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61. Improving Medication Management Practices and Care Transitions through Technology - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017837-feldman-final-report-2012.pdf
    January 01, 2012 - Nurse Study Population. … For every 2 usual care nurses, 1 nurse was assigned to the intervention group. … Intervention Nurse Use of Electronic Clinical Decision Support Tool % of nurses who documented teaching … While the usual home care nurse would not change any of the regimens directly (most nurses do not have … Nurses with more agency experience and those who were in salaried staff positions (versus nurses paid

62. Improving Medication Management Practices and Care Transitions through Technology | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-medication-management-practices-and-care-transitions-through
    January 01, 2023 - Five hundred nurses were enrolled in the study, with 33 percent randomized to the intervention arm. … Use of the CDS by nurses was variable, likely due in part to variations in the nurses’ level of comfort … The more patients a nurse had in the study, the more likely the nurse was to use the tool. … Several patient characteristics also predicted CDS use by the nurse. … Nurses used the tool more often with patients who took a greater number of medications.

63. Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurses and providers in intensive care units. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units-15
    January 01, 2023 - Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurses and providers … Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers

64. Evaluation of Effectiveness of an Health Information Technology-based Care Transition Information Transfer System - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2010
    January 01, 2010 - development of an EHR-based discharge tool called Housewide Discharge (HWD), which is essentially a nurse-driven … Admission, discharge, and transition nurses met with the team and provided substantial feedback, which … The team completed 300 of 400 of the intervention period chart reviews via telephone by registered nurses

65. Perception and Use of a Patient Care Window to Improve Care and Family Engagement | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/perception-and-use-patient-care-window-improve-care-and-family-engagement
    January 01, 2023 - Determine the specific needs of PICU physicians and nurses that could inform redesign of the LCIM to … , focus groups with nurses and caregivers, and surveys administered to all three user groups. … Practitioner , Physician Nurses’ perceptions of a novel health information technology: a qualitative … Practitioner , Physician Nurses' perceptions, acceptance, and use of a novel in-room pediatric … Nurses' perceptions, acceptance, and use of a novel in-room pediatric ICU technology: testing an expanded

66. Improving Medication Management Practices and Care Transitions through Technology - 2011 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-medication-management-practices-and-care-transitions-through/annual-summary/2011
    January 01, 2011 - through Technology Principal Investigator Feldman, Penny Organization Visiting Nurse … uses an automated algorithm to identify high-risk patients and send an email alert to the home health nurse … This project is an extension of the existing Visiting Nurse Service of New York health IT system and … uses many of the features that the home health nurses regularly use. … Once randomized, the study arm assignment did not change, and all eligible patients of a particular nurse

67. Tulare District Hospital Rural Health EMR Consortium (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015096-davison-final-report-2008.pdf
    January 01, 2008 - Nurses were less positive than non-nurse staff about whether an electronic medical record would be more … Survey respondent views on whether eMAR improved patient safety Nurse Non-nurse eMAR increases patient … To study the relationship between IT implementation and nurse staffing, we analyzed nurse staffing data … to the California Nursing Outcomes Coalition.22 Total nursing hours per patient day, which include registered … nurses (RNs), licensed vocational nurses (LVNs), unlicensed aides, and other nursing personnel such

68. Electronic Health Record Use, Work Environments, and Patient Outcomes | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-use-work-environments-and-patient-outcomes
    January 01, 2023 - limited research regarding the impact of EHR implementation on the work environment, particularly that of nurses … Examine EHR adoption level and usability and the effects on patient and nurse outcomes.  … environment and EHR usability, suggesting that hospitals with better work environments may be involving nurses … As such, involving nurses in the development, selection, and modification of EHR systems should be a … Failing to do this may have significant negative implications for nurses’ health, workforce turnover

69. Title Page (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015270-hayden-final-report-2008.pdf
    January 01, 2008 - analysis, and an annual “safety survey” of staff, data on the completeness and internal structure of nurse-to-nurse … As once nurse commented, “I can work in my unit all day and not see another nurse in the unit the same … charge nurses). … Second, without nonverbal feedback and questions from the nurse receiving report, the nurse giving report … The nurse was about to give a medication, but the e-MAR warning caused the nurse to stop.

70. Saleem JJ et al. 2005 "Exploring barriers and facilitators to the use of computerized clinical reminders." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/saleem-jj-et-al-2005
    January 01, 2005 - DESIGN: We conducted an observational study of nurses and providers interacting with CRs in outpatient … Workflow-Related Findings "At each site except Site 3, nurses and providers displayed substantial … Six providers and three intake nurses reported CRs as being least important or not a priority." … The nurses then used this printout to address the CRs during intake and recorded the responses on the … This printout traveled with the patient to the provider and eventually was returned to the nurse so that

71. Improving Medication Management Practices and Care Transitions through Technology - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-medication-management-practices-and-care-transitions-through-technology/annual-summary/2010
    January 01, 2010 - through Technology Principal Investigator Feldman, Penny Organization Visiting Nurse … an automated algorithm to identify high risk patients and to send an email alert to the home health nurse … This project is an extension of the existing Visiting Nurse Service of New York health IT system and … uses many of the features that the home health nurses regularly use. … Of these nurses, 165 (33 percent) were randomized to the intervention study arm.

