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digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related
January 01, 2023 - and conclusions in this document are those of the author(s), who are responsible for its content, and do … to find a way to identify near misses. … and conclusions in this document are those of the author(s), who are responsible for its content, and do … wanted to find a way to identify near misses in healthcare. … How small inconsistencies can lead to increased errors
A second example found from the black box analysis
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025443-abraham-final-report-2020.pdf
January 01, 2020 - a “Job Aid” describing the purpose and how to use
the medication void function was sent to all hospital … around
physically having to do things and having to come back to it to place orders” (MD-466). … This example illustrates how a clinician ordered the medication, without realizing updates in
patient … do things too quickly for a
patient” (MD-707) resulting in erroneous orders. … A clinician stated: “my workload is such that
I often do not have enough time to look things up before
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017102-gorman-final-report-2011.pdf
January 01, 2011 - How is task performance affected by the
arrangement of information? … had to do to
11
reorganize it. … “Healthcare Recovery: How the Science of Human Factors is Challenging Healthcare to
Move Patient Safety … Analysis of these data began with structured “case reports” for each subject and task,
describing the … The
result is multiple separate medication lists for a given patient which do not agree, jeopardizing
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021797-gillespie-final-report-2015.pdf
January 01, 2015 - was to determine how
best risk can be expressed with a decision aid when evaluated in the context of … How much do you think information provided by eCoach could affect or change decisions
made by patients … How important do you think it is to develop eCoach program for patients, even if cost more
time or money … immediately- self-pressure
to do something, program
should emphasize more
that we can take time; … • NUMERACY: “Do you have a hard time working with numbers/fractions/percentages?”
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs025618-solberg-final-report-2023.pdf
January 01, 2023 - Johnston et al noted in a 2013 review that “many primary
studies do not seem to measure aspects of perceived … What information do they want to receive about outcomes from these procedures and how do
they want … The overall goal of this sub study was to learn how to adjust PROM scores for potentially
confounding … What turned out to be a much bigger challenge is how to incorporate surgeon input into such a system … How can a valid research agenda for patient-reported outcomes
be defined without patient input?
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digital.ahrq.gov/ahrq-funded-projects/information-needs-homecare-nurses-during-admission-and-care-planning
January 01, 2023 - and conclusions in this document are those of the author(s), who are responsible for its content, and do … , decision making, and workflow of home care nurses admitting patients to identify if and how IT systems … Characterize if and how health IT systems support home care admitting nurses’ information requirements … and conclusions in this document are those of the author(s), who are responsible for its content, and do … Availability and quality of information used by nurses while admitting patients to a rural home health
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digital.ahrq.gov/sites/default/files/docs/citation/pccds-ln-opioid-action-plan-2019.pdf
January 01, 2019 - , and case
studies; results are summarized in Section 5.4,
Table 5.
1.4.5 Recommended Stakeholder … They need to do this in the broader
context of health IT-enabled process
management, e.g., via EHRs … and implemented
widely to fully deliver on the future
scenarios; and
◼ Guidance and case studies … 4-page PDF form and a NIDA-supported TAPS tool
PCCDS Intervention Implementation Guidance and Case … https://www.healthaffairs.org/do/10.1377/hblog20180927.51221/full/
https://www.healthaffairs.org/do/10.1377
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017167-kopal-final-report-2011.pdf
January 01, 2011 - I like to be validated in what I do, and since
this is not my typical patient that I see, I like
to … select features based on how easy it would be to build within the current eCW
platform, on skills, … What quality measurement reports do your providers have access to? … Implementation of electronic medical
records in hospitals: Two case studies. … Translating Evidence into
Action: A How-To Manual for Implementing Clinical
Decision Support, July
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digital.ahrq.gov/sites/default/files/docs/publication/developmentmethodskeyinformantinterviewsreport.pdf
July 10, 2012 - Many consumer
health IT products do not use a specific design framework, and do not include “human factors … regarding introducing a product to another country and how best to use the company’s
resources to achieve … You can either try to listen in, or you can actually
have a hypothesis [about how people want to use … We’d think of it more in terms of, do people understand what their goal
is, do they understand how they … So they
know what to do, they then know how to do it, are they able to actually do it?
