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461. Enhancing Complex Care through an Integrated Care Coordination Information System - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2010
     January 01, 2010 - understand if ICCIS can be implemented among diverse clinics using certified electronic health records (EHRs … A protocol was developed for how and where to extract the data from the EHRs into ICCIS for quality-measure

462. Improving Communications Between Health Care Providers via a Statewide Infrastructure: Utah Health Information Network (UHIN) Clinical State and Regional Demonstration Project (currently known as UHIN) - 2011 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-communications-between-health-care-providers-statewide-infrastructure/annual-summary/2011
     January 01, 2011 - Many providers have already interfaced their EHRs with hospitals and laboratories, or are in the process … UHIN used a portion of the project funding to launch a successful grant program for connecting EHRs to

463. Improving Rural Healthcare Transitions Through Health Information Exchange | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-rural-healthcare-transitions-through-health-information-exchange
     January 01, 2023 - worked to automate the distribution of patient information from participants' electronic health records (EHRs … ) to KeyHIE and from KeyHIE to the EHRs of other care providers.

464. Achieving Individualized Precision Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/achieving-individualized-precision-prevention-ipp-through-scalable
     January 01, 2023 - initiative supports an application ecosystem to extend the capabilities of electronic health records (EHRs … Design, develop, and test a shareable SMART IPP APPLICATION that can be integrated with various EHRs

465. Health Information Technology Enhanced Family Health History Documentation & Management in Primary Care | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/health-information-technology-enhanced-family-health-history-documentation
     January 01, 2023 - The widespread deployment and meaningful use of electronic health records (EHRs) offers an opportunity … to systematically integrate HRAs with EHRs with the ability to create customized decision support and

466. Electronic Health Record-linked Decision Support for Communicating Genomic Data | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-linked-decision-support-communicating-genomic-data
     January 01, 2023 - Clinical decision support (CDS) embedded into electronic health records (EHRs) can facilitate the appropriate … effectively communicate genomic data, this project leveraged existing clinical practice guidelines, EHRs

467. 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 =

468. 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

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46743/psn-pdf
     January 17, 2018 - identification-and-prioritization-health-it-patient-safety-measures https://psnet.ahrq.gov/issue/are-informed-policies-place-promote-safe-and-usable-ehrs-cross-industry-comparison

470. 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

471. Electronic Health Record Usability: Evaluation and Use Case Framework (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/09-10-0091-1-EF.pdf
     October 01, 2009 - sciences, psychology, human factors, and others, offer insight into design improvements possible in EHRs … At the time of this report, very little systematic evidence had been gathered on the usability of EHRs … Need for a Common Framework Given the evolving role of EHRs in clinical practice and the importance … Once practical metrics have been developed, high performing EHRs (in terms of information design and … EHRs support a set of specific and often complex interrelated tasks.

472. Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs018649-levick-final-report-2014.pdf
     January 01, 2014 - In response, integrated EHRs have emerged as priority among HIT applications. … Discussion Results show that implementing and integrating EHRs is an evolutionary process. … Studies of the productivity impact of EHRs on physicians suggest at most small positive gains, and … However, there has been little or no work examining the impact of EHRs that share data across care … Third, information from EHRs should be available within standard workflow or from familiar sources,

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43390/psn-pdf
     July 30, 2014 - hazards-tied-medical-records-rush Government incentives have led to rapid development and adoption of electronic health records (EHRs

474. 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

475. Reaching the Research Community through Web Conferences | Digital Healthcare Research
     digital.ahrq.gov/2018-year-review/research-dissemination/web-conferences
     January 01, 2018 - The following presenters discussed their research on optimal design of EHRs to support clinical workflow … The research concluded that policies and guidelines are required to improve the usability of EHRs to

476. 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.

477. 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

478. DARTNet Summary Report (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/distributed-network-ambulatory-therapeutics_research.pdf
     July 01, 2009 - Data linked through DARTNet include data from EHRs, laboratory, imaging, medication fills/refills, … DARTNet has proven interfaces with twelve of the major ambulatory EHRs in the United States. … Virtually all EHRs that meet these minimum requirements can be supported. … Further, there were almost no consistent underlying coding systems used within any of the EHRs. … , valuable research data may be obtained from EHRs.

479. 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.

480. In Conversation With… Andrew Gettinger, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
     September 01, 2017 - of the Harvard hospitals that suggests there is not increased patient harm around the deployment of EHRs … AG : Historically, the prior ONC leadership asked folks who had EHRs to start using them. … with EHR implementations or invest enough in testing for problems while developing or implementing EHRs … to address poor performance.( 26 ) Conclusion In summary, assessing and improving the safety of EHRs … We hope that the lessons above will help us take full advantage of the enormous potential of EHRs to