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61. Ramaiah M, Subrahmanian E, Sriram RD, et al. "Workflow and electronic health records in small medical practices." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ramaiah-m-subrahmanian
    January 01, 2023 - Electronic health records (EHR) Type of Health IT Functions Primary care offices did not have EHRs … Specialty care offices have varying degrees of EHRs implemented. … Context or other IT in place It must be noted that some of the offices have not yet implemented EHRs … at all, some have implemented EHRs only to carry out certain tasks, and some have completely implemented … EHRs efficiently.

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40910/psn-pdf
    November 09, 2011 - effect-hospital-electronic-health-record-adoption-nurse-assessed-quality-care- and-patient Electronic health records (EHRs … While physicians have voiced concerns about EHRs' ability to improve quality of care, this survey found … that bedside nurses generally felt that even relatively simple EHRs (including clinical documentation … Prior studies have also found that EHRs improve nursing efficiency and the safety of nursing medication

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35467/psn-pdf
    March 11, 2011 - impact-electronic-health-records-time-efficiency-physicians-and-nurses- systematic-review Electronic health records (EHRs … This systematic review discovered that EHRs reduced documentation time for nurses but increased it for … While some systems undoubtedly perform better than others in this regard, efforts to implement EHRs … Only then will implementation of EHRs begin to achieve the downstream safety effects desired.

64. Introduction on Diagnostic Documentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact2.html
    July 01, 2024 - EHRs enhance patient safety both directly and indirectly by improving data documentation, ensuring data … patient outcomes, enhanced patient safety, and reduced costs has only been partially realized as current EHRs … care team members. 10-13 In the digital era, accurate and comprehensive diagnosis documentation within EHRs

65. Cardio-HIT Phase II - 2009 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/cardio-hit-phase-ii/annual-summary/2009
    January 01, 2009 - payers, policymakers, performance measure developers, and product vendors of electronic health records (EHRs … one of the first systematic investigations into these key issues that emphasize the use of different EHRs … Physician access to exception data from the EHRs at the point of care is critical for improving clinical … empirical understanding about prevalence and patterns of exception reporting among physicians using EHRs … Retrospective manual reviews of the EHRs were conducted on a sample of 678 records where the numerator

66. The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. | PSNet
    psnet.ahrq.gov/issue/effect-hospital-electronic-health-record-adoption-nurse-assessed-quality-care-and-patient
    March 28, 2012 - Electronic health records (EHRs) offer great promise in improving patient safety, but remain underutilized … While physicians have voiced concerns about EHRs' ability to improve quality of care, this survey found … that bedside nurses generally felt that even relatively simple EHRs (including clinical documentation … Prior studies have also found that EHRs improve nursing efficiency and the safety of nursing medication

67. Ensuring Safe Performance of Electronic Health Records | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/ensuring-safe-performance-electronic-health-records
    January 01, 2023 - Leapfrog Computerized Provider Order Entry Evaluation tool, which evaluates the medication safety of EHRs … Health Care Theme Medication Safety Patient Safety While electronic health records (EHRs … Computerized Provider Order Entry (CPOE) Evaluation tool, which evaluates the medication safety of EHRs … Work to ensure that inpatient EHRs improve safety by updating a widely used existing test.  … noted that there are still areas for improvement, demonstrating the importance of ongoing testing of EHRs

68. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
    January 01, 2018 - prescribing – Handoff tools – Test result management systems – Referral management systems Use of EHRs … 40% 45% 50% 2008 2009 2010 2011 2012 2013 Basic or Comprehensive EHR Incentives start Use of EHRs … Improve Safety Main Strategies for Preventing Errors and AEs Using IT Optimize the Use of HIT Use of EHRs … in Ambulatory Care Use of EHRs Among U.S.

69. pediatric-EHR-protocol-140818 (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/pediatric-ehr_research-protocol.pdf
    January 01, 2014 - health record (EHR) systems and information technology tools specific to pediatric health care.1-3 EHRs … of care and reducing error and variability in the entry and communication of patient data.4-9 While EHRs … for children and adolescents,14,15and hepatitis C follow-up in infants.16 However, few studies of EHRs … Description of EHRs A. … Description of the context in which EHRs are implemented A.

