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digital.ahrq.gov/ahrq-funded-projects/context-aware-knowledge-delivery-electronic-health-records/citation/implementation-hl7-context-aware-knowledge-retrieval
January 01, 2023 - Implementations of the HL7 context-aware knowledge retrieval (“Infobutton”) standard: challenges, strengths, limitations … Implementations of the HL7 context-aware knowledge retrieval (“Infobutton”) standard: challenges, strengths, limitations
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digital.ahrq.gov/sites/default/files/docs/implementation/aug7p20.pdf
January 09, 2013 - The limits of technology
Modern Healthcare
Document title: The limits of technology
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digital.ahrq.gov/sites/default/files/docs/page/context-aware-knowledge-delivery-into-electronic-health-records.pdf
January 01, 2009 - seconds
62% of sessions: decision enhancement or
learning
Slow usage uptake in both studies
10
Limitations … CAN WE OVERCOME THE
LIMITATIONS? … Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Infobutton users
Impact of Infobuttons
Limitations … of Infobutton Approach to Knowledge Integration
Can we overcome the limitations?
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/barnett-go-et-al-2004
January 01, 2004 - characteristics of the Web site, specific functions that improve the workflow of the practicing clinician, and limitations … characteristics of the Web site, specific functions that improve the workflow of the practicing clinician, and limitations
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digital.ahrq.gov/sites/default/files/docs/page/TEP_Feb_2010_Challenges.pdf
January 01, 2010 - Different capabilities of EHRs
• Availability of and access to data for evaluation and
reporting
• Limitations … in EMR time-stamping
• Limitations of local IT skills and expertise
• Encoding concepts in a variety
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digital.ahrq.gov/sites/default/files/docs/integrating-pros-into-practice-qas-02272024.pdf
February 27, 2024 - survey instruments for patients with vision loss, limited
English proficiency, or health literacy limitations … QUESTION: For those who used digital data collection, how did you accommodate the
limitations and the … survey instruments for patients with vision loss, limited
English proficiency, or health literacy limitations … survey instruments for patients with vision loss, limited
English proficiency, or health literacy limitations … QUESTION: For those who used digital data collection, how did you accommodate the
limitations and the
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/medical-home/problem-integrating-behavioral
April 26, 2021 - shift in the clinical conceptualization of care must happen; we must identify and challenge the current limitations
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digital.ahrq.gov/sites/default/files/docs/page/4-GLIDES-LegalAspects.pdf
March 02, 2011 - participated
– Test ordering decreased
– Only one eligible malpractice case advanced to trial
Hearsay Rule Limitations … • An expert relying on CPG to aid testimony may be
subject to hearsay rule limitations
• Use of information … Malpractice Litigation
Using Guidelines as Affirmative Defense in Malpractice Actions
Hearsay Rule Limitations
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digital.ahrq.gov/sites/default/files/docs/page/2006Simon_051211comp.pdf.pdf
October 01, 2005 - 0.78 0.57 – 1.07
Lack of uniform
standards
78% 68% 81% 0.49 0.36 – 0.66 0.57 0.40 – 0.80
Technical limitations … Simon, MD All Rights Reserved
Limitations
Massachusetts only
New measure of EHR usage (may not be … ambulatory care
Organizations influencing practices in the decision whether to adopt a new EHR system
Limitations
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digital.ahrq.gov/ahrq-funded-projects/trial-decision-support-improve-diabetes-outcomes/annual-summary/2008
January 01, 2008 - /ethnicity and insurance status (Medicare, Commercial, Medicaid, Uninsured). ( Achieved, subject to limitations … specific subgroups, including race/ethnicity and insurance status, as above. ( Achieved, subject to limitations
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digital.ahrq.gov/ahrq-funded-projects/effective-use-e-prescribing-physician-practices-and-pharmacies/annual-summary/2011
January 01, 2011 - Identified obstacles in both the physician and pharmacy settings include information technology system limitations … electronic than with community pharmacies because of underlying transmission network and computer system limitations
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digital.ahrq.gov/sites/default/files/docs/page/2_2011_0804_TEP_CDSC_Usibility_v3.pdf
January 01, 2011 - J Am Med Inform Assoc. 2007 Jul-Aug;14(4):489-96
• Current limitations are NOT due to technical limitation … resources
• Clinicians have been educated re: need for coded data
entry
• Clinicians understand limitations
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digital.ahrq.gov/sites/default/files/docs/activity/2011_2900500073_grossman_pdf_2.pdf
January 01, 2011 - Identified
obstacles in both the physician and pharmacy settings include information technology system limitations … electronic than with community pharmacies because of underlying transmission network
and computer system limitations
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/health-information-exchange-hie/santa-barbara
January 01, 2007 - progress - California HealthCare Foundation (CHCF) grant money, lack of community leadership, vendor limitations
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/privacy-and-security/compelled-authorizations
Unless some limitations are imposed, health records generated today will be maintained indefinitely and
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs028511-held-final-report-2024.pdf
January 01, 2024 - Objective 3: Improve HIV Prevention Framework
The primary objective of this study was to address limitations … However, this figure likely underrepresents
the true prevalence due to limitations associated with … Limitations:
Sample imbalance and representation: The classifier may not adequately predict … NLP Limitations: NLP models, for example based on CUIs, may not capture all nuances in clinical … Model strengths and limitations:
The classifier demonstrated strong performance in identifying
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digital.ahrq.gov/ahrq-funded-projects/use-affordable-open-source-systems-rural-and-small-practice-health-professional/annual-summary/2010
January 01, 2010 - assessment of the needs of rural and small practice doctors with regard to the capabilities, strengths, and limitations … This effort assesses the capabilities, strengths, and limitations of existing open-source EHR applications
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/evaluation-studies-health-it/use-and
January 01, 2005 - Yet little has been written about the benefits and limitations of the quasi-experimental approach as
-
digital.ahrq.gov/sites/default/files/docs/activity/trial_of_decision_support_to_improve_diabetes_outcomes_2009_update_2.pdf
January 01, 2009 - (Achieved, subject to limitations of the dataset)
Estimate the incremental effects of DM2 on health … (Achieved, subject to limitations of the
data set)
Examine adoption of the CDS interventions, including
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digital.ahrq.gov/events/national-web-conference-e-prescribing-and-medication-management-new-paradigm-provider-and
June 23, 2009 - Kaufman discussed the technical limitations and challenges facing e-prescribing.