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101. CancelRx: A Health IT Tool to Decrease Medication Discrepancies in the Outpatient Setting - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs025793-chui-final-report-2020.pdf
     January 01, 2020 - study found that prescribers attempted to communicate with pharmacists to discontinue a medication in just … The ISTA framework recognizes that the “actual use” of the health IT must be examined, not just the … social systems (focusing on the people in the system, the tasks they perform, and the organizational culture … Guided by the ISTA framework, unintended consequences related to more/new work, the organizational culture … Culture–technology interactions in healthcare. Decision Sciences. 2016;47(5):851-880. 20.

102. Personalized Clinical Decision Support to Improve Participation in Hospital at Home – Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs027248-kowalkowski-final-report-2023.pdf
     January 01, 2023 - • Facilitator: “If it comes prepopulated in the sense, or if [the EHR] can pull all the data and just … throw me a score into that app if I just put the patient’s name in—Yes, that would be really useful … • “I think it’s game-changing because…when a patient understands what to expect from a program…it's just

103. Context-Aware Knowledge Delivery into Electronic Health Records - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/k01hs018352-del-fiol-final-report-2013.pdf
     January 01, 2013 - gaps are among the main causes of errors in the health care system and are missed opportunities for just-in-time … filling gaps in medical knowledge in the context of clinical decisions.2-4 In addition, providing just-in-time … limited to a small set of healthcare organizations with home- grown systems and a strong informatics culture … physician performance and patient outcomes.59, 60 Alternate learning interventions could promote just-in-time … Last, alternate sources of evidence derived from just-in-time, large-scale population analytics may

104. Improving Influenza Vaccine Uptake in Acute Care Settings - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r03hs027689-orenstein-final-report-2023.pdf
     January 01, 2023 - a default-checked influenza vaccine order automatically timed for 12 PM the day after admission, just-in-time … structure, pre-existing decision support and workflow patterns, technical infrastructure, and the culture … detailing evidence- based approaches to vaccine counseling, integrated into influenza vaccine orders for “Just

105. Guide to Reducing Unintended Consequences of Electronic Health Records (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
     August 01, 2011 - rely more heavily on the software, and demand more sophisticated functionality and new features (e.g., custom … communication patterns and practices Example: EHRs create an "illusion of communication," (i.e., a belief … In fact, if such problems exist, implementing an EHR may just make them worse. … Custom Programming 6. Care Process Change 7. … designed to help organizations assess whether they are ready to undertake organization-wide practice or culture

106. Appendix D to the Final Report Barriers to Meaningful Use in Medicaid: Analysis and Recommendations (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixD.pdf
     October 31, 2013 - We just want to hear what you have to say. … Guide.): • Awareness of peers who have had success with EHRs • Belief there is evidence that EHRs … of change – Costs (financial and otherwise) – Lack of leadership – Risks – Organizational culture

107. StartSmart: Health Information Technology to Improve Adherence to Prenatal Guidelines - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs024738-gance-cleveland-final-report-2019.pdf
     January 01, 2019 - pregnant women were asked what could make the questions easier to understand or more applicable to their culture … diverse participant stated, “The tablet-based screening is a better way to ask about [IPV] because in my culture … Just so you can tell that it’s switched [questions]." … In my culture we cannot talk about this but it is okay to answer on the tablet. Beta testing. … Future research is needed to translate and culturally adapt for other cultures, evaluate the efficacy

108. Accessing the Cutting Edge: Implementing HIT to Improve Quality in Rural East Kern Count - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016146-nocella-final-report-2009.pdf
     January 01, 2009 - A culture exists in this region where the primary care physicians have an office-based practice, specialty … HIE also hosts a master patient index and record locator service, in order to locate patients in a “just … group chose a vendor that could support an in-house server model due, in part, to the tradition and culture … of medicine that mandates control over the data and also due to providers’ belief that “offsite” systems

109. Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs018649-levick-final-report-2014.pdf
     January 01, 2014 - Lessons learned from the implementation included:  An increased appreciation of the difference in culture … Whereas previously, when the information was unavailable, the providers just “did the best they could … First, significant learning is required, not just for data entry but also for information retrieval.

