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digital.ahrq.gov/principal-investigator/mcalearney-ann-scheck
January 01, 2023 - McAlearney, Ann Scheck
Understanding secure messaging in the inpatient … Understanding secure messaging in the inpatient environment: a new avenue for communication and patient … Principal Investigator
McAlearney, Ann Scheck
Project Name
Portals in Inpatient Care: … An exploration of the association between inpatient access to tablets and patient satisfaction with hospital … An exploration of the association between inpatient access to tablets and patient satisfaction with hospital
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digital.ahrq.gov/ahrq-funded-projects/measuring-value-remote-intensive-care-unit-icu-monitoring/annual-summary/2008
January 01, 2008 - tele-ICUs may have decision support software to help identify subtle trends like rising creatinine and falling … five of the health care system’s hospitals at the time of the study. … severity of the initial diagnosis), as well as on hospital costs. … ICUs in a tertiary care teaching hospital, and in seven community (including two “small”) hospitals … The crude mean hospital LOS for survivors in the pre-tele-ICU group was 9.8 days versus 10.7 days for
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digital.ahrq.gov/sites/default/files/docs/activity/r18hs018648-atlas-annual-summary-2012.pdf
January 01, 2012 - Organization: Massachusetts General Hospital
Mechanism: PAR: HS08-270: Utilizing Health Information … However, national and local data indicate that the
United States health care system is falling significantly … randomized controlled trial using an existing electronic health
record (EHR) at Massachusetts General Hospital … in
April 2012. … This
resulted in 22 PCPs in each study arm.
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digital.ahrq.gov/sites/default/files/docs/activity/2011_018648_atlas_pdf_3.pdf
January 01, 2011 - Organization: Massachusetts General Hospital
Mechanism: PAR: HS08-270: Utilizing Health Information … However, national and local data indicate that the
United States health care system is falling significantly … short of evidence-based goals for these three
conditions, both in terms of risk-factor control and … in monitoring adverse drug events. … randomized controlled trial using an
existing electronic health record (EHR) at Massachusetts General Hospital
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/can-electronic-medical-record
August 23, 2021 - American Hospital Association Hospital Survey from 2000. 2000 National Ambula-ry Medical Care Survey … Implementation: Model assumes that 90% of all U.S. hospitals and outpatient practices will have adopted … Cost of HIT systems: Simulation methods were used to estimate the cumulative costs for 90% of hospitals … to adopt EHR systems as $98 billion (assuming 20% of current hospitals have already adopted EHRs) with … Changes in healthcare costs: Cost savings from improved efficiency assuming 90% nationwide EHR adoption
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digital.ahrq.gov/sites/default/files/docs/activity/measuring_the_value_of_2009_update_2.pdf
January 01, 2009 - tele-ICUs may have decision support software to help identify subtle
trends like rising creatinine and falling … five of the health care system’s hospitals at the
time of the study. … severity of the initial diagnosis), as well as on hospital costs. … in a
tertiary care teaching hospital, and in seven community (including two “small”) hospitals using … The crude mean hospital LOS for survivors in the pre-tele-ICU group was 9.8 days versus
10.7 days for
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digital.ahrq.gov/ahrq-funded-projects/ed-disability-diagnostic-tool-hit-feasibility-study
January 01, 2023 - Report ( PDF , 218.58 KB) Disclaimer
Disclaimer
The findings and conclusions in … No statement in this report should be construed as an official position of AHRQ or of the U.S. … These patients are disproportionately admitted to the hospital without cause, with a significant proportion … experiencing negative health outcomes related to the hospitalization, such as infections, disorientation, and falls … are unreliable and invalid in the ED.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/detecting-alerts-notifying
January 01, 1996 - alert system to automatically identify, notify, and advice physicians of serious clinical conditions in … on health care effectivness/quality Summary: Settings: Medical and surgical housestaff participated in … this study, which took place in a tertiary-care hospital in Boston, Massachusetts. … to 1214 (70.2%) of 1730 alerts for which they were paged; they responded to 1002 (82.5% of the 1214) in … display screen in 39.4%.
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digital.ahrq.gov/sites/default/files/docs/implementation/CCCN%20Initiative%20Overview%2007-05.ppt
January 01, 2007 - Current Status: As the first step in community-wide implementation, a Pilot Project is currently underway … IT Committee – IT leaders from partner organizations plus HIM Directors from local hospitals. … patient master index
Import registry data from claims, lab, pharmacy and point of care for patients in … Next Steps:
Roll-out registry in Safety Net Clinics (Fall/Winter 2005)
Expand claims data to include … Foundation post-Epic implementation (Summer, 2006)
Applications: Browser-based diabetes registry running in
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014965-schmidt-final-report-2007.pdf
January 01, 2007 - Luke’s Hospital in Duluth served as the hub hospital. … Im
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Green Zone: Definitely measure any metric falling … Yellow Zone: For metrics falling within this zone, weigh the importance of the metric to the project … Red Zone: The costs of obtaining the data for metrics falling within this zone exceed the value of the … other printer in the rural hospital.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024004-bajaj-final-report-2017.pdf
January 01, 2017 - Patients are often re-admitted for HE, falls, infections and
ascites-related issues. … apps, which can communicate problems that can be
handled before they need an emergent visit to the hospital … The
reason for hospitalization was anasarca in 10, HE in 10, GI bleeding in 9, infections in 3, hepatic … hydrothorax in 2 and cirrhosis-unrelated conditions in 5 patients (Table 2). … they were already on assistive
walking devices and had counseling regarding falls before).
