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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016147-rachal-final-report-2009.pdfJanuary 01, 2009 - primary care practitioners, sharing of electronic health records for targeted infants across agencies, nurse … Perspective The majority of respondents did not perceive any disadvantages to their child’s physician or nurse
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digital.ahrq.gov/sites/default/files/docs/health-it-implementation.pdfDecember 01, 2005 - staff more efficiently • Order pneumovax/flu shots, tests (EKGs), meds from the exam room so the nurse … – EX: nurse who worked with a group of docs knew which kind of echo test each one wanted and could … and by triage operators (essentially nursing personnel assigned to triage duty for the day) – The … of computer based TO-DO lists to capture the patient call-in information – An email is sent to the nurse … Process: – Nurses put faxed echo results (and other tests) in a basket for docs to see as they came
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/varying-impact-two-clinicalPrior to 1996, nurses used paper flowsheets, medication administration records, and progress notes.
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digital.ahrq.gov/sites/default/files/docs/care-post-treatment-slides-072512.pdfJuly 25, 2012 - • As-needed phone calls to/from program coordinator and/or vendor’s remote monitoring nurses. … • Cardiocom nurses are very professional and caring, fantastic communicators with patients and staff … Interaction Patient Using Louise 43 Interdisciplinary Collaboration- 3 Year Development • Doctors, Nurses … 36% prefer agent 48% neutral 16% prefer doctor or nurse “I prefer Louise, she’s better than a doctor … “It was just like a nurse, actually better, because sometimes a nurse just gives you the paper and says
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Automated Telephone Self-Management ProgramThe San Francisco Health Plan Enrollment Outreach Call (pdf file)
digital.ahrq.gov/sites/default/files/docs/resource/PCC_Schillinger_Q2_EnrollmentOutreachCallSFHP.pdfApril 17, 2009 - The nurse can help you manage your diabetes and answer questions. … or “Do you have any questions that you would like a nurse to call you back about?” … If you want a nurse to call you back no matter what you 2 answer, you can push a key for that … The nurse will call you back. … We can have a nurse call you when you return. Q: Does my doctor know about this program? -
digital.ahrq.gov/sites/default/files/docs/2010-02-24%20Transitions%20In%20Care%20(4).pdfJanuary 01, 2010 - http://relationalagents.com/red_demo_4545.wmv Pilot Study: Self‐Report Ratings of the Virtual Nurse … definitely prefer doctor or nurse definitely prefer Elizabeth/Louise 5.4 (1.9) How much did you feel … “It was just like a nurse, actually better, because sometimes a nurse just gives you the paper … allergies, conflicts with lab test results and patient conditions, needs for monitoring • Alert nurses … to: PCPs with info and alerts clinic scheduling staff with need for follow‐up visits visiting nurse
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digital.ahrq.gov/sites/default/files/docs/page/2006LeonhardtPagel_052411comp.pdfJune 01, 2006 - Goals and Objectives • Patient Safety Council : 11 patients, 12 health care providers (doctors, nurses … perspective – “I’ve changed my nursing practice based on comments from the patients on this Council” (Nurse … (Clinic nurse) Document title: Partners in Safety: The Walworth County (Wisconsin) Patient Safety
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Slide 1 (ppt file)
digital.ahrq.gov/sites/default/files/docs/page/Health%20IT%20Implementation.pptDecember 01, 2005 - coordinate care delivery Using telemedicine if in remote/rural sites Communicate with home health nurses … front-office staff more efficiently Order pneumovax/flu shots, tests (EKGs), meds from the exam room so the nurse … EX: nurse who worked with a group of docs knew which kind of echo test each one wanted and could correctly … and by triage operators (essentially nursing personnel assigned to triage duty for the day) The information … Use of computer based TO-DO lists to capture the patient call-in information An email is sent to the nurse -
digital.ahrq.gov/sites/default/files/docs/medicaid/health-it-implementation.pdfDecember 01, 2005 - staff more efficiently • Order pneumovax/flu shots, tests (EKGs), meds from the exam room so the nurse … – EX: nurse who worked with a group of docs knew which kind of echo test each one wanted and could … and by triage operators (essentially nursing personnel assigned to triage duty for the day) – The … of computer based TO-DO lists to capture the patient call-in information – An email is sent to the nurse … Process: – Nurses put faxed echo results (and other tests) in a basket for docs to see as they came
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Click to add title (ppt file)
digital.ahrq.gov/sites/default/files/docs/implementation/Kraus.pptDecember 16, 2004 - RN accesses EMR, selects med, modifies order adding dose replace reason (for each med needed)� EMR� Nurse … to complete and fax form to pharmacy - Nurse can request multiple meds on same form - No additional … order modifications or verifications on EMR - No potential confusion for nurse from �New Order� flags … to complete and fax form to pharmacy - Nurse can request multiple meds on same form - No additional … order modifications or verifications on EMR - No potential confusion for nurse from “New Order” flags -
