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721. 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

722. 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

723. 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.

724. 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

725. 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.

726. 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.

727. 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

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

729. 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

730. Safety Assurance Factors for EHR Resilience: SAFER Guides. | PSNet
     psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides
     January 10, 2007 - Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs

731. A Partnership for Clinician Electronic Health Record (EHR) Use and Quality of Care - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/partnership-clinician-electronic-health-record-ehr-use-and-quality-care/annual-summary/2010
     January 01, 2010 - on health information technology (IT) in ambulatory care, current use of electronic health records (EHRs

732. 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.

733. 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

734. 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

735. AHRQ’s Emerging and Innovative Newly Funded Research Initiated in 2019 | Digital Healthcare Research
     digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research
     January 01, 2019 - University of Utah will investigate Decision Precision+, a tool for pulling patient risk data from EHRs … During this pilot study, high-risk patients identified via EHRs will be contacted by text message and … School of Medicine and their research team are working to develop and test PRO visual presentations in EHRs

736. Success Stories from the AHRQ-Funded Health IT Portfolio (2009) (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/HITSuccessStories112910.pdf
     May 02, 2014 - • Consumers expressed concern about the privacy EHRs versus PHRs: • EHRs are electronic versions … and PHRs, and how clinicians use EHRs. … • The shift from paper-based systems to electronic systems like EHRs. … • Identify and evaluate existing evidence-based style sheets and guidelines for EHRs. … • Identify and evaluate innovative ways for EHRs to display complex information.

737. Bringing Measurement to the Point of Care - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/bringing-measurement-point-care/activity/bringing-measurement-point-care/annual-summary/2010
     January 01, 2010 - Over 1,000 medical providers have implemented electronic health records (EHRs) with enhanced preventive

738. An Interactive Preventive Care Record (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/PreventiveCareHandbook_062912comp.pdf
     June 01, 2012 - Three different EHRs that are widely used nationally—Allscripts Enterprise™, Allscripts Professional … Some EHRs and PHRs have IPHR functionality; many do not. … As EHRs and PHRs advance in the future, they will hopefully incorporate more IPHR functionality. … These options may be available in EHRs as part of their normal functionality. … Some EHRs have Web services that will transfer clinical data elements to external systems.

739. Impact of Health IT Implementation on Diabetes Process and Outcome Measures - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r21hs020696-ballard-final-report-2013.pdf
     January 01, 2013 - Electronic health records (EHRs) are one of the forms of health IT with the potential to support this … improvement purposes.2 In the past decade, systematic reviews of studies examining the impact of EHRs … However, the small studies that have previously examined the implementation of commercially available EHRs … rigorous studies examining the impact of relatively rapid implementation of commercially available EHRs … concern to critics of the Obama administration’s ‘full steam ahead’ approach to national adoption of EHRs

740. 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