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digital.ahrq.gov/ahrq-funded-projects/evaluation-scaled-scaling-acceptable-cds-approach-implementation-interoperable-cds-venous
January 01, 2024 - SMART/FHIR
Patient-Generated Health Data
Care Setting
Academic Medical Center
Hospital … to scale and evaluate the implementation of a CDS tool for venous thromboembolism (VTE) prophylaxis in … In parallel with the effectiveness-implementation trial, researchers will also conduct a mixed-methods … goal was, can we develop this decision support system as an app and make it as easy to scale to other hospitals … Related Stories A Clinical Decision Support Tool for Preventing Falls
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/evaluation-reported-medication
January 01, 2006 - Purpose of Study: review changes in reported medication errors before and after CPOE implementation … Summary: Settings: six acute care and three intensive care units of the 473-bed University of Kentucky Hospital … clusters of units and services implementing the system about one month apart Barriers: 71% or errors in … Errors of illegibility were eliminated by CPOE. 71% of errors in the post-implementation period were
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/making-medication-safe
September 29, 2008 - Researchers from Samaritan North Lincoln Hospital, a facility of Samaritan Health Services, and Oregon … Safeway, Rexall, and RiteAid, as well as numerous hospitals, long-term care facilities, and physician's … "The moments of transferring a patient from a hospital to a nursing home involve many risks. … To complicate matters further, computers at pharmacies, long-term care facilities, hospitals, and physicians … While senior care, hospitals, and rehab facilities are accustomed to sharing pharmaceutical data with
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digital.ahrq.gov/ahrq-funded-projects/bringing-communities-and-technology-together-healthy-aging
January 01, 2023 - No statement in this report should be construed as an official position of AHRQ or of the U.S. … their homes for as long as possible, a concept referred to as aging in place. … However, there are often challenges to this, including isolation and loneliness, falls, medication management … are to provide greater independence and quality of life and to reduce healthcare costs with decreased hospital … Analyses indicated that the system reduced the risk of falls and depression, and improved quality of
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs022352-koru-final-report-2014.pdf
January 01, 2014 - Using a modified technology acceptance model
in hospitals. … Falling through the cracks: Challenges and opportunities for improving transitional
care for persons … Activity-based costing and management in a hospital-
based GI unit. … Using root cause analysis to reduce falls with injury in
community settings. … Activity-based costs of blood transfusions in surgical patients at four hospitals.
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digital.ahrq.gov/electronic-health-records
January 01, 2023 - IT Successes and Challenges in Opening an All-Digital Hospital
Organizational Barriers and Enablers … All-Digital Hospital
Genesis: Clinical Process Redesign
Moving Healthcare into the 21st Century … Return on Investment (ROI)
ROI will vary by hospital, depending on current medical record … Peggy Esch; Bolivar, MO)
Rural Community Partnerships-EMR Implementation Project (R'Nee Mullen; Twin Falls … Branscombe; Presque Isle, ME)
Tulare District Hospital RuralHealth EMR Consortium (Paul D.
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digital.ahrq.gov/sites/default/files/docs/July%20Teleconference%20Transcript.pdf
April 25, 2013 - So now we did – we followed that up with
calibration on falls in the hospital. … And we didn’t want falls that were not related to it – we didn’t want falls
related to admission, so … and needed to be reported by hospitals. … our hospital. … s ordering where the physician orders a
medication; transcription where in most hospitals still in
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digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2011
January 01, 2011 - In July 2011, the project went live with the distribution of the Clinical Summary Form in the Housewide … that his/her patient has been in the hospital. … In fall 2011, Dr. … Ciemins' research in the area of transitions to non-hospital care settings because Billings Clinic Hospital … is widely considered to be one of the most progressive hospitals in the region in terms of care transitions
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digital.ahrq.gov/ahrq-funded-projects/portals-inpatient-care-evaluating-usability-use-and-patient-experience
January 01, 2023 - which this tool is embedded in an EMR and continues to evolve. … inpatient portals; poor design can result in a frustrating user experience. … With a detailed understanding of user experience associated with using these tools, hospitals can be … An exploration of the association between inpatient access to tablets and patient satisfaction with hospital … An exploration of the association between inpatient access to tablets and patient satisfaction with hospital