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psnet.ahrq.gov/node/46907/psn-pdf
April 11, 2018 - Describing challenges associated with poor user interface of EHRs, this magazine article
recommends … artificial intelligence, redesigning workflow, and enhancing alert systems to improve
the usefulness of EHRs … allocation-physician-time-ambulatory-practice-time-and-motion-study-four-specialties
https://psnet.ahrq.gov/issue/are-informed-policies-place-promote-safe-and-usable-ehrs-cross-industry-comparison
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digital.ahrq.gov/ahrq-funded-projects/childrens-ehr-format-enhancement
January 01, 2023 - It also provided guidance to users about the ideal functionality of EHRs for children. … The Format, released in 2013, was well received by software developers, practitioners using EHRs in the … care of children, and provider organizations purchasing and configuring EHRs. … It is hoped that the adaptation of EHRs used in the care of children to meet the 2015 Priority List requirements
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digital.ahrq.gov/ahrq-funded-projects/cardio-hit-phase-ii
January 01, 2023 - payers, policymakers, performance measure developers, and product vendors of electronic health records (EHRs … evaluate the relative accuracy of reported exceptions, and identify the location of exception data in EHRs … performance measures for coronary artery disease (CAD) and heart failure (HF) within existing practice site EHRs … sites, and detailed data on reported performance and exceptions that were extracted from the practices' EHRs … Retrospective manual reviews of the EHRs were conducted on a sample of 538 CAD and 559 HF patients with
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digital.ahrq.gov/program-overview/research-stories/choosing-what-clinicians-see-electronic-health-record-can-reduce-cognitive-burden-and-improve
January 01, 2023 - Increased provider cognitive burden risks to patient safety from poor EHR design
While the use of EHRs … has transformed care, EHRs can often pose a burden for clinicians. … Displays in EHRs often force clinicians to navigate through multiple menus and screens to access patient … School of Medicine wanted to know if there was a way to let clinicians decide what information from EHRs
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psnet.ahrq.gov/issue/electronic-health-record-adoption-and-rates-hospital-adverse-events
August 02, 2023 - Although research suggests that EHRs have had an overall positive effect , unexpected consequences … This retrospective study compared adverse events among patients in hospitals with fully electronic EHRs … to those without such EHRs in place.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact6.html
July 01, 2024 - Comprehensive EHRs provide a rich dataset for future research, enabling studies that can uncover patterns … Through continued innovation and collaboration, the future of diagnosis documentation in EHRs will reflect
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/registries-pros-cons.pdf
June 02, 2025 - Disadvantages of Registries
Advantages and Disadvantages of Registries
Electronic health records (EHRs … registries can help ensure that evidence-
based care is delivered to all patients and can be an adjunct to EHRs … Provides outreach information at fingertips
• Improves team-based care
• Smaller software package than EHRs
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psnet.ahrq.gov/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors
September 01, 2016 - Newspaper/Magazine Article
EHRs in the ER: as doctors adapt, concerns emerge about … Citation Text:
EHRs in the ER: as doctors adapt, concerns emerge about medical errors. … Linkedin
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EHRs
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
November 01, 2013 - Investigating a model format for pediatric electronic health records (EHRs). … responded positively to pay-for-improvement incentives
Pennsylvania financially rewards the use of EHRs … Commitment to EHRs as the quality infrastructure. … Regular and better use of EHRs is needed to make measure-driven QI activities the “normal way of doing … and rewards health systems that use EHRs accordingly.
