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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-71-timeline-stand-alone-e-prescribing-implementation
January 01, 2023 - approach
Schedule data extract teleconference dates (2) and training date
Collect registration forms … scorecard
Provide to implementation manager:
process assessment summary
completed registration forms
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digital.ahrq.gov/sites/default/files/docs/survey/cccn-online-publication-education.pdf
June 16, 2021 - care in the exam room or office with the patient present
Complete manually using the paper worksheet form … If more recent data please note above”
Yes
No (Please explain why.):
3) What other forms … Other:
6) What 3 things would you like changed on the current Worksheet Registry form? … Physician: Yes
Please explain why:
(Please explain why:
)::
3) What other forms do you currently … Yes: Off
No: Off
Complete manually using the paper worksheet form at the point of care: Off
Do not
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/esp-vaers-case-identification
January 01, 2023 - The document provides a template for other reporting forms and tools.
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_2_Chart_Review.pdf
June 16, 2021 - Dataform 4: Chart Review form
Page 1 of 7
Center for Excellence for Patient Safety Research … and Practice 5/27/05
Dataform 2: Chart Review Version 0. 11
DATAFORM 2
Chart Review Form … Antihistamine (all forms)
17. Antihypertensive
18. Antimalarial
19. … Antiviral (all forms)
25. Barbituate
26. Beta Blocker
27.
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digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr-6
January 01, 2023 - User interface accelerators for clinical documentation in Smart Form. … User interface accelerators for clinical documentation in Smart Form. … for…
Principal Investigator
Middleton, Blackford
Project Name
Evaluating Smart Forms
-
digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr-7
January 01, 2023 - Can a "Smart Form" increase physicians' satisfactions with managing patient health behavior risks? … Can a "Smart Form" increase physicians' satisfactions with managing patient health behavior risks? … 18694145
Principal Investigator
Middleton, Blackford
Project Name
Evaluating Smart Forms
-
digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support/annual-summary/2011
January 01, 2011 - As clinical data is captured increasingly in electronic form, there is potential for more comprehensive … A clinical messaging system will deliver the forms, allowing them to be integrated more seamlessly into … When forms are flagged as reportable, they will be sent to appropriate clinical providers and public … form on various outcomes. … Lastly, a technical project plan to activate the prototype electronic forms generation process was developed
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_1_Prescription_Screening_Form.pdf
June 16, 2021 - of Excellence for Patient Safety Research and Practice 1/26/08
Dataform 1: Prescription Screening Form … Version 0.10
DATAFORM 1
Prescription Screening Form
1. … Antihistamine (all forms)
12. Antihypertensive
13. Antineoplastic
14. … Antiviral (all forms)
18. Bronchodilator (inhaled)
19. Bronchodilator (oral)
20. … Version 0.10
DATAFORM 1
Prescription Screening Form
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digital.ahrq.gov/sites/default/files/docs/page/ari_smart_form_final.pdf
June 16, 2021 - Pediatric Documentation Templates
Acute Respiratory Infection (ARI) Smart Form
Executive Summary … The Partners Pediatric Acute Respiratory Infection (ARI) smart form is a guideline-driven template … The form is designed to assist with the assessment and management of non-specific upper respiratory … This web site includes views of
each page of the ARI smart form, as well as a preview of the note. … Using the tab feature,
providers can edit and
view preview of their
ARI Smart Form note.
-
digital.ahrq.gov/ahrq-funded-projects/computer-assisted-medication-and-patient-information-interface-campii/annual-summary/2011
January 01, 2011 - hypoglycemia than provider documentation in the medical chart or patient documentation on the paper forms … CAMPII is also better than the chart or standard forms for identifying associated adverse events. … self-interview is better for detecting hypoglycemia than chart documentation, is more specific than paper forms
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digital.ahrq.gov/ahrq-funded-projects/access-pediatric-voice-therapy-telehealth-solution/annual-summary/2012
January 01, 2012 - Kelchner hired a research coordinator and assistant to revise the forms to be used for the research process … providing the telehealth clinical sessions began developing the interactive and information content forms
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digital.ahrq.gov/sites/default/files/docs/resource/Helene_Kopal_IQHIT_Q6_HTN_Intervention_Users_Manual.pdf
March 01, 2009 - *Recommended assessments
for elevated BMI and tobacco
use appear as smart forms and
are discussed … Managing the Hypertensive Patient – User’s Manual
v 1.0 11 March 2009
4.2 Smart Forms. … Smart forms are electronic questionnaires that contain logic that facilitate
assessments. … meds and/or fill out
the Fax-to-Quit Form. … Completion of the tobacco control smart
form and/or the Fax-to-Quit form is
automatically inserted
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digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
January 01, 2019 - increased errors
A second example found from the black box analysis, was errors related to the intake form … On one form, the height was on the left and the weight was on the right, while on the other form, the … the likelihood that a clinician who sees both pediatric and adult patients, and therefore uses both forms … Hettinger and his team made the forms consistent, making an immediate impact on quality and safety.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs018236-ziemer-final-report-2012.pdf
January 01, 2012 - The APhA
form was statistically worse at 13% list accuracy. … KIOSK had ~ half the false positives of PAPER form. … It was preferred by patients to paper forms and
appreciated by providers. … Form. … form in a specialty clinic.
-
digital.ahrq.gov/2018-year-review/research-summary/improves-delivery-health-services
January 01, 2018 - A decision support intervention delivered pre-populated case reporting forms through the HIE when laboratory … As a result, reporting rates and completeness of the forms significantly improved, and feedback from
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/van-wijk-mam-et-al-2001
January 01, 2001 - Measurements: Average number of blood tests ordered per order form per practice. … Workflow-Related Findings
"The general practitioner had the choice of using [the software] or a paper form … Of the 12742 order forms that the laboratory received from practices using [the Restricted version], … made by using the software; the remaining 1591 orders were placed by using traditional paper order forms
-
digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr-0
January 01, 2023 - 18935982
Principal Investigator
Middleton, Blackford
Project Name
Evaluating Smart Forms
-
digital.ahrq.gov/sites/default/files/docs/resource/C7_Intervention_Process_Guide_for_Point_of_Care_Nurse.pdf
June 16, 2021 - Fax Cynthia Scheideman-Miller the following forms to (405) 713-4992
(white multi-page form) from the … Completed
(white multi-page form)
Patient Enrollment Form
e. … Physician Order Form (green)
(blue form)
5. Cynthia Scheideman-Miller will:
a. … Fax Enrollment Form to Consultant
f. … Once the patient is discharged, mail all forms for patient to Cynthia Scheideman-Miller at
3366 NW Expressway
-
digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr-12
January 01, 2023 - usability…
Principal Investigator
Middleton, Blackford
Project Name
Evaluating Smart Forms
-
digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr-9
January 01, 2023 - 16442853
Principal Investigator
Middleton, Blackford
Project Name
Evaluating Smart Forms