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digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-documentation-templates/acute-respiratory-infection
January 01, 2023 - Executive Summary
The Partners Pediatric Acute Respiratory Infection (ARI) smart form is a guideline-driven … After the provider specifies a primary and possibly a secondary diagnosis, it provides guideline-based
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digital.ahrq.gov/sites/default/files/docs/activity/r18hs018157-hazlehurst-annual-summary-2012.pdf
January 01, 2012 - consortium of federally
qualified health centers, is being used to evaluate the association between obesity guideline … care recommended by the
guidelines; 2) correlates of overweight and obesity diagnosis and treatment guideline … characteristics, and health system characteristics; and
3) changes in health status as a function of guideline … HEALTH CARE QUALITY (R18)
• Evaluate the association between measures of obesity guideline
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience-research/goldstein-mk
January 01, 2023 - the quality gap in health care by providing automated decision support to clinicians that integrates guideline … It uses a guideline interpreter to combine patient information from the [electronic medical record] EMR … DSS despite the number of clinical reminders they receive, the system provided quarterly feedback on guideline-drug
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digital.ahrq.gov/ahrq-funded-projects/automating-assessment-obesity-care-quality/annual-summary/2010
January 01, 2010 - consortium of Federally Qualified Health Centers will be used to evaluate the association between obesity guideline … care recommended by the guidelines; 2) correlates of overweight and obesity diagnosis and treatment guideline … characteristics, and health system characteristics; and 3) changes in health status as a function of guideline … populations and care practices. ( Ongoing )
Evaluate the association between measures of obesity guideline
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/reducing-vancomycin-use
Reducing vancomycin use utilizing a computer guideline: results of a randomized controlled trial … a structured ordering intervention using computerized physician order entry that requires use of a guideline
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digital.ahrq.gov/sites/default/files/docs/activity/automating_assessment_of_obesity_care_quality_2010_pdf__2.pdf
January 01, 2010 - consortium of
Federally Qualified Health Centers will be used to evaluate the association between obesity guideline … care recommended by the guidelines;
2) correlates of overweight and obesity diagnosis and treatment guideline … characteristics, and health system characteristics; and 3)
changes in health status as a function of guideline … (Ongoing)
• Evaluate the association between measures of obesity guideline adherence to recommended
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digital.ahrq.gov/sites/default/files/docs/page/AUA_Guidelines_GLIDES.pdf
May 01, 2011 - Evidence Report & Guideline Statement Development
7. Writing
8. Peer Review & Revision
9. … implementable
recommendations
• Focuses discussion
• Incorporates prompts based on COGS to improve guideline … Choose a Recommendation Style
Urodynamics Panel Experience
Results
Comparison: Overactive Bladder Guideline
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017205-davidson-final-report-2010.pdf
January 01, 2010 - Guideline/ use for patient care and ● Do the templates auto-populate? … Evidence-
based
Guideline/
Template Use
Address desired template
functionalities
● Is the template … (continued)
Type Topic Example
Evidence-
based
Guideline/
Template Use
Interoperability standards … ● Has the Center had any experience in needing to modify a
template due to a guideline change? … The goals were to
support provider care and documentation , enhance provision of guideline concordant
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digital.ahrq.gov/ahrq-funded-projects/structuring-care-recommendations-clinical-decision-support/annual-summary/2011
January 01, 2011 - Incorporating widely accepted, evidence-based clinical care recommendations (also known as clinical guideline … statements that can be electronically processed can increase the speed, consistency, and efficiency of guideline … (Achieved)
Leverage the eRecommendation format and project learning to help clinical guideline developers
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digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-safety-and-quality-healthcare-information-technology/annual-summary/2008
January 01, 2008 - The project then measured outcomes—including dosing errors, guideline adherence, and quality of documentation—related … controlled trial determined effects of diagnosis-based medication recommendations (smart forms) on rates of guideline-adherent … quality benefits) of electronic results management. ( Achieved )
Assess the influence of reminders for guideline … Impact and Findings: CDS was found to significantly improve medication safety, practice efficiency, guideline
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs019023-mane-final-report-2014.pdf
January 01, 2014 - Data View: Clinical Guideline Component (Aim 2) ..................................................... … Integrated Compressed Guideline to modified UI (Aim 2) .............................................. … Integrated Compressed Guideline to modified UI (Aim 2)
We integrated the abstract view of the guideline … (AMIA Poster) Visual Mapping of Patient Medical Profile to Clinical Guideline. … (AMIA Poster) Compact Clinical Guideline: Representation and its Use in Clinical
Care.