72. Bar-coded Medication Administration | Digital Healthcare Research
    digital.ahrq.gov/bar-coded-medication-administration
    January 01, 2023 - Prior to implementation, grantees reported that nurses have generally viewed BCMA systems favorably, … Nurses and nurse managers have suggested that, after an initial learning period for the technology and … Of all stakeholder groups affected by BCMA implementation, nurses are the most impacted.  … provided by a training program varied by grantee organization, three grantees cited that a successful nurse … Grantees defined a "super-user" as a nurse, pharmacist, or other clinical staff member who has received

73. Health Information Technology Survey for Physicians, Physician Assistants, and Nurse Practitioners | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/health-information-technology-survey
    January 01, 2023 - Health Information Technology Survey for Physicians, Physician Assistants, and Nurse Practitioners … This is a questionnaire designed to be completed by nurses and physicians in ambulatory and … Survey Document Health Information Technology Survey for Physicians, Physician Assistants, and Nurse … Type Questionnaire/Survey Research Method Attitude Assessment Population Nurse

74. Nursing Home Information Technology (IT): Optimal Medication and Care Delivery - 2008 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery/annual-summary/2008
    January 01, 2008 - focusing implementation in one or more areas: 1) certified nursing assistant (CNA) daily documentation; 2) registered … nurse (RN)/clinical team care delivery and planning activities; and 3) medication administration. … Nursing Feedback: Over 125 nurses provided feedback indicating improvement from baseline to 12 months … these to CNAs, and taking minimal effort to assemble resident summaries for the Minimum Data Set (MDS) nurse … per resident by dietary staff to 40 percent, dietary staff participation in care planning meetings, nurses

75. Using Health IT to Improve Care Coordination and Outcomes in Patients with Complex Health Care Needs (pdf file)
    digital.ahrq.gov/sites/default/files/docs/coordination-patients-complex-needs-slides-022014.pdf
    February 20, 2014 - Nurses’ use of the CDS 2. … ► Certain nurses chose to use CDS while others did not. … ► Nurses chose to use CDS with certain patients but not with others. … • Nurses used CDS with 42% of the 2,550 patients in the intervention. 42 Nurse Characteristics … not ► Potentially remediable: o Use of per diem versus staff nurses o Changes in nurse coordinator

76. CPOE Implementation in ICUs - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs015274-carayon-final-report-2009.pdf
    January 01, 2009 - nurse practitioners in ICUs. … at least 1 fellow; 12 cardiologists with 2 fellows 5 neonatologists, 5 residents, 4 neonatal nurse … , and survey data were collected from ICU attendings, fellows, residents, physician assistants, nurse … Because of the data complexity and the need to access protected health information (PHI), nurse data … In the pre-implementation, a nurse data collector recorded data from the patient’s paper chart and the

77. Unertl KM et al. 2006 "Applying direct observation to model workflow and assess adoption." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/unertl-km-et-al-2006
    January 01, 2006 - clinic and sent to individual nurses, defeating the purpose of the shared basket. … "During the handoff of the patient from the nurse to the physician, little communication took place. … Some information that patients shared with the nurse was not communicated to the physician because the … nurses recorded data in the EMR and the physicians rarely consulted the EMR. … "The nurse copied data provided by patients from the paper forms into the EMR.

78. af Klercker T et al. 1998 "Dilemmas in introducing world wide web-based information technology in primary care: a focus group study." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/af-klercker-t-et-al
    January 01, 2023 - The center has a staff of 21: five physicians (mostly family medicine specialists), seven trained nurses … specializing in community work, four nurses' aides, one physiotherapist, one occupational therapist, … The tree was used to create a computerized decision support system primarily for the use of nurses in … Workflow-Related Findings Nurses did not like the fact that the system could only focus on one symptom … Study Participants Each focus group had the same five members: one nurse's aide, three trained nurses

79. Computer-Based Provider Order Entry (CPOE) Implementation in Intensive Care Units (ICUs) | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units
    January 01, 2023 - Medical Condition Cardiovascular Disease Population Clinical Staff/Clinician Nurse … Nurse Practitioner Physician Physician Assistant Type of Care Acute Care Pediatrics … Determine the impact of CPOE/EHR on physicians, nurses, physician assistants, and nurse practitioners … Children Communication in the ICU and the relation with quality of care and patient safety from a nurse … Communication in the ICU and the relation with quality of care and patient safety from a nurse perspective

80. Campbell JR et al. 1989 "Computerized medical records and clinic function." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/campbell-jr-et-al-1989
    January 01, 2023 - Nurses and clerical personnel in the clinic were allowed to use the computerized records only for patients … We sampled the attitudes of nurses and clerical personnel toward use of the computer and performed detailed … Improved productivity and better use of time among the nurses and clerical personnel were thought to … Workflow-Related Findings "Using the conventional record, therefore, the nurses and clerical personnel … "Nurses and clerical workers consistently and strongly preferred all aspects of the [EHR] record that