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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-nursing-home
January 01, 2023 - Immediate financial impact of computerized clinical decision support for long-term care residents with renal … Immediate financial impact of computerized clinical decision support for long-term care residents with renal … Computerized clinical decision support during medication ordering for long-term care residents with renal … Computerized clinical decision support during medication ordering for long-term care residents with renal … implementing a computerized clinical decision support system for medication dosing for patients with renal
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-8-peek-literature-medication-use-and-cds
January 01, 2006 - A comprehensive literature review is beyond this guide’s scope, but a sampling helps set the stage for … The wide distribution reflects varying methods for finding errors—estimates at the lower end were generally … CDS-supported medication dosing produced a 21% increase in appropriate medication prescribing in renal … [46] To realize benefits of CDS within CPOE, authors have suggested a two-stage approach: (1) basic … basic dosing guidance, duplication checking, and DDI checking); followed by (2) advanced CDS (dose-lab, renal
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015038-friedman-final-report-2007.pdf
January 01, 2007 - of the Yale New Haven Organ Transplant Center was selected to
represent a population at the highest end … The primary end point was-
The score on the Transplant Medication Quiz of medications which served to … The similarity in quiz scores, which was the primary end … Health economic evaluations:
the special case of end-stage renal disease treatment. … Journal of the American College of Surgeons.
195(4):531-8, 2002
xxiv Health Literacy: A Prescription to End
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
May 23, 2013 - the hazard was discovered during production use and the seventh site did not
make a selection for stage … The patient suffered cardiac arrhythmia and renal dysfunction, and survived with
chronic renal damage … of those thought there was
financial harm to the patient as well because he was left with chronic renal … The seven sites unanimously chose production use
as the stage during which the hazard was discovered … Stage of discovery items selected:
• Software specification (2)
• Vendor programming (1)
• Testing
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digital.ahrq.gov/sites/default/files/docs/resource/C3_Patient_Enrollment_Form_Blue.pdf
June 11, 2009 - No_Last 6 mos_
Kidney Disease Yes _ No _ Currently _ Stroke/ CVA Yes_ No_Last 6 mos_
End … Stage Renal Disease Yes _ No _ Currently _ Coronary Artery Disease (CAD) Yes_ No_Currently_
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digital.ahrq.gov/sites/default/files/docs/resource/James_Fricton_IQHIT_Q1_HP_Recommendations_for_Preventing_Complications_for_Chronic_Illnesses.pdf
January 01, 2005 - Refractory end-stage heart failure
with marked symptoms at rest despite maximal medical therapy … Refractory end-stage heart failure
with marked symptoms at rest despite maximal medical therapy … stage renal disease, bone marrow transplant, more than 1400 medications (antihistamines, diuretics, … stage renal disease, bone marrow transplant, more than 1400 medications (antihistamines, diuretics, … stage renal disease, bone marrow transplant, more than 1400 medications (antihistamines, diuretics,
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digital.ahrq.gov/ahrq-funded-projects/transforming-kidney-care-emergency-department-using-artificial-intelligence
January 01, 2023 - Predictive Modeling
Care Setting
Emergency Department
Medical Condition
Renal … Findings will inform establishment of end-user requirements for the AKI-CDS system. … team will evaluate the AKI-CDS system implemented at three study sites to understand the drivers of end-user … Artificial Intelligence , Machine Learning Population: Adults , Clinical Staff/Clinician
Renal … Renal outcomes following intravenous contrast administration in patients with acute kidney injury: a
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024750-sherwin-final-report-2019.pdf
January 01, 2019 - a – end stage renal disease; b – nursing home. … We ultimately decided on including the following co-morbidities: end stage renal disease
(13 diagnoses … stage renal disease, Paraplegia or Multiple
sclerosis. … stage renal disease, multiple sclerosis or paraplegia) was not yet
populated. … Stage Renal Disease or
Congestive Heart Failure.
