-
digital.ahrq.gov/sites/default/files/docs/citation/AppendixB_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - memory
• Sub-optimal support of teamwork (situation awareness)
• Confusing information display
• Inadequate … vendor Testing
• Inadequate vendor software change control
• Inadequate control of user access
• … local testing
• Inadequate project management
• Inadequate software change control
• Inadequate control … of user access
• Suboptimal interface management
• Other
Other factors
• Inadequate training … • Excessive workload (including cognitive)
• Inadequate organizational change management
• Inadequate
-
digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - Causation
Items selected:
• Mismatch between HIT function and clinical reality (1)
• Inadequate or … system alerts
• Inadequate software change control (6)
• Inadequate project management (1)
• Implementation … Other entries: Lack of adequate usability testing (1)
5
• Unforced user error (2)
• Inadequate … (1)
• Decision logic inadequate (1)
• Inappropriate level of automation (1)
• CDS other: “inadequate … software change control (2)
11
• Inadequate project management (3)
• Implementation other: “inadequate
-
digital.ahrq.gov/sites/default/files/docs/citation/AppendixF_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - integrity maintained 1
“Data Quality” Data not in sync; test/production 1
“Clinical-Decision Support Inadequate … 6
“Software Design” Local programming 3
“Software Design” Interfacing issues 3
“Implementation” Inadequate … testing before a change 4
“Implementation” Inadequate workflow design 1
“Implementation” Data lost
-
digital.ahrq.gov/sites/default/files/docs/citation/AppendixC_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - Information Display 28%
(n=69)
Mismatch between HIT function and clinical reality 28%
(n=69)
Inadequate … 8.8%
(n=7)
Decision-Engine Logic Inadequate 7.5%
(n=6)
Inappropriate level or automation 16.3% … selections possible
Faulty vendor implementation/configuration
recommendation
16.7%
(n=43)
Inadequate … software change control 40%
(n=18)
Inadequate project management 24.4%
(n=11)
Inadequate control … training infrastructure 32.1%
(n=42)
Excessive workload (including cognitive) 15.3%
(n=20)
Inadequate
-
digital.ahrq.gov/sites/default/files/docs/citation/AppendixD_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - Inconsistent Information Display 19.9%
Mismatch between HIT function and clinical reality 22.7%
Inadequate … (13)
Confusing Information Display (32)
Mismatch between HIT function & Clinical Reality (32)
Inadequate … Organizational Factors Usability
Other (12) Mismatch between HIT Function
and Clinical Reality (8)
Inadequate
-
digital.ahrq.gov/ahrq-funded-projects/computer-assisted-medication-and-patient-information-interface-campii/annual-summary/2012
January 01, 2012 - Inadequate information from patients, particularly in the areas of medication adherence and associated … adverse events, can lead providers to make poorly informed clinical decisions and provide inadequate
-
digital.ahrq.gov/ahrq-funded-projects/computer-assisted-medication-and-patient-information-interface-campii/annual-summary/2011
January 01, 2011 - Inadequate information from patients, particularly in the areas of medication adherence and associated … adverse events, can lead providers to make poorly-informed clinical decisions and provide inadequate
-
digital.ahrq.gov/sites/default/files/docs/resource/Logan_QMforColonoscopy_Narrative_v4.pdf
December 12, 2008 - • Problems with the procedure are defined as no cecal intubation, inadequate prep
on the current … examination
o CORI has 4 choices for "Prep results"; the report will consider 'poor' as
representing an inadequate … Nonpolyposis Colorectal Cancer
• Problems with the procedure are defined as no cecal intubation, inadequate … examination
o CORI has 4 choices for "Prep results"; the report will consider 'poor' as
representing an inadequate … • Problems with the procedure are defined as no cecal intubation, inadequate prep
on the current
-
digital.ahrq.gov/sites/default/files/docs/resource/Logan_ExcellenceReportQMs.pdf
June 16, 2021 - • An inadequate bowel prep is defined as a choice of ‘Poor – inadequate to detect polyps > 5 mm’ … • Inadequate bowel prep is identified from the Preprocedure screen, when "Prep results" are
'poor … • Inadequate bowel prep is identified from the Preprocedure screen, when "Prep results" are
'poor … • Inadequate bowel prep is identified from the Preprocedure screen, when "Prep results" are
'poor … • Inadequate bowel prep is identified from the Preprocedure screen, when "Prep results" are
'poor
-
digital.ahrq.gov/ahrq-funded-projects/real-time-assessment-dialogue-motivational-interviewing-training-readmi
January 01, 2024 - solution using artificial intelligence can be tailored to allow providers to quickly and actively address inadequate … However, MI can be challenging for providers to use due to inadequate training and the tendency for physicians
-
digital.ahrq.gov/ahrq-funded-projects/computer-assisted-medication-and-patient-information-interface-campii/annual-summary/2010
January 01, 2010 - Inadequate information from patients, particularly in the areas of medication adherence and associated … adverse events, can lead to poorly-informed clinical decisionmaking and inadequate or unclear instructions
-
digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
May 01, 2012 - Inadequate Clinical Content is now grouped
in the Decision Support category. … Inadequate or Confusing Feedback to User is simplified and revised as Inadequate Feedback to
the User … Decision-Engine Logic
Inadequate has therefore been removed from the Hazard Manager 2.0. … software change control
• Inadequate project management
• Inadequate control of user access
• Unpredictable … software change control
Inadequate project management
Inadequate control of user access
Unpredictable
-
digital.ahrq.gov/ahrq-funded-projects/data-individual-health
January 01, 2023 - While this process is informed by clinical research, there is an inadequate feedback loop between health
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/tang-p-et-al-1995
January 01, 1995 - e.g., problem lists and medication lists), ineffective communication among health care team members, inadequate
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/birmingham-e-catallozzi
January 01, 2023 - during sick visits, need to review multiple sources of immunization information, time shortages and inadequate
-
digital.ahrq.gov/ahrq-funded-projects/measuring-and-improving-ambulatory-patient-safety-electronic-dashboard/annual-summary/2012
January 01, 2012 - Project Period
September 2012 – September 2014
AHRQ Funding Amount
$296,716
Summary: Inadequate
-
digital.ahrq.gov/sites/default/files/docs/page/length-of-stay-quick-reference-guide.pdf
March 01, 2009 - results, schedule diagnostic tests, conduct
discharge planning, or wait for consultation because
of inadequate … analyzing data, only to find the original
statistical plan was flawed, leaving you with
data that is inadequate
-
digital.ahrq.gov/telehealth-0
January 01, 2023 - Access to care is an issue in regions where physician-to-patient ratios are inadequate or where there
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/h%C3%A4kkinen-h-et-al-2007
January 01, 2007 - All medication data were not entered in any of the [parts], mainly due to inadequate usability."
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ullah-r-et-al-2002
January 01, 2002 - Clinical examination during the tele-link consultation was inadequate for eight out of the first 20 patients