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digital.ahrq.gov/barriers-hit-implementation
January 01, 2022 - A primary focus on barriers was identified through reviewer consensus. … We identified 20 publications that focused on the barriers to implementing HIT. … Three main barriers to CPOE adoption were identified. … The third major barrier identified was product/vendor immaturity. … In summary, studies have identified a large number of barriers to the implementation of HIT.
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-healthcare-central-oregon
January 01, 2022 - As a result, CONet CEOs and Quality Management professionals identified communication among physicians … The current technology assessment identified that four of the seven facilities have a significant portion … The incremental methodologies identified were to first standardize the paper process and data sharing
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digital.ahrq.gov/ahrq-funded-projects/encoding-and-processing-patient-allergy-information-ehrs/citation/drug-reaction
January 01, 2022 - Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome identified in the electronic health … Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome identified in the electronic health
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digital.ahrq.gov/ahrq-funded-projects/nlp-enabled-decision-support-cervical-cancer-screening-and-surveillance/citation/impact
January 01, 2022 - Impact of patient reminders on papanicolaou test completion for high-risk patients identified by a clinical … Impact of patient reminders on papanicolaou test completion for high-risk patients identified by a clinical
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/identifying-adverse-drug-events
September 13, 2021 - Quality of Care and Patient Safety Outcome: The computer monitoring strategy identified 2,620 alerts … The computer monitor identified 45 percent; chart review, 65 percent; and voluntary report, 4 percent … The ADEs identified by computer monitor were more likely to be classified as "severe" than were those … identified by chart review (51 versus 42 percent, p = .04).
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digital.ahrq.gov/ahrq-funded-projects/optimal-methods-notifying-clinicians-about-epilepsy-surgery-patients
January 01, 2022 - This research prospectively evaluated a machine learning algorithm that identified surgical candidates … prospectively evaluate the existing NLP system by integrating the system with the EHR for patients identified … The NLP algorithm identified patients with upcoming appointments as possible candidates for surgery. … Performance of the algorithm was determined by the number of missed surgical candidates it identified … Over 12 months, the algorithm identified 200 of 6,395 patients with epilepsy as potential surgical candidates
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/quality-measurement-and-improvement/comparison
April 26, 2021 - definitions based on administrative data, only 75% of diabetics determined by manually reviewing the EHR were identified … In contrast, 97% of diabetics were identified using coded information in the EHR. … The discrepancies in identified patients resulted in statistically significant differences in the quality
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024977-dexheimer-final-report-2018.pdf
January 01, 2018 - Patients identified by the algorithm were screened by two epileptologists for surgical candidacy. … The NLP system increased the number of identified surgical candidates by
43% (N = 98 vs. 140; p = 2 … The NLP system identified 200 patients as potential
surgical candidates. … Of all
patients identified by the NLP system, 128/200 (64%) had DRE. … identified
surgical candidates by 43%.
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digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology/annual-summary/2010
January 01, 2010 - The literature search identified 13,752 articles from which 131 randomized control trials (RCTs) were … Of the 14 CDSS features assessed in this review, the meta-analyses identified several new factors and … Three previously identified successful features of CDSS were also confirmed. … The project team identified only 25 RCTs assessing the impact of CDSS on clinical outcomes, 20 assessing … , and three previously identified features were confirmed.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/wolfstadt-ji-et-al-2008
January 01, 2008 - The studies identified were assessed to determine the type of computer system used, drug categories being … RESULTS: Of the 543 citations identified, 10 studies met our inclusion criteria. … based on their setting: hospital or ambulatory; no studies related to the long-term care setting were identified … A total of 7 original investigations were identified for inclusion [then the authors] searched the reference … list of these 7 original investigations and identified 3 additional studies meeting [their] criteria
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digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology
January 01, 2022 - features that influence the success of CDSSs/KMSs, evidence for impact of CDSSs/KMSs on outcomes, and any identified … A total of 15,176 articles were identified, from which 148 randomized control trials (RCTs) were selected … Six new success features were identified: 1) integration with charting or order-entry system; 2) promotion … Three features previously identified as having correlation with success were confirmed: 1) automatic
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computer-surveillance-hospital
2-month study period, and a total of 217 patients with suspected hospital-acquired infections were identified … The HIT system identified 140 (90%) of the confirmed cases, whereas the infection control clinicians … identified 118 (76%). … Lastly, the computer correctly identified 142 of the 156 patients who were receiving prophylactic antibiotics
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digital.ahrq.gov/sites/default/files/docs/activity/enabling_health_care_decisionmaking_through_the_use_of_health_information_technology_2010_pdf__2.pdf
January 01, 2010 - The literature search identified 13,752 articles from which 131 randomized control
trials (RCTs) were … Three previously identified successful
features of CDSS were also confirmed. … The project team identified only 25 RCTs assessing the impact
of CDSS on clinical outcomes, 20 assessing … Four features of CDSS that correlate with a successful impact of clinical decision support were
newly identified … , and three previously identified features were confirmed.
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digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange
January 01, 2022 - This project identified the information requirements for health information exchange (HIE) between PCCs … and EDs, described current information exchange scenarios, and identified the clinical, operational, … Information types used in current PCC-ED communication were identified and mapped to standard clinical
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digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related
January 01, 2022 - While the vast majority of potential errors are either caught by safety checks built into EHRs or identified … The research team found that the approach successfully identified and allowed review of multiple EHR-based … EHRs have frequently been identified as sources of error and frustration. … Once identified, Dr. … EHRs have frequently been identified as sources of error and frustration.
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digital.ahrq.gov/sites/default/files/docs/page/2006ClancyKeyesYoung_051211comp.pdf
May 23, 2011 - All events identified as errors may not represent true safety
problems (false positives)
Using … Key Challenges Identified by
Participants
People
Technology that doesn’t support clinical workflow … Key Challenges Identified by
Participants
Adverse Medical Device Events are not
routinely reported … of Communities through Regional Health Information Exchange
Overview of The Track
Key Challenges Identified … Key Insights
Track 5: Achieving and Sustaining Improvements
Overview
Key Challenges Identified by
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025005-snyder-final-report-2019.pdf
January 01, 2019 - In Aim 2, 15
recommendations were identified. … Final themes were identified through
discussion. … MTPs
identified and actions taken are summarized in Table 1. … identified both with or without an MTM alert. … A total of 39 negative usability incidents were identified.
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-data-improve-care-patients-known-or-suspected-cancer/annual-summary/2011
January 01, 2011 - electronic communication and surveillance if potential delays in their patients' diagnostic work-up are identified … Validation included a medical chart review to determine whether the identified patients were truly at … The RCT is underway to test the intervention of delivering information about trigger-identified potential … Overall, the triggers identified 1,564 patients with potential delays in care (426 for prostate and 1,138 … Additionally, reviews identified that 11.6 percent of patients with delayed care were subsequently diagnosed
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors/annual-summary/2012
January 01, 2012 - This study identified pediatric medications that are at the highest risk of causing harm through LASA … After estimation of the error rate, the positive predictive value will be identified for the screening … (Ongoing)
2012 Activities: The research team identified a subset of known LASA drug pairs that are … The Delphi process identified the drugs that the participants thought to be of high potential patient … Before running frequencies for the second aim, the team systematically identified duplicate entries in
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digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research/using-direct-patient-technology-and-clinical-decision-support
January 01, 2019 - One method to increase screening is to alert providers when patients are at risk as identified by the … Once a patient is identified, they will receive a text message offering them testing through their primary … Wells thinks that by bypassing the clinician, more patients with be screened; those identified as hyperglycemic