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digital.ahrq.gov/sites/default/files/docs/hard-to-reach-patients-slides-091312.pdf
January 01, 2013 - Medical conditions Diabetes, Thyroid Disease, PKU, Seizures, Hypertension, Rheumatoid Arthritis, Lupus,
Renal … condition of old age
– Present in >70% of people aged 80+
– Potent risk factor for stroke, MI and renal … month follow-up
Quantitative Outcomes
– Blood pressures—baseline; weekly over 10 months, study end … PCP-defined protocol
Follow everyone for 10 months
– Measure BP and administer surveys at study end … Baseline
Experience with the BP
Intervention/technology
Self Rated Health and BP
at Study End
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digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-transcript-081811.pdf
May 25, 2016 - And in the end, ultimately the patient was denied a very
important therapy that could have been very … They primarily occurred at the ordering stage of therapy and the
monitoring stage. … At what point does this end, do
we have to go chasing our patients to take their meds? … If you’re
listening over the phone to end this call you can simply hang up. … KATE LAPANE:
ANGELA LAVANDEROS:
Operator:
END TRANSCRIPT
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digital.ahrq.gov/key-topics/computerized-provider-order-entry
January 01, 2007 - support may add rules to check for drug-drug interactions, allergies, medication contraindications, and renal … into the user's workflow; and how disruptive, during use of the system, the intervention might be to end-users … Framing decision support in this manner may help both developers and clinical end-users plan future alterations
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015076-rosa-final-report-2007.pdf
January 01, 2007 - monitoring of chronic disease related complications, including Diabetes, Congestive Heart
Failure, End-Stage … Renal Failure and COPD/Asthma; (2) Care Provider Adoption: Establish
conditions for adoption by care … specifically focused in managing four major
chronic conditions: Diabetes, Congestive Heart Failure, End-Stage … Renal Failure and COPD
Asthma. … core application to latest release (SCM 3.6) May 15, 2005
• Create training materials and train end-users
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015226-gandhi-final-report-2008.pdf
January 01, 2008 - Chronic Disease Management Reminders and Guidelines: Chronic Renal Disease and
anemia—rule out iron … Chronic Disease Management Reminders and Guidelines: Chronic Renal Disease and
Iron deficiency—replete … Medications requiring monitoring by type of laboratory test
Renal Function
Thyroid
Function Liver … At the end of the study, intervention physicians will be surveyed
about satisfaction with receiving … dysfunction
• Elevated creatinine and taking a med that may be affected by renal dysfunction
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015459-goldberg-final-report-2008.pdf
January 01, 2008 - elderly; and
individuals with special health care needs, including individuals who need chronic care or end … primarily due to
extremely busy practices
• Skilled Nursing Facility (SNF)
• Dementia
• Renal … even
after physicians have signed off that the patient maybe a good candidate for
participation), renal … disease (Creat. >3.0), end stage (hospice care or other terminal
illness
b. … of Louisville continues to work on the final data
analysis which is expected to be completed by the end
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs024949-yellowlees-final-report-2022.pdf
January 01, 2022 - disorder(s) — and/or
2) patients who have a chronic medical condition such as diabetes, cardiac or renal … Study Endpoints
The entire RCT only involved one clinic visit of typically 3-5 hours at the end of which … global
forced choice preference for ATP or Interpreter interviews by asking them 3 questions at
the end … following patient statement, ‘estoy
viendo una luz al final del túnel,’ or ‘I am seeing a light at the end … chronic medical problems often had unrecognized psychiatric disorders,
especially those with chronic renal
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digital.ahrq.gov/health-it-improved-chronic-disease-management
January 01, 2023 - maturity in COTS solutions in this area led one grantee organization to adopt a system in the Beta stage … For pilot-testing, it is important to select a pilot group of enthusiastic and IT-ready end users who … Health IT solutions need to be tailored for the end user to improve usability and avoid "information … Patients at the project's renal practice took on average 11 different medications. … Below are some examples of how projects plan to continue activities after the end of their AHRQ awards
-
digital.ahrq.gov/sites/default/files/docs/citation/cds-artifact-enhancement.pdf
December 01, 2018 - Community Health Information Network (OCHIN) Pilot Project Team
• Pilot site leadership and clinician end … Both organizations collaborated on refinements to the CDS during every stage of the partnership
to improve … end-of-life care
(also described as hospice care and
palliative care). … include: depression,
anxiety, substance use disorder,
suicide attempt, sleep-disordered
breathing, renal … of accurate
CDS interventions.
15
Enhancements that occurred during this stage
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digital.ahrq.gov/sites/default/files/docs/page/e_rx_evaluation_guide.pdf
February 01, 2010 - The system
became more
sophisticated at
each stage.
Yes. … Changes in renal
function. … Measure(s) of
cost/value
analyzed
Renal function
medication
error rates. … appropriate
to limit the number of years included in the evaluation to the expected time interval by the end … Guidelines for long-term care residents with renal insufficiency.
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digital.ahrq.gov/sites/default/files/docs/page/2013-2015-ahrq-hit-summary-report.pdf
January 01, 2015 - Eight grants were funded in 2013, and all ended by the end of 2015. … There was one project
funded in 2011; it was ongoing at the end of 2015. … This project was ongoing at the end of 2015. … One
health IT-focused project was funded in 2013 and was ongoing at the end of 2015. … Hepatitis 1
Hyperlipidemia (HL) 1
Neurologic Disease 1
Ophthalmologic (Eye) Disease 1
Osteoporosis 1
Renal
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digital.ahrq.gov/sites/default/files/docs/coordination-patients-complex-needs-slides-022014.pdf
February 20, 2014 - nonorganic psychoses,
anxiety, dissociative-somatoform disorder, and
personality disorder) OR
► Chronic renal … disease OR
► End-stage renal disease OR
► Sickle cell disease
56
Information Intervention … Stroke 2.1 3.0 2.4
Asthma 7.7 6.6 7.3
Diabetes 18.0 18.6 16.2
Mental health diagnosis 46.0 47.9 47.1
Renal