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digital.ahrq.gov/ahrq-funded-projects/power-patient-design-and-test-closed-loop-interactive-it-geriatric-heart
January 01, 2023 - Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care … Patient-Generated Health Data
Remote Patient Monitoring
Care Setting
Patient Home
Medical … /33369989/ Principal Investigator: Holden, Richard Project Name: Power to the Patient: Design and Test … Method: Qualitative , Systematic Review Population: Patient
Power to the Patient: Design and Test … Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care
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psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
September 26, 2012 - The Commentary This case highlights two medical errors, each with important causes and consequences … Often the resident who ordered the original test is no longer in the hospital. … Could an automated system within the laboratory or within the electronic medical record have flagged … Communicating critical test results: safe practice recommendations. … Communicating critical test results: safe practice recommendations.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/about_the_health_literacy_item_set_for_hospitals_911.pdf
October 01, 2015 - Recognize particular behaviors that inhibit effective communication (e.g.,
talking too fast, using medical … H-HL3 Nurses hard to understand because of the way they spoke patient’s
language
H-HL4 Nurses used medical … Doctors hard to understand because of the way they spoke patient’s
language
H-HL11 Doctors used medical … other test was for
H-HL21 Explanation of blood test, x-ray, or other test was easy to understand … test, x-ray, or other test was for
H-HL21 Explanation of blood test, x-ray, or other test was easy
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/jerome-rn-et-al-2008
January 01, 2008 - Jerome RN et al. 2008 "Exploring clinician adoption of a novel evidence request feature in an electronic medical … Exploring clinician adoption of a novel evidence request feature in an electronic medical record system … evidence-based medicine literature request feature recently integrated into an existing electronic medical … implementation of the customized communication strategies (11% in each time period, P=1.0, McNemars test … information changed clinical practice (e.g., implementing a new or different treatment, adding a diagnostic test
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022586-lacson-final-report-2017.pdf
January 01, 2017 - chest or abdominal
CT exams over a 12-month baseline and 12-month intervention period at an academic medical … A waiver of
informed consent for medical record review was granted by the BWH institutional review board … medical records
achieving their potential? … Journal of the American Medical Informatics Association : JAMIA.
2014;21(3):473-80.
10. … Journal of the American Medical Informatics Association : JAMIA. 2015;22(4):857-63.
12.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/RealTimeLOINCTranslationPoster.pdf
July 01, 2009 - Results
Contact information
Health information exchange requires interfacing with diverse electronic
medical … Integrating medical data is vital for primary usage in health
care treatment and secondary usage in … disease, reporting hospital measures and in
research repositories. 2
One barrier to the integration of medical … American Medical Informatics Association 2008 Symposium
Proceedings, p 768
6. Zollo KA, Huff SM. … ahca.myflorida.com
Pamela Banning, BS, MT(ASCP), CLS(NCA, PMP(PMI)
Healthcare Data Analyst & LOINC® Committee member
Medical
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psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge-cluster-randomized
March 04, 2015 - This cluster-randomized trial used medical record review to assess whether an automated notification … of test results to discharging hospitalist physicians and receiving primary care physicians improved … The intervention was focused on actionable test results , which constituted less than 10% of all pending … Even with the intervention, only 60% of tests deemed actionable had any documented follow-up in the medical … March 4, 2015
Changes in medical errors after implementation of a handoff program.
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/nc.html
March 01, 2019 - Evaluation Highlight No. 2 : How are States and evaluators measuring medical homeness in the CHIPRA Quality … Top of Page
North Carolina's Objectives
North Carolina will work to collect, test, and report … North Carolina is one of two grantees that will test and evaluate the model EHR format for children. … Working with the Initial Core Set of Children's Quality Measures
North Carolina will collect, test, … The State will test the model by assessing three attributes: (1) adequacy in addressing gaps in current
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digital.ahrq.gov/ahrq-funded-projects/veterans-administration-va-integrated-medication-manager/annual-summary/2010
January 01, 2010 - In a departure from the traditional medical record, a major feature of this system is the explicit linking … The second phase of the project evaluates the IMM software using test cases in simulation studies. … The research team completed creating, pilot testing, and revising all test cases. … The team initially thought creating test cases would be more difficult than using real patient cases … more evident or less evident, important information is located further back in time in the patient’s medical
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mcdowell-i-et-al-1989-0
January 01, 2023 - Working from computerized medical records, 1587 women aged 18 - 35 who were overdue for a screening test … group, no formal method was used to encourage patients to attend for screening, and 13.7% obtained a test … In a third group, the practice nurse called patients on the telephone to advise them to obtain the test … a message to the physician to recommend cervical screening; repeat reminders were generated until a test … Context or other IT in place
Electronic medical records (EMR)
Workflow-Related Findings
Patients
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn12.pdf
April 29, 2014 - Requirements
6/13/2012
Field Name Opt Preferred format Table
1 MHA Hospital ID R 3 digits
2 Medical … Admit Date/Time R YYYYMMDDHHMMSS
8 Discharge Date/Time O YYYYMMDDHHMMSS
9 Order Number R
10 Lab Test … Notes O
Page 2 of 4
Lab Data Requirement Notes:
Fields 1 (MHA Hospital ID), 2 (Medical … Same as in UB data.