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cdsic.ahrq.gov/cdsic/interoperability-patientapps
August 01, 2023 - CDS) standards to support the interoperability between patient apps and electronic health records (EHRs … Greater interoperability is needed between apps and EHRs to allow for patient data collected by apps … for further advancing the standards landscape to support the interoperability of patient apps with EHRs … opportunities for advancing the standards landscape to support interoperability of patient apps with EHRs
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-pediatric-emergency-care-using-electronic-medical-record/annual-summary/2012
January 01, 2012 - The increasing use of electronic heath records (EHRs) in EDs provides an opportunity to access patient … EHRs also have the potential to develop patient registries using electronic abstraction instead of the … Abstracting data in an automated way from EHRs could make it possible to evaluate the quality of patient … Thereafter, the data dictionary was translated into an XML schema that reflects how the variables map to the EHRs … The goal is to pull data from the EHRs using the data dictionary and schema and have it de-identified
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017067-kaushal-final-report-2011.pdf
January 01, 2011 - This is important, because use of EHRs is not static. … Thus, EHRs with HIE are an important and evolving aspect of health care
delivery. … The effect of EHRs with HIE on quality are still unclear. … effects of EHRs with health information exchange, has never been more important. … Adoption of EHRs is increasing steeply with the meaningful use program.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/patient-safety-technology-resources.pdf
May 01, 2023 - liability insurance companies) improve reporting of unsafe conditions associated with health IT
and EHRs … can make a big difference in maximizing office efficiencies and improving
care coordination using EHRs … This list was created
by a panel of experts and focuses on leveraging the potential of EHRs to enhance … https://wire.ama-assn.org/practice-management/8-top-challenges-and-solutions-making-ehrs-usable
https … Eight Top Challenges and Solutions for Making EHRs Usable
V. General Resources
1.
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digital.ahrq.gov/ahrq-funded-projects/advancing-population-and-public-health-reporting-and-outcomes-vaccination-data-exchange-approve
January 01, 2024 - to retrieve vaccination history from MIIC and offer clinical decision support for immunizations from EHRs … an evolving interoperability tool for electronic vaccination data exchange across public health and EHRs … Despite integration rates of 83 percent of MIIC within EHRs and frequent EHR queries of approximately … The electronic data exchange between MIIC and EHRs is crucial so that providers can quickly query and … Of the healthcare systems studied, 83 percent had MIIC access integrated into their EHRs with an average
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section2.html
October 01, 2015 - charts) and developing workarounds with their EHRs. … These strategies included using various combinations of EHRs, personal health records (PHRs), and HIE … The diversity of EHRs used by practices and the amount of modifications needed to those EHRs further … Practice staff often needed training and TA to effectively use their EHRs. … Comparing the Children’s EHR Format with existing EHRs was challenging but valuable.
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digital.ahrq.gov/ahrq-funded-projects/developing-guide-identifying-and-remediating-unintended-consequences
January 01, 2023 - Patient Safety
While there are many benefits to the use of electronic health records (EHRs … This intersection of complex environments and technologies creates subtle unintended consequences when EHRs … research conducted by the project team, and interviews with organizations that recently implemented EHRs … Users of EHRs, such as physicians and nurses, may also find the guide useful.
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digital.ahrq.gov/2020-year-review/research-summary/using-natural-language-processing-improve-autism-spectrum-disorder-research-and-care
January 01, 2020 - Difficulty of accessing unstructured data for decision making
The use of electronic health records (EHRs … on autism spectrum disorders (ASDs) to show how extracting and coding information from free text in EHRs … sought to create methods and tools for leveraging existing and detailed ASD patient information in EHRs … and evaluated natural language processing algorithms to identify ASD behaviors within free text in EHRs
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/schade-cp-et-al-2006-e
January 01, 2006 - Workflow-Related Findings
"The UK physicians uniformly stated that EHRs had improved efficiency, … They did not all agree that EHRs actually saved physician time." … "Record legibility and good documentation were popular reasons for adopting EHRs among UK physicians; … "Even [EHRs] that merely replace handwritten prescriptions with computer printed ones, achieve [substantial
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psnet.ahrq.gov/node/42250/psn-pdf
June 03, 2013 - long-term-follow-evaluation-electronic-health-record-prescribing-safety
Many institutions are now moving from relatively unsophisticated electronic health records (EHRs … Prior studies have also shown that at least 1
year of use is required to obtain the safety benefits of EHRs … provides an excellent example of
the ongoing monitoring and adaptation required to effectively implement EHRs
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
September 08, 2015 - • Investigating a model format for pediatric
electronic health records (EHRs). … rewards participating health
systems for reporting any of the
Child Core Set measures from their
EHRs … • Commitment to EHRs as the quality
infrastructure. … The
Pennsylvania project sets its sights on
EHRs as the infrastructure for quality
measurement and … improvement and
rewards health systems that use EHRs
accordingly.