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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/measuring-clinical-information
(ICU) clinical information technology (CIT) is associated with fewer catheter-related blood stream infections … This study examined whether higher CIT score is associated with fewer catheter-related blood stream infections … Safety Outcome: a 10 point increase in the CIT score was associated with 4.6 few catheter related infections
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digital.ahrq.gov/principal-investigator/middleton-blackford
January 01, 2023 - Electronic health record feedback to improve antibiotic prescribing for acute respiratory infections … Electronic health record feedback to improve antibiotic prescribing for acute respiratory infections. … Documentation-based clinical decision support to improve antibiotic prescribing for acute respiratory infections … Documentation-based clinical decision support to improve antibiotic prescribing for acute respiratory infections
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/using-hospital-information
January 01, 1993 - information system that includes the computerized medical records system, adverse drug and hospital-acquired infection
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digital.ahrq.gov/sites/default/files/docs/activity/using_health_information_technology_to_support_population_based_clinical_practice_2010_pdf__2.pdf
January 01, 2010 - , Pediatric*
Summary: Acute respiratory infections (ARIs) are a major burden to the heath care delivery … The overuse of antibiotics for viral infections has contributed to the rapid emergence
of antimicrobial … This project aims to improve providers’ and
patients’ ability to distinguish viral infections from bacterial … infections by providing timely, accessible
information about the local incidence of common respiratory … Watch (https://intermountain.net/portal/site/mdvsi/), a reporting system for pediatric respiratory
infections
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digital.ahrq.gov/sites/default/files/docs/page/using-health-information-technology-to-support-population-based-clinical-practice.pdf
January 24, 2010 - Infection (ARI) Care
Improved awareness of community outbreaks
Provision of timely information … ineffective use of symptom relievers
Highly dynamic information needs
Endemics vs. epidemics vs. emerging infections … Infection (ARI) Care
Population-Based Clinical Practice & ARI
Why focus on ARI?
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digital.ahrq.gov/principal-investigator/doebbling-bradley
January 01, 2023 - Decision Support into Outpatient Clinical Workflow
Reducing health care-associated infections … Reducing health care-associated infections (HAIs): lessons learned from a national collaborative of regional
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digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr
January 01, 2023 - Outpatient
Medical Condition
Coronary Artery Disease (CAD)
Diabetes Mellitus
Respiratory Infection … Electronic health record feedback to improve antibiotic prescribing for acute respiratory infections. … with Chronic Care Needs , Patient , Physician
Self-reported familiarity with acute respiratory infection … Self-reported familiarity with acute respiratory infection guidelines and antibiotic prescribing in primary … Clinical decision support to improve antibiotic prescribing for acute respiratory infections: results
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computerized-algorithms-and
April 01, 1992 - Outcome: Increased capture of complete documentation for otitis media, pharyngitis and upper respiratory infection
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digital.ahrq.gov/sites/default/files/docs/resource/Mostashari_List_of_Measures_TCNY_AQA_eQARR_Crosswalk_1_30_08_Mostashari.pdf
May 29, 2009 - Medicaid, Child
Health Plus)
Appropriate
Treatment for
Children with
Upper
Respiratory
Infection … percentage of
children 3 months–
18 years of age who
were given a
diagnosis of upper
respiratory infection … Appropriate
Treatment for
Upper
Respiratory
Infection (URI)
The percentage of
children, ages 3 … months to 18 years,
who were
diagnosed with an
upper respiratory
infection (common
cold) and who
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computer-assisted-management
January 22, 1998 - A computer-assisted management program for antibiotics and other antiinfective agents
Authors: Evans RS, Pestotnik SL, Classen DC, Clemmer TP, Weaver LK, Orme JF= Jr, Lloyd JF, Burke JP Journal: N Engl J Med Publication Date: 1998 Jan 22 Volume: 338 Issue: 4 Pages: 232-8 HIT Description: A computeriz…
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/development-and-impact
October 01, 2001 - Development and impact of a computerized pediatric antiinfective decision support program
Authors: Mullett CJ, Evans RS, Christenson JC, Dean JM Journal: Pediatrics Publication Date: 10/2001 Volume: 108 Issue: 4 Pages: E75 HIT Description: Computerized pediatric anti-infective management program; Ele…
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/clinical-decision-support-systems-cdss/expert
Programs: Insights from the Society of Infectious Diseases Pharmacists
Health care-associated infections … These infections place tremendous burdens on the health care system and create situations for misuse
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digital.ahrq.gov/ahrq-funded-projects/development-clinical-decision-support-tool-facilitating-naturalistic-decision
January 01, 2023 - Sociotechnical Aspects
Technology Usability
Sepsis is a life-threatening bloodstream infection … culture utilization rely on analytic approaches to determine the pretest probability of bloodstream infections … distress syndrome, traumatic brain injury, ventilator management, and central line-associated blood stream infection
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digital.ahrq.gov/principal-investigator/ferris-timothy
January 01, 2023 - Impact of a computerized template on antibiotic prescribing for acute respiratory infections … Impact of a computerized template on antibiotic prescribing for acute respiratory infections in children
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs018538-gesteland-final-report-2014.pdf
January 01, 2014 - epidemiology of specific viruses
including the signs and symptoms, the typical natural history of infection … administrative stakeholders including chief medical officers, hospital and clinic
administrators and infection … current epidemic curve; typical signs & symptoms; ‘what can I do today’
advice; figures depicting the infection … Based on this input, we
developed a set of graphics –
Infection Timelines – based on a
review of published … Development of a
Mobile Antibiogram Application To Support Empiric Antibiotic Prescribing across the Infection
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digital.ahrq.gov/principal-investigator/gesteland
January 01, 2023 - Practice
Description
This project’s aim was to improve providers' ability to distinguish viral infections … from bacterial infections by providing physicians and patients with timely, accessible information about
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digital.ahrq.gov/sites/default/files/docs/implementation/Lobach.ppt
August 12, 2005 - in 1 year
Care Coordination Two missed appointments in 60 days
No Follow-up appointment after ear infection … Hospitalization for asthma / diabetes daily CHW, CLM, PCP monthly weekly
No follow-up appointment after ear infection … Missed Appointments
F/U Appointments Missed appointments per 1000 patient years
Rate of f/u after ear infection
-
digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-rules-and-reminders/influenza-vaccine-age-%E2%89%A5-6-months-and-24-months-due-vaccination
July 29, 2005 - through 23 months receive influenza vaccine because of the increased risk of hospitalization and serious infection
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026704-ahmad-final-report-2023.pdf
January 01, 2023 - Louis metropolitan area suffer from a high incidence of sexually
transmitted infections (STIs), particularly … Key Words
adolescent; electronic interviews; primary care; sexually transmitted infections; gonorrhea … SCOPE
Background: Sexually transmitted infections (STIs), particularly chlamydia and gonorrhea, … These infections have a high incidence in adolescents, however
many individuals at-risk for infection … CFIR
construct
Description Definition for sexually transmitted
infection screening
Individuals
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digital.ahrq.gov/sites/default/files/docs/implementation/REILING_8_V.ppt
January 01, 2005 - Patient Movement
Design Recommendations, con’t
Active Failures
Operative/Post-Op Complications/Infections … refused a test, tx or med
Reduce Active Failures:
Complications:
op & post-op
op & post-op infections … surgeries
Correct tube-connector-hole events
MRI hazards
Retrospective trending of data since 2002 Post-op infections