we doing?: IJNK virtual issue.

271. Measures of Cognitive Load | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load4.html
     May 01, 2024 - along with worsened performance during clinical reasoning tasks. 61 Electronic Measurement Tools EHRs … increased interruptions and alert fatigue from poorly designed decision support tools. 63 Theoretically, EHRs … also lead to inefficiencies, cognitive overload, and safety events. 64 Understanding the impact of EHRs … cognitive overload. 69,70 Cognitive task analyses have also been used to show that as configured, many EHRs

272. Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-ok/annual-summary/2010
     January 01, 2010 - fundamental feature of a national health care network is the ability to share electronic health records (EHRs … This project documents, studies, and reports on the engagement of six primary care practices that use EHRs … Recovery and Reinvestment Act of 2009’s “meaningful use” standards will accelerate the combined use of EHRs

273. Barriers to Meaningful Use in Medicaid | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/barriers-meaningful-use-medicaid
     January 01, 2023 - Of the 17 groups, 12 were users of EHRs and five were non-users. … Participants were asked about their own experiences with EHRs, including barriers and facilitators of … The project team found that in general the barriers to adoption and meaningful use of EHRs were similar

274. The evolving role of medical scribe: variation and implications for organizational effectiveness and safety. | PSNet
     psnet.ahrq.gov/issue/evolving-role-medical-scribe-variation-and-implications-organizational-effectiveness-and
     October 24, 2018 - scribes, nonclinical staff who aid clinicians by entering information into electronic health records (EHRs … scribes represent a workaround that may inhibit the development of more advanced and user-friendly EHRs

275. Trends in primary care clinician perceptions of a new electronic health record. | PSNet
     psnet.ahrq.gov/issue/trends-primary-care-clinician-perceptions-new-electronic-health-record
     March 13, 2019 - Less than 20% of ambulatory practices in the United States utilize electronic health records (EHRs) … Uptake has been limited by cost issues and concern about the impact of EHRs on  clinician workflow .

276. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. | PSNet
     psnet.ahrq.gov/issue/adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system
     September 29, 2017 - Electronic health records (EHRs) offer safety benefits , but the disruption associated with EHR implementation … authors suggest that these results should allay safety concerns for institutions planning to implement EHRs

277. Bringing High Performing Systems to Small Practices - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs018275-parsons-final-report-2013.pdf
     January 01, 2013 - to 60 similar practices that are late adopters of EHRs. … , and negative attitudes about EHRs. … The positive attitudes about EHRs index consisted of responses to the following five statements: 1) … The negative attitudes about EHRs scale consisted of responses to the following seven statements: 1) … Data on measures of EHR use and clinical quality measures were transmitted directly from the EHRs to

278. Appendix C to the Final Report Barriers to Meaningful Use in Medicaid: Analysis and Recommendations (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixC.pdf
     October 31, 2013 - meeting criteria to receive Medicaid incentive payments for using electronic health record systems, or EHRs … We also are talking with health care providers who are regularly using electronic health records (EHRs … Please tell me which best describes the use of EHRs in your practice. □ 1. … Please tell me which best describes YOUR use of EHRs in your practice. □ 1. … obstacles you may have faced meeting criteria to receive Medicaid incentive payments for using your EHRs

279. Spotlight on South Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-south-carolina-state-snapshot.pdf
     January 01, 2018 - • Using electronic health records (EHRs) to calculate and report quality measures for practices in … infrastructure and functionality needed to record and transfer pediatric data from the practices’ EHRs … The diversity of and the necessary modifications to the practices’ EHRs and their ongoing upgrades … needed to transfer data from EHRs to the State, and data consistency and completeness.

280. Framework for Write-up from the June 8-9, 2006 AHRQ NRC Laboratory Meeting (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/ahrq-lab-meeting-summary.pdf
     December 01, 2006 - It may also require that EHRs be able to “publish” certain clinical data to the RHIO, thereby making … the data available to other EHRs. … EHRs must be consistent with CLIA standards. … In the model where EHRs will exchange information with other EHRs, the need to capture and transmit … EHRs must consistently manage changes and addenda to laboratory data reports.