110. Managing Personal Health Information: An Action Agenda (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/AHRQ_Personal_Health_InfoFinalReport_FINAL508compliant.pdf
     March 01, 2010 - User motivation (including beliefs and preferences). … PHIM is not restricted to just the home or the doctor’s office; its inherent tasks and activities occur … developers need to consider the full range of potential users who can benefit from consumer health IT, not just … physicians’ role in managing health information and making health care decisions; and physicians’ beliefs … improvements would make consumer health IT tools and systems widely available to all consumers, not just

111. Using the Electronic Health Record To Identify Children Likely To Suffer Last-Minute Surgery Cancellation - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs024983-pratap-final-report-2019.pdf
     January 01, 2019 - psychosocial research.4 In view of the differences between local communities and institutional policies and cultures … similarities in policies and culture … All cases had a valid patient identifier for tracking with just 35 (0.068%) excluded for missing data

112. Operational Redesign Through Workflow Analysis (pdf file)
     digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_operational_redesign_patient_flow_worksheet.pdf
     January 01, 2007 - They just need to incorporate an electronic way of documenting that care. … Responsibilities and Common Practices by Role You want to have a picture of the current documentation “culture … They just need to incorporate an electronic way of documenting that care.

113. Appendix E to the Final Report Barriers to Meaningful Use in Medicaid: Analysis and Recommendations (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixE.pdf
     October 31, 2013 - We just want to hear what you have to say. … Guide.): • Awareness of peers who have had success with EHRs • Belief there is evidence that EHRs … scope of change – Costs (financial and otherwise) – Lack of leadership – Risks – Organizational culture

114. Patient Readiness to Use Internet Health Resources (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/k08hs017948-koopman-final-report-2014.pdf
     January 01, 2014 - Domains and factors include not just measures of computer and internet ability and media literacy that … Validating this work for use in other languages and cultures would likely need to examine this cultural

115. A clinical trial to validate an automated online language interpreting tool with Hispanic patients who have limited English proficiency – Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs024949-yellowlees-final-report-2022.pdf
     January 01, 2022 - In addition, Microsoft supports text and voice translations within a group of people rather than just … We were ultimately quite severely under-funded for this study, not just because we had to manage Covid

116. National Web-Based Teleconference on Using Health IT for Chronic Disease Management (pdf file)
     digital.ahrq.gov/sites/default/files/docs/hit-cdm-slides-062111.pdf
     June 21, 2011 - There are many different pieces to this sort of package that we’re implementing here and it’s just … probably was a little bit too specific and maybe was a little overdrawn” Critical Success Factors Culture

117. Minimizing Stress, Maximizing Success of Physician's Use of Health Information and Communications Technologies - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r18hs022065-kroth-final-report-2018.pdf
     January 01, 2018 - workflow (time pressure and chaotic environments), low work control, and unfavorable organizational culture … information chaos affects quality of care and physician performance: “Information chaos … is not just … The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported

118. Using Health IT: Eight Quality Improvement Stories (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/EightSuccessStories_092810.pdf
     September 01, 2010 - Success stories Final_Layout 1 9/28/10 11:45 AM Page 10 In addition, the team learned that changing the culture … growing recognition that the value of health IT comes from impacting clinical decisionmaking, not just … improving health care quality and safety, health care organizations have come to recognize that just … I just know from before, it’s a much less tedious process, more streamlined…the paper process … The Oklahoma City data exchange, one of the early operational networks in SMRTNET, has just begun to

119. Quantifying Electronic Health Record Usability to Improve Clinical Workflow - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs021290-agha-final-report-2017.pdf
     January 01, 2017 - EHR is just one factor among many that influences workflow and perceived task load, other factors included … The resultant ecology, set of strategies and practice culture that has resulted from this situation … “ I mean it's- if it was just a paper note our life would be much easier. … But, yes, it just puts everything on your table.” … cognitive effort “I don't want to spend a lot of time reading a long comprehensive note when I can just

120. Customizing Value-based Methods to Prioritize Implementation of Pharmacogenomic Clinical Decision Support for Learning Health Systems - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs026544-devine-final-report-2022.pdf
     January 01, 2022 - The PGx-CDS alert program costs the health system just under $3 per person, over 20 years. … study findings can be particularly relevant for LHSs, in which science, informatics, incentives and culture