Click to add title (ppt file)
digital.ahrq.gov/sites/default/files/docs/biblio/Kraus.pptDecember 16, 2004 - RN accesses EMR, selects med, modifies order adding dose replace reason (for each med needed)� EMR� Nurse … to complete and fax form to pharmacy - Nurse can request multiple meds on same form - No additional … order modifications or verifications on EMR - No potential confusion for nurse from �New Order� flags … to complete and fax form to pharmacy - Nurse can request multiple meds on same form - No additional … order modifications or verifications on EMR - No potential confusion for nurse from “New Order” flags -
Care Management (CMP) Discussion Guide (pdf file)
digital.ahrq.gov/sites/default/files/docs/survey/care-management-discussion-guide.pdfNovember 18, 2008 - Health and Science University, Portland OR This is an interview guide designed to be conducted with nurses … require more time; for experts, less) Question Novice Expert Describe your general role in the clinic Nurse … follow-up, motivational interviewing, education For Physician: How do you DECIDE to involve the nurse … For Nurse: What KIND of patient generally gets REFERRED to you? … for counseling; a new diabetic who needs education; a quality protocol where I refer a patient to a nurse -
digital.ahrq.gov/sites/default/files/docs/resource/Dataform_4_ADE_Incident_Identification_Form.pdfSeptember 30, 2009 - Nurse practitioner 3. Physician’s assistant 4. Nurse in office 5. Pharmacist in office 6. … School nurse 9. Babysitter/daycare provider 10. Patient 11. Other__________________ 12. … Nurse practitioner 3. Physician’s assistant 4. Nurse in office 5. Pharmacist in office 6. … School nurse 9. Babysitter/daycare provider 10. Patient 11. Other _________________ 12. … Nurse Practicioner 3. Physician Assistant 4. EMR 5. Pharmacist in office 6.
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-3-applying-cds-medication-managementMedication Selection/Reconciliation (prescriber, nurse, pharmacist) Select, for a clinical condition … Administration (patient or caretaker, nurse, and/or other clinician) Make positive medication and … Education (patient or caretaker, pharmacist, nurse, prescriber, other clinicians) Engage patient in … Monitoring (patient or caregiver, nurse, other clinicians, pharmacist, prescriber, health system) … narrow view of this interdependent process and respond with, "That’s not my job", or, "The pharmacist or nurse
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Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model - Final Report (pdf file)
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018912-mcconnochie-final-report-2014.pdfJanuary 01, 2014 - We found that existing school health personnel (nurses and school health aides) could usually be relied … Stakeholders included parents, telephone management nurses (“phone triage nurses”) from pediatric offices … Participant categories included family caregivers, telemedicine assistants, phone triage nurses, providers … Triage Nurse -‐ Office nurse providing guidance on illness management … Triage Nurse 5 It depends on the phone nurse that’s referring – -
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/outpatient-management-warfarinJanuary 01, 1991 - of Study: Compare warfarin dosage-adjustments using a computer program to dosage-adjustments by a nurse-specialist … predictions using a computer program was compared to the accuracy of an experienced anticoagulation nurse-specialist … Outcome: There was no significant difference between the computer program and the anticoagulation nurse-specialist
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/meigs-jb-et-al-2003January 01, 2003 - Nurses and nurse practitioners used the [DSS] for 0-13% of patient visits."
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digital.ahrq.gov/sites/default/files/docs/page/reduction-in-hospital-acquired-complications-and-infections-quick-reference-guide.pdfJanuary 01, 2010 - medical record tallied the score and generated an automatic consult to the wound ostomy continence (WOC) nurse … was at a high or very high risk for developing a pressure ulcer.19 Following this assessment, the WOC nurse … Wound Ostomy and Continence Nurses Society. … nosocomial catheter-associated urinary tract infections through computerized feedback to physicians and a nurse-directed
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/randomized-trial-computerizedMarch 01, 1989 - The Center has six practices, each with a staff physician, a nurse, and between three and five family-medicine … The nurse reminder needed 15 hours clerical time and 55 hours nurse time to call 1,188 families. … the salary, the cost per blood pressure reading gained ranged from $22.47 (salary $10 per hour for a nurse
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Using HIT to Improve Transitions of Complex Elderly Patients from SNF to Home - Final Report (pdf file)
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017817-field-final-report-2012.pdfJanuary 01, 2012 - of important information from the skilled nursing facility to primary care physicians and visiting nurses … We developed a work-around by establishing a collaborative link between a research nurse within the … The research nurse cross-referenced this with the EMR and entered discharge information directly. … patient’s home and to ensure correct discharge dates, each potential match was reviewed by research nurses … 47% Operations research analyst 33.93 370 12,561 28% Research assistant† 19.23 202 3,885 16% Registered
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