2 Medical Record Number
3 Patient Account Number
Hospital internal number … Name
Name of this lab test that corresponds to #11.
11 Lab Test Code
If LOINC codes not
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digital.ahrq.gov/ahrq-funded-projects/multi-site-trial-test-benefits-adding-personalized-risk-calculator-online
January 01, 2025 - A Multi-Site Trial to Test Benefits of Adding a Personalized Risk Calculator to an Online Decision Aid … Dates
09/30/2020 - 07/31/2025
Technology
Clinical Decision Support System
Medical … The system will be further validated and integrated with Deciding Together to test its efficacy and ensure … /39288559/ Principal Investigator: Blumenthal-Barby, Jennifer Project Name: A Multi-Site Trial to Test … /37979976/ Principal Investigator: Blumenthal-Barby, Jennifer Project Name: A Multi-Site Trial to Test
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/colorectal-cancer-screening
May 16, 2019 - ; gFOBT=guaiac-based fecal occult blood test; m SEPT9 =methylated septin 9 gene DNA; sDNA test (+/- FIT … Fecal immunochemical test (quantitative and qualitative testing)
Multitarget stool DNA test (with … DNA test (m SEPT9 ) *
Urine-based test
KQs 2, 3: New technologic enhancements to colonoscopy … location (e.g., proximal or distal colon, rectum)
KQ 3: Serious harms requiring unexpected or unwanted medical … colorectal cancer)
KQ 3: Minor harms, defined as those not necessarily needing or resulting in medical
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/pa.html
March 01, 2019 - and hospitals to collect, test, and report on the initial core set of children's quality measures and … The State will test an electronic screening tool to enhance communication between providers and families … Pennsylvania is one of two grantees that will test and evaluate the model EHR format for children. … Medical Center, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center. … What strategies did Pennsylvania use to test the model EHR format for children?
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psnet.ahrq.gov/issue/use-simulation-emergency-medicine-research-agenda
December 30, 2008 - the recommendations of an expert task force on areas of research needed to advance simulation use in medical … March 5, 2025
Impact of interactions between drugs and laboratory test results on diagnostic … test interpretation—a systematic review. … November 21, 2018
Diagnostic error as a result of drug-laboratory test interactions. … October 19, 2011
Simulation in graduate medical education 2008: a review for emergency
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
January 01, 2022 - culture supports patient safety
Hospital
2004:
Version 1.0
2019:
Version 2.0
Nursing
Home
2008
Medical … stress/burnout
• Currently in development for nursing
homes
► Conducting cognitive testing and a pilot test … , patient centeredness, and high-
quality care
20
Diagnostic Safety
Supplemental Items
• For medical … )
Interview experts,
providers, and
staff
Identify key
thematic areas
Develop &
cognitively test … draft items
Obtain input from
Technical Expert
Panel (TEP)
Pilot test
Conduct
psychometric
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking4.html
September 01, 2022 - Such acknowledgment could be easily integrated into current medical school curricula. … Emphasize quantifying probability throughout medical education. … Provide data about test performance at the point of care, ideally through integration with EHRs. … Various methods are available to structure such information delivery; doing so at the time of test ordering … the general population and in individual patients and to adjust those probabilities in response to test
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digital.ahrq.gov/ahrq-funded-projects/evaluation-computer-generated-after-visit-summaries-support-patient-centered
January 01, 2023 - Project Dates
09/15/2009 - 03/15/2012
Technology
Electronic Health Record/Electronic Medical … Many electronic medical records (EMRs) are capable of printing an after-visit summary (AVS) that includes … This project utilized input from patients and clinicians in order to develop three test versions of an … Develop and test three different versions of an AVS. … conducted with 12 providers and 48 of their patients in order to inform the content of the three AVS test
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/chapman-l-2009-ehr
January 01, 2009 - healthier patients and a healthier bottom line. 2009 [cited 2010 February 16]
Abstract
"Graybill Medical … Upon completion of the test, an outside radiologist reads the image via the PACS and dictates the report … When a physician orders a lab test, the request is sent electronically. … Upon completion of the test by the laboratory, the Provider Approval Queue (PAQ) allows physicians to … Study Design
Story
Study Participants
The study participants included the Graybill Medical
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psnet.ahrq.gov/issue/electronic-health-record-based-surveillance-diagnostic-errors-primary-care
April 09, 2013 - July 10, 2008
Timely follow-up of abnormal diagnostic imaging test results in an outpatient … setting: are electronic medical records achieving their potential? … April 4, 2011
Notification of abnormal lab test results in an electronic medical record … September 14, 2011
The management of test results in primary care: does an electronic … medical record make a difference?