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cdsic.ahrq.gov/sites/default/files/2024-09/AHRQ%20Final%20TPC%20SDOH%20Action%20Plan.pdf
January 01, 2024 - Perspectives from patients and individuals with lived experience are needed to develop patient-
centered … contextual errors. … In addition to eliciting
contextual information directly from the patient via a questionnaire, contextualized … It involves active patient engagement
and ensures that healthcare decisions respect patients' individual … Integrating contextual factors into clinical decision
support to reduce contextual error and improve
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cdsic.ahrq.gov/sites/default/files/2024-07/Final%20IAS_AI%20Landscape%20Assessment%206.24.24%20(003).pdf
January 01, 2024 - For example, AI can
assist with analyzing patient data, support clinical decision making with patients … AI-generated
responses between visits may lack contextual awareness and may not be tailored to patients … For example, AI can
assist with analyzing patient data, support clinical decision making with patients … AI-generated
responses between visits may lack contextual awareness and may not be tailored to patients … Lack of contextual awareness.
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cdsic.ahrq.gov/sites/default/files/2024-09/PAIGE%20Assessment%20Report_Public%20Version.pdf
January 01, 2024 - time, integrating
contextual information from the EHR about patients, and adding more patient-centered … applications, namely in the areas of clinical decision support, medical
documentation, education, and contextual-question … Another patient described how it could be helpful for patients with
conditions that cause brain fog … PAIGE would benefit from contextual information about patients. … Both groups also remarked on
the importance of PAIGE having more contextual information about the patient
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cdsic.ahrq.gov/cdsic/action-plan-SDOH
September 20, 2024 - Steering Committee Leadership
Workgroup Leadership
Centers
CDSiC & Me
Patients … Developed by the AHRQ Clinical Decision Support Innovation Collaborative’s Trust and Patient-Centeredness … opportunities that will advance the use of this information in PC CDS tools to comprehensively address patients … recommendations for overcoming them to make care delivery more impactful and tailored to the needs of patients … and patient-specific information that align with patient needs, preferences, and values.
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cdsic.ahrq.gov/sites/default/files/2023-08/Final%20TPC%20P3_Source%20Credibility%20to%20AHRQ%208.2.23_508c%20Version.pdf
January 01, 2023 - and account for their circumstances, characteristics, and other contextual (e.g.,
historical,12,50 … growing mistrust of such authorities and indicates this may be variable (in part) based on
cultural or contextual … patients and clinicians (e.g., during clinical encounters, via patient portals). … not fixed but rather heterogenous and fluid;
the relative influence of each attribute depends on contextual … Fake images: The effects of source, intermediary,
and digital media literacy on contextual assessment
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cdsic.ahrq.gov/sites/default/files/2024-07/Innovation%20Center%20Q2%202024%20Progress%20Report.pdf
January 01, 2024 - been
increasingly utilized in health care applications, namely in the areas of education, triage, and contextual … on the usability and patient-centeredness of the app. … and clinicians via the patient portal. … clarifying questions to patients. … Patients were asked about their experience communicating
with their doctor via patient portals, and
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cdsic.ahrq.gov/sites/default/files/2023-08/SMD%20Workflow%20Measurement%20Approaches%20Report_to%20AHRQ%208.9.23_508.pdf
January 01, 2023 - Contextual Considerations
Mobile phones, remote monitoring and wearable devices, and sensors allow … The flow of information between patients/caregivers (indicated by “P”) and patient-
facing CDS tools, … In this stage, patient-facing CDS enables patients to share data with their care
team, ask questions … Therefore, considering contextual
factors is integral to the design PC CDS interventions and study of … Defining Workflow and Lifeflow
Contextual Considerations
The Unified PC CDS Workflow Diagram
3.1 Patient
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cdsic.ahrq.gov/sites/default/files/2024-09/Innovation%20Center%20Q3%202024%20Progress%20Report.pdf
January 01, 2024 - clinical decision support (PC CDS) to improve health outcomes of all patients by
creating a proving … been
increasingly utilized in health care applications, namely in the areas of education, triage, and contextual … The app leverages
an AI-based tool to text patients who have been identified as having uncontrolled … via the patient portal. … , such as patient-reported outcomes that provide feedback to
patients about symptom severity during
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cdsic.ahrq.gov/cdsic/AI-viewpoint
February 25, 2025 - PC CDS can be delivered to patients and caregivers—for example, through mobile apps and patient portals—or … care, synthesize patient-generated health data to help inform care decisions, engage with patients and … Quartz is a prototype text-based app to help patients improve medication adherence. … and empathetic and creating a feedback loop with patients. … needed to better understand the impact of AI-supported tools on patients and caregivers.