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digital.ahrq.gov/ahrq-funded-projects/impact-adaptive-patient-centered-web-application-medication-optimization-hfref
January 01, 2023 - The use of an application employing SMART-on-FHIR standards has the potential to improve guideline-directed … The use of guideline-directed medication therapy (GDMT) reduces hospital admission and mortality for
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015002-ferris-final-report-2008.pdf
January 01, 2008 - Results: We found CDS significantly improved medication safety, practice efficiency, guideline
adherence … Assess the influence of reminders for guideline adherence in the delivery of
preventive services and … Because these two interventions were both
designed to address the issue of guideline adherence, and … Project 3: Guideline Reminders
Study Design. … The guideline reminders used in the LMR appeared in two different
operational forms.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/embedding-guidelines-direct
January 01, 1999 - Evaluation Method: Measures of ordering tests or medications, and tests conforming to guideline indications … Quality of Care and Patient Safety Outcome: The percent of upper-GI radiology tests that conformed to guideline
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digital.ahrq.gov/sites/default/files/docs/page/acts-meeting-01302019.pdf
January 30, 2019 - ALL
STAKEHOLDERS
• Patients/Advocates
• Care Delivery Organizations
• Health IT/CDS Suppliers
• Guideline … ONC
• (VA)
Informatics/
Researchers (4)
Specialty
Societies (3)
Patient
Advocates (1)
Guideline … Good Outcomes
Know What Works:
•Clinical evidence
•Clinical guideline
•Best practices
•Analytic results … Guidelines, Evidence, and/or Informed Opinion
National Guideline Clearinghouse, USPSTF
Systematic Review … Treatment for Chronic Pain: A Systematic Review
AHRQ Grants and Reports related to Opioids
Interagency Guideline
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digital.ahrq.gov/ahrq-funded-projects/structuring-care-recommendations-clinical-decision-support/annual-summary/2010
January 01, 2010 - Incorporating widely accepted, evidence-based clinical care recommendations, also known as clinical guideline … statements that can be electronically processed can increase the speed, consistency, and efficiency of guideline … improvement cycle. ( Ongoing )
Leverage the eRecommendation format and project learning to help clinical guideline … eRecommendations format to develop a collection of structured clinical recommendations for A and B grade USPSTF guideline
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/can-computer-generated-evidence
April 01, 2005 - Health Serv Res Publication Date: 2005 Apr Volume: 40 Issue: 2 Pages: 477-97 HIT Description: Guideline-based … Purpose of Study: To determine whether guideline-based suggestions presented to physicians and pharmacists
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digital.ahrq.gov/sites/default/files/docs/page/structuring-care-recommendations-for-clinical-decision-support.pdf
June 03, 2010 - Free-text logic
statement
Assemble Knowledge
• Assemble elements of narrative guideline needed to produce … Use eRec template to structure local guidelines for rule
development in large health systems
o Help guideline … • NHLBI
Impact of Project to Date
• Stimulating broad conversation among key CDS
players (CIS/guideline … synergies between CDS and performance
measurement (from goals to codes)
• Garnering attention of guideline … Expand methods to other interventions / conditions
• Enhance dissemination (e.g. via repositories,
guideline
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digital.ahrq.gov/sites/default/files/docs/activity/improving_pediatric_safety_and_quality_with_hit_2009_update_2.pdf
January 01, 2009 - The project then measured outcomes—including dosing errors, guideline adherence, and
quality of documentation—related … controlled trial determined effects of diagnosis-based medication recommendations
(smart forms) on rates of guideline-adherent … (Achieved)
Assess the influence of reminders for guideline adherence in delivery of preventive services … Impact and Findings: CDS was found to significantly improve medication safety, practice efficiency,
guideline
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/electronic-medical-record
January 01, 2001 - Purpose of Study: To assess the effect of two different types of guideline-based decision support aimed … Implementation of two different types of guideline based decision support for depression added to an