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017246-stepnowsky-final-report-2011.pdf
January 01, 2011 - procedures made it difficult to do it in a way that protected the privacy and
confidentiality of the … For those up to 5 symptoms, they are then
asked to rate how much of a problem each symptom has been … A key limitation of CPAP
therapy is how much it is used in clinic populations, and its suboptimal use … The first study to do so found that CPAP did not have an
effect[73]. … Future
research would do well to include some or all of the other components to make the intervention
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digital.ahrq.gov/sites/default/files/docs/page/2006ClancyKeyesYoung_051211comp.pdf
June 16, 2021 - Understanding processes up front can better
inform how to integrate technology into
workflow. … do we “evaluation lite”? … Transitions represent vulnerable points in care and we are still
learning how to manage them. … Many EHRs do not support population based
care. … How can the design of a new hospital,
incorporating HIT, improve safety?
What Did We Learn?
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021005-sorondo-final-report-2015.pdf
January 01, 2015 - By teaching patients to take responsibility for their own health, and
coach them on how to do it, the … All patients
were trained on how to use the portal in viewing and updating their electronic health … access to a computer. … , seems to be a larger limitation that what we were
expecting. … How to attain meaningful use [updated
January 15, 2013; cited 201 August 26].
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018171-arora-final-report-2013.pdf
January 01, 2013 - In regards to creating a
separate case study submission, it was found that this would not be a useful … and see how it goes. … how they can react to future circumstances in treatment.
3. … do the work twice. … The providers thought a blog on the portal would be a good idea but struggled with
concerns about how
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017163-baker-final-report-2011.pdf
January 01, 2011 - how quality is measured and how information is used to achieve truly outstanding
levels of quality. … Most clinical decision support tools had linked order sets that allowed physicians to do place
orders … 16
Paper reminders do not appear to improve quality of care beyond state-of-the-art electronic … The time and
effort to do this may be better spent doing additional academic detailing and training … exceptions when they are learning how to use these tools.
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digital.ahrq.gov/sites/default/files/docs/citation/u19hs021093-lambert-final-report-2017.pdf
January 01, 2017 - To do so, we will define a clustering unit of
patients who have taken drug A and experienced adverse … dosing simulator to teach medical
residents how to manage pain in the inpatient setting. … In face-to-face didactic sessions, we taught residents conceptual principles of pain management and how … We demonstrate how to use a combination of logistic regression, Poisson prediction limits,
and highly … A case study in generic drug use: Should
there be risk adjustment in incentive payments for the use
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digital.ahrq.gov/sites/default/files/docs/publication/2014-jason-data-for-individual-health.pdf
January 01, 2014 - devel
opment of a Learning Health System.
1.2 Study Charge
JASON was asked to address how to bridge … indicators, could lead to a better
understanding of how best to integrate community support for health … Specifically, JASON was asked to address how to bridge, on the na
tional scale, to a system focused … samples do not need to be obtained in a clinical setting. … do so.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017864-ciemins-final-report-2012.pdf
January 01, 2012 - to
take care of myself.
92.9% 92.2% 92.1% 90.5% -
I clearly understood how to manage my
health … plan that described how all of my health care
needs were going to be met.
80.2% 78.6% 83.7% 84.9% … .
89.9% 91.9% 90.1% 94.4% +
I was confident that I knew what to do to
manage my health.
87.5% 88.7% … 87.3% 90.6% +
I was confident I could actually do the things I
needed to do to take care of my health … Conclusions
The results of this study demonstrate how a health IT intervention, focusing on discharge
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digital.ahrq.gov/sites/default/files/docs/page/sustainability-partnerships-and-teamwork-in-health-it-implementation.pdf
December 01, 2012 - “Using health IT is not just about how and which button to push, it’s about how to incorporate
it into … workflow and how to do so efficiently.” … it into workflow and how to do so efficiently. … Not just how to push a button, but how to make it
work.” … For items that do not apply to you, select n/a.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015362-littman-final-report-2007.pdf
January 01, 2007 - completed pre- and post-tests which included an
assessment of their technical skills and understanding of how … • Most clinics do not have enough computers and printers and no dedicated IT staff. … • Market the vision; do not sell it. … • Do workflow analysis for each site before implementation. … • Identify winners and losers and how they win and lose and revisit (be comfortable going
back
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs02257502-hewner-final-report-2017.pdf
January 01, 2017 - they do not suggest how to
use either the EHR or administrative claims to divide the population into … A further drawback is that they do not attempt to use the segments to evaluate
program effectiveness … The staff are enthusiastic about the
program and it has become a regional model for how to meet DSRIP … understand how to use data to improve decision making at the
point of care. … Our recent scoping review
demonstrates that we still have much to learn about how to incorporate social