70. Using Aviation Technology to Prevent Healthcare Errors: The Health IT Black Box | Digital Healthcare Research
    digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
    January 01, 2019 - near miss or error, the health IT black box captures mouse movements and keystrokes made by users of EHRs … While the use of electronic EHRs has improved the coordination and quality of patient care, poor EHR … While the vast majority of potential errors are either caught by safety checks built into EHRs or identified … design and usability As a practicing clinician, you see themes of errors that happen when using EHRs … EHRs have frequently been identified as sources of error and frustration.

71. Create Accurate Reports from Electronic Health Records (EHRs) | Agency for Healthcare Research and Quality
    www.ahrq.gov/evidencenow/tools/ehr-reports.html
    November 01, 2018 - Create Accurate Reports from Electronic Health Records (EHRs) Resource: Producing Accurate Clinical … different types of QI reports and different ways of generating them from electronic health records (EHRs

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44964/psn-pdf
    March 09, 2016 - EHRs in the ER: as doctors adapt, concerns emerge about medical errors. March 9, 2016 Luthra S. … https://psnet.ahrq.gov/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors Many emergency … https://psnet.ahrq.gov/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors https://psnet.ahrq.gov

73. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. | PSNet
    psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review
    March 11, 2011 - Electronic health records (EHRs) represent a growing focus of federal initiatives to improve patient … This systematic review discovered that EHRs reduced documentation time for nurses but increased it for … While some systems undoubtedly perform better than others in this regard, efforts to implement EHRs will … Only then will implementation of EHRs begin to achieve the downstream safety effects desired.

74. Quality and safety: learning from the past and (re)imagining the future. | PSNet
    psnet.ahrq.gov/issue/quality-and-safety-learning-past-and-reimagining-future
    June 15, 2022 - Electronic health records (EHRs) are key for the collection of patient care data to inform overarching … This article discusses the adoption of EHRs as tools supporting patient safety and highlights the need … October 5, 2022 Opportunities to mine EHRs for malpractice risk management and patient

75. Context is Critical: Understanding When and Why Electronic Health Record-Related Safety Hazards Happen | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related
    January 01, 2023 - near miss or error, the health IT black box captures mouse movements and keystrokes made by users of EHRs … Safety Patient Safety Technology Usability While the use of electronic health records (EHRs … EHRs have frequently been identified as sources of error and frustration. … While the use of electronic EHRs has improved the coordination and quality of patient care, poor EHR … EHRs have frequently been identified as sources of error and frustration.

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44915/psn-pdf
    January 01, 2020 - Although research suggests that EHRs have had an overall positive effect, unexpected consequences have … This retrospective study compared adverse events among patients in hospitals with fully electronic EHRs … to those without such EHRs in place.

77. Vt-Spotlight (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/vt-spotlight.pdf
    July 01, 2015 - stores health information that is either uploaded directly from providers’ electronic health records (EHRs … The electronic registry was most useful for practices without EHRs. … entering information into the registry was also duplicative of information that resided in their EHRs … Moreover, by the end of the demonstration, many practices had used their own resources to implement EHRs … electronic registry was limited because many providers experienced difficulty in connecting their EHRs

78. Spotlight on Vermont | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/statesummaries/vt-spotlight.html
    July 01, 2015 - stores health information that is either uploaded directly from providers’ electronic health records (EHRs … The electronic registry was most useful for practices without EHRs. … Most practices with EHRs indicated that their systems were not only incompatible with the State’s registry … that entering information into the registry was also duplicative of information that resided in their EHRs … Moreover, by the end of the demonstration, many practices had used their own resources to implement EHRs

79. AMIA Policy Invitational Conference Series Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r13hs023969-fridsma-final-report-2017.pdf
    January 01, 2017 - Breakout B: Networks: Are EHRs Ready for Payment & Delivery Reform? 1. … Breakout C: Advancing Research and Innovation through EHRs 1. … Will an app ecosystem emerge for EHRs (similar to iPhone App Store)? … Which policies can ensure EHRs are developed to facilitate research? … ; and (3) improving EHRs for research and innovation.

80. Barriers and Facilitators to Implementation and Adoption of EHR in Home Care - 2011 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/barriers-and-facilitators-implementation-and-adoption-ehr-home-care/annual-summary/2011
    January 01, 2011 - population, more home health agencies in the United States are implementing electronic health records (EHRs … The impact of implementing EHRs in hospital and ambulatory care settings has been studied, but little … research has been done on implementing EHRs in home care settings. … recommendations from the research team on developing Meaningful Use criteria specific for home care EHRs