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digital.ahrq.gov/technology/artificial-intelligence
January 01, 2022 - Investigator(s)
Turchin, Alexander
Improving Guideline … Development and Implementation
Description
This study was designed to reduce guideline
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digital.ahrq.gov/sites/default/files/docs/activity/structuring_care_recommendations_for_clinical_decision_support_2010_pdf__2.pdf
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 … (Ongoing)
• Leverage the eRecommendation format and project learning to help clinical guideline developers … 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/clictate-computer-based
January 01, 2002 - Clictate: a computer-based documentation tool for guideline-based care
Authors: Johnson KB
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digital.ahrq.gov/location/usa-ct-new-haven
January 01, 2022 - CT, New Haven
Improving Guideline … Development and Implementation
Description
This study was designed to reduce guideline
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digital.ahrq.gov/technology/natural-language-processing-system
January 01, 2022 - Investigator(s)
Turchin, Alexander
Improving Guideline … Development and Implementation
Description
This study was designed to reduce guideline
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/randomized-trial-using
July 01, 2002 - Intervention: The study groups consisted of 3 levels of exposure to EMR feedback of guideline-based … Medicalogic, Beaverton, Oregon), and it was implemented 9 months before the implementation of the electronic guideline
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digital.ahrq.gov/sites/default/files/docs/citation/cds-artifact-enhancement.pdf
December 01, 2018 - Enhancements made to align with the CDC guideline ................................................... … The CDS is not a direct
representation of any one recommendation statement within the guideline. … Enhancements made to align with the CDC guideline
Clinical Concept Concern and Enhancement Comments … Age >=18 years
(Inclusion logic)
The CDC guideline explicitly states
that it applies to … End-of-life care
(Exclusion
potential)
The CDC guideline does not apply
to patients receiving
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tierney-wm-et-al-2003
January 01, 2003 - Objective
"To assess the effects of computer-based cardiac care suggestions" on physician adherence with guideline … However, there was no correlation between physicians' guideline attitude score and compliance with the
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digital.ahrq.gov/health-care-theme/clinical-decision-making
January 01, 2022 - Investigator(s)
Schwarz, Eleanor
Improving Guideline … Development and Implementation
Description
This study was designed to reduce guideline
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digital.ahrq.gov/ahrq-funded-projects/guidelines-decision-support-glides
January 01, 2022 - The objectives of the project were to:
Implement evidence-based guideline recommendations that address … Apply the Guideline Elements Model (GEM) and associated tools that facilitate the development of executable
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rollman-bl-et-al-2001
January 01, 2001 - electronically informed of their patients' diagnoses, and randomized to 1 of 3 methods of exposure to guideline-based … There were no differences in the agreement rate or treatments provided across guideline exposure conditions … were exposed to 1 or more patient-specific advisory messages [that] were based on the AHRQ practice guideline
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digital.ahrq.gov/sites/default/files/docs/page/2006Davidson_051711comp.pdf
December 31, 2006 - • Relative costs: Medium, requires interviews
• Time frame: 12/1/05 – 11/30/06
6
Evidence-based Guideline … design: cross-sectional, serial measures study
• Sample size: undetermined
• Main outcome: metrics on guideline … adherence
• Data source(s): review of audit logs, calculation of guideline
adherence and missed opportunities … Claims submission and sustainability
InformationLinks: Business Process Analysis
Evidence-based Guideline
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digital.ahrq.gov/sites/default/files/docs/page/Davidson_5-V.pdf
December 31, 2006 - Relative costs: Medium, requires interviews
• Time frame: 12/1/05 – 11/30/06
6
Evidence-based Guideline … : cross-sectional, serial measures study
• Sample size: undetermined
• Main outcome: metrics on guideline … adherence
• Data source(s): review of audit logs, calculation of guideline
adherence and missed … Claims submission and sustainability
InformationLinks: Business Process Analysis
Evidence-based Guideline
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digital.ahrq.gov/sites/default/files/docs/citation/implementation-guide.pdf
December 01, 2018 - Guideline Interpretation and Clinical Decisions
It is often necessary to interpret or adjust clinical … Although inspired by the CDC Opioid Guideline for Prescribing Opioids for
Chronic Pain, this artifact … Intervention “Benzodiazepine
medications”
Per CDC guideline information and U.S. … CDC Guideline for Prescribing Opioids
for Chronic Pain – United States, 2016. … CDC Guideline for Prescribing Opioids for Chronic Pain —
United States, 2016.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023306-harle-final-report-2020.pdf
January 01, 2020 - during patient visits for chronic noncancer pain (CNCP), and to use this
knowledge to develop novel, guideline-based … during
patient visits for chronic noncancer pain (CNCP), and to use this knowledge to develop
novel, guideline-based … OneSheet aggregates key,
guideline-recommended information on one screen in the EHR, including pain-related … OneSheet also makes
guideline-recommended clinical action easier and more convenient for clinicians, … that EHR and clinical decision
support developers can use to help clinicians be more efficient and guideline
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digital.ahrq.gov/sites/default/files/docs/page/automating-quality-measurement-health-it-for-scalable-comprehensive-and-routine-quality-assessment.pdf
June 03, 2010 - Guidelines
Automated Assessment
of Care Quality
Development of
EMR-sensitive
measures
Extraction of
Guideline … Measure
Implementation
Data Extraction Clinical Event Identification Quality Measurement
Clinical Guideline … Measure
Implementation
Data Extraction Clinical Event Identification Quality Measurement
Clinical Guideline … utilization (visits, meds)
Obesity Care Quality study
NHLBI has developed a 10 step clinical guideline … – measure BMI,
– counsel overweight and obese patient on weight loss and
exercise.
From this guideline
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digital.ahrq.gov/program-overview/research-stories/evaluation-scaling-acceptable-cds-scaled-approach-interoperable
January 01, 2022 - researchers will evaluate the effectiveness of the adapted CDS tool across four healthcare systems, measuring guideline … PCOR evidence emerges, the researchers will also develop and pilot what is referred to as a “Living Guideline
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tierney-wm-et-al-2005
January 01, 2005 - We performed a randomized, controlled trial of guideline-based care suggestions delivered to physicians … Objective
To evaluate the impact of guideline-based care suggestion alerts on physicians and pharmacists
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021794-lakshiminarayan-final-report-2015.pdf
January 01, 2015 - intervention participants and 54% of control participants had their blood pressures controlled
into guideline … HTN was managed according
to the AHA and JNC-7 guideline recommendations with PCP input. … HTN control was operationalized as the BP < guideline thresholds of <
140/90 mm Hg. … Percentages of
subjects with HTN controlled into the guideline specified threshold was compared between … These parameters would likely be guideline based thresholds.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rosenberg-sn-et-al-2008
January 01, 2008 - Rosenberg SN et al. 2008 "Supporting the patient's role in guideline compliance: a controlled study." … Supporting the patient's role in guideline compliance: a controlled study.