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cdsic.ahrq.gov/sites/default/files/2023-09/FINAL%20OO%20PC%20CDS%20SDM%20Report.pdf
January 01, 2023 - participation, helping
patients explore and compare treatment options, assessing patient values and … Patient-
facing PC CDS can be tools that patients or their caregivers use. … Directly engaging patients
or caregivers across
different settings through
apps or patient portals … Engagement & Activation
While engaging patients in their care decisions is critical for patient-centered … Website Provides treatment
information based on
patient-entered treatment
preferences and then
patients
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cdsic.ahrq.gov/sites/default/files/2024-09/SRF_Patient%20Preference%20Standardization%20Priorities_508.pdf
January 01, 2024 - patients are utilized. … including patients, caregivers, patient advocates, clinicians, standards developers,
informaticians, … be better documented in a narrative format to preserve important contextual information. … Participants further cautioned that important contextual information around a patient’s thinking and … reduces patient and
clinician burden and that ensures patient-preference data collected from patients
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cdsic.ahrq.gov/sites/default/files/2024-07/Final%20MO%20Patient%20Prioritization%20of%20Measurement%20Areas%207.18.24.pdf
January 01, 2024 - Measures of the patient health journey assess 15 areas related to patients’ lived experiences
across … Methods
To understand what areas within the patient health journey were most important to patients, … We recruited
nine patients and patient advocates to participate in three rounds of a prioritization … incorporate HRSNs and SDOH factors into PC CDS.19,20 However, SDOH could
15
be individual or contextual … and patient care) within the patient
health journey, highlighting the importance to patients of assessing
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cdsic.ahrq.gov/sites/default/files/2023-08/Exec%20Sum_SMD%20Workflow%20Measurement%20Approaches%20Report%20to%20AHRQ%208.9.23_508.pdf
January 01, 2023 - Our unified workflow diagram (Exhibit 2) provides a visual framework for understanding necessary
contextual … factors of patients’ lives when developing patient-facing, clinician-facing, and/or shared
decision … Outside Healthcare Encounters: Patients and/or caregivers
interact with PC CDS tools such as patient … Patient-facing CDS enables patients to share health data with their care team, ask questions of
their … Patient decision making The resulting impacts from patients’ involvement in decision-making
processes
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cdsic.ahrq.gov/sites/default/files/2024-09/Quartz%20Assessment%20Report_Public%20Version_0.pdf
January 01, 2024 - user-interface for full user-experience testing
3 App integration
testing and
acceptance testing
in client … App integration
testing, and
acceptance testing in
client environment
Baystate EHR test
environment … user-interface for full user-experience testing
3 App integration
testing and
acceptance testing
in client … consider, such as incorrectly using a blood
pressure cuff or contextual factors (e.g., recent physical … The clinician dashboard and roster view
provided helpful contextual information for clinicians, but
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cdsic.ahrq.gov/sites/default/files/2024-09/Final%20IAS%20PC%20CDS%20Case%20Studies%20Report_2.pdf
January 01, 2024 - Other
activities included engaging patients in the implementation and adoption of patient-facing PC … a broad range of patients in PC CDS
design and development
Soliciting Patient Feedback
• Making … PainManager provides recommendations
(aligned with CDC guidelines), contextual information, and alerts … Drug-drug interactions
PC CDS Factors:
• Knowledge: A PC CDS
dashboard allowing interaction
with contextual … mixed-methods study and evaluate
the implementation process by assessing adaptation, feasibility, and contextual
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cdsic.ahrq.gov/sites/default/files/2023-10/TPC%20Pat%20Engage%20Handbook%20Final.pdf
January 01, 2023 - Codesign Processes
Patient-centered codesign specifically involves patients in the conceptualization … For example, researchers have conducted patient
focus groups in which patients were observed using a … facing, is patient uptake
and adoption.66 Engaging patients as end-user champions can help advocate … While
guidance is limited about engaging patients as champions for PC CDS, patient champions
have a … Considerations: Engaging Patients in PC CDS
Patient engagement is a critical part of PC CDS development
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cdsic.ahrq.gov/sites/default/files/2025-03/SRF%20Standards%20for%20Patient%20Preferences.pdf
January 01, 2025 - There is a SNOMED CT
procedure code for “Involving client in decision making,”57 which captures decision … There is a LOINC code for capturing
patients’ preferences for patient-reported “Goals, preferences, … data for PC CDS and to include patients and patient advocacy groups
in this work where noted. … Involving client in decision making process (procedure). Accessed June 27,
2023. … Patient not given information (contextual qualifier) (qualifier value). Accessed
June 27, 2023.
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cdsic.ahrq.gov/sites/default/files/2024-07/SRF_Taxonomy%20of%20PC%20CDS%20Override%20Recommendations_508_0.pdf
January 01, 2024 - patients/caregivers would
help ensure that it captures the breadth of reasons why a patient may choose … The taxonomy includes four subdomains that cover these
contextual reasons for override.
1. … of patients. … patients/caregivers would
16
help ensure that it captures the breadth of reasons why a patient … Allergic adverse drug events after alert overrides in
hospitalized patients.
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cdsic.ahrq.gov/sites/default/files/2023-08/CDSiC%20App%20Interoperability%20Report_508.pdf
January 01, 2023 - Within the Ecosystem, patients, caregivers, and healthcare teams can monitor patient health and make … Apps can collect a variety of data about the health of patients, including patient-provided data, such … status, pain levels, or
reactions to a new drug.5,14 Apps can even be leveraged to gather important contextual … analytics can use bulk data access to EHRs, whereby a bulk FHIR server allows
“authorized software clients … A CDS card is
returned (rendered and displayed by the client).
3.
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cdsic.ahrq.gov/sites/default/files/2023-09/SMD%20PC%20CDS%20Performance%20Measurement%20Inventory_FINAL_9.19.23.xlsx
January 01, 2023 - Transforming consumer health informatics through a patient work framework: connecting patients to context … Published 2020 Apr 22. doi:10.3390/cancers12041032
Use Reach Patient registration Percentage of patients … Results Clinician or patient knowledge Decision quality Defined as the percentage of patients who are … knowledge Patient knowledge Percent of patients who answered their risk category (i.e., risk of a negative … Process Summative Care Team Quantitative Perceived data quality was evaluated using a questionnaire for contextual