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digital.ahrq.gov/ahrq-funded-projects/development-targeted-patient-portal-intervention-improve-depression-treatment
January 01, 2023 - Of the 80 providers engaged, 95 percent worked at organizations with patient portals. … Sixty-four percent endorsed patient access to general medical notes, 36 percent endorsed access to mental … health notes, and 85 percent endorsed the use of secure messaging with their patients. … Of the 168 patients who participated in the research, 90 percent endorsed access to patient portals, … 22 percent endorsed access to mental health notes, and 83 percent endorsed secure messaging.
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digital.ahrq.gov/ahrq-funded-projects/valuation-primary-care-integrated-telehealth/annual-summary/2008
January 01, 2008 - Another study, based on a nationally representative sample of working women, found that only 39 percent … Most women reported either that they would need to miss work (49 percent) or that they would not know … what to do (7 percent) if this occurred. … , and 57.4 percent of these primary caregivers were affiliated with HeA. … percent had, at some time, kept a child home from school or childcare due to illness.
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-ok
January 01, 2023 - Documentation of completed mammograms increased from 22.1 to 57.1 percent; documentation of colonoscopy … increased from 31.7 to 53.8 percent; documentation of pneumococcal immunization increased from 39.1 … to 50.6 percent; and influenza immunization documentation increased from 22.7 to 41.7 percent. … In addition, medication reconciliation improved from 35.3 to 44.9 percent. … Time-motion studies suggested that 17 percent of the time clinicians and staff spent were redistributed
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digital.ahrq.gov/ahrq-funded-projects/medication-management-closed-computerized-loop
January 01, 2023 - There was a 56 percent reduction in the number of reported unexpected adverse drug reactions and a 10 … percent decrease in errors causing harm. … Observations of medication administration yielded a 45 percent reduction in observed medication errors … (from 19.5 percent prior to the electronic system, to 10.8 percent two years later).
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digital.ahrq.gov/ahrq-funded-projects/nlp-improve-accuracy-and-quality-dictated-medical-documents
January 01, 2023 - In evaluating SR notes, an error rate of 7.4 percent was observed in pre-edited notes; this dropped to … 0.4 percent after editing from a professional transcriptionist, and further dropped to 0.3 percent with … F1 score is a measure of a test’s accuracy, with 100 percent being perfect accuracy. … model had an F1 score of 77 percent, and a topic model-based classifier had an F1 score of 24 percent … User estimates of SR errors ranged widely, with a low of 1 percent and a high of more than 50 percent
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digital.ahrq.gov/ahrq-funded-projects/improving-post-hospital-medication-management-older-adults-health-information/annual-summary/2011
January 01, 2011 - Visits to the outpatient provider : There were 1,024 visits (54.4 percent of subjects) to an outpatient … in intervention groups and 1.11 percent in control groups. … Among 514 discharges in the intervention group, 107 discharges were identified (20.8 percent), of which … ), and 1797 eligible discharges with 235 rehospitalizations in the control group (13.1 percent). … ), and 272 emergency department visits in the control group (15.1 percent).
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digital.ahrq.gov/ahrq-funded-projects/medication-safety-primary-care-practice-translating-research-practice/annual-summary/2010
January 01, 2010 - three indicator categories significantly improved: avoiding potentially inappropriate therapy from 70 percent … to 82.7 percent; avoiding potential drug-disease interactions from 87.2 percent to 89.4 percent; and … monitoring or prevention of potential adverse events from 74.3 percent to 79.8 percent. … Avoidance of potentially inappropriate dosages (88 percent to 90.5 percent) and potential drug-drug interactions … (98.8 percent to 98.6 percent) did not significantly change over time.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/carayon-p-et
January 01, 2023 - of time clinical staff spent in examination and treatment of the patient increased from 3.5 to 11.7 percent … The time they spent performing lab tests with the physician declined from 10.4 to 1 percent. … time that office staff spent alone doing data entry of medical information increased from 0 to 7.2 percent … , while the time they spent alone doing transcription decreased from 11.7 to 6.5 percent. … of time the physician spent in examination and treatment of the patient increased from 40.4 to 45.9 percent
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digital.ahrq.gov/ahrq-funded-projects/symptom-monitoring-and-reporting-system-pediatric-chronic-illness
January 01, 2023 - Ninety-three percent of patients and 78 percent of parents found SyMon-SAYS very-to- extremely easy to … The vast majority of parents reported that they were satisfied with SyMon-SAYS; 60 percent reported that … it helped deal with their child’s fatigue; and 81 percent reported being willing to manage fatigue and … Evaluations from clinicians indicated that most felt participation did not add to their workload, but only 36 percent … Despite this, 68 percent stated that most children would benefit from the system, and 67 percent said
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digital.ahrq.gov/ahrq-funded-projects/conducting-measurement-activities-health-information-technology-initiative/annual-summary/2010
January 01, 2010 - Of those physicians, 94.4 percent use at least one type of CDS system at least some of the time. … results; 95.8 percent use this feature at least some of the time. … or contraindications; 91.9 percent use this feature at least some of the time. … Twenty-three point one percent have access to a computerized system for reminders for guideline-based … interventions or screening tests; 85.3 percent use this feature at least some of the time.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chen-c-et-al-2009
January 01, 2009 - Between 2004 and 2007, the annual age/sex-adjusted total office visit rate decreased 26.2 percent, the … adjusted primary care office visit rate decreased 25.3 percent, and the adjusted specialty care office … visit rate decreased 21.5 percent. … Workflow-Related Findings
"Age/sex-adjusted total office visits per member decreased 26.2 percent … providers at 8 or above; in 2007, 79 percent did so."
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digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-integrated-technology/annual-summary/2009
January 01, 2009 - without GBS labs who delivered at OHSU but received prenatal care elsewhere increased from 22 to 28 percent … nonintegrated EHR vs. 9.5 percent integrated EHR), and that use of the decision support tools was high … , especially with the dating calculator (84.9 percent), guidelines (57.6 percent), and Bishop’s calculator … (66.7 percent). … ) and the problem list (76.1 percent).
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digital.ahrq.gov/ahrq-funded-projects/can-risk-score-alerts-improve-office-care-chest-pain/annual-summary/2010
January 01, 2010 - Sixty-five percent were female, with 601 (20 percent) of all patients defined as high-risk and 2,402 … (80 percent) of all patients defined as low-risk. … Acute myocardial infarction was uncommon (0.6 percent), but occurred more frequently among high-risk … Among the 16 (0.5 percent) patients diagnosed with acute myocardial infarction, 15 (94 percent) had an … six (38 percent) were mistakenly sent home from the primary care office.
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digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-american/annual-summary/2011
January 01, 2011 - Eighty percent of participants felt that it was easy to talk to Gabby; 73 percent "trusted" Gabby; and … 87 percent felt comfortable telling Gabby everything about their health. … Eighty percent would use health information from Gabby to improve their health, and 87 percent felt that … Seventy-three percent felt that the session with Gabby was just the right length. … There were 128 total risks identified, 67 of which (53 percent) were discussed with Gabby.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/babbitt-n-2003-record
January 01, 2003 - They suggested using the EMR for 30 percent of visits, or every third patient, on the first day, 50 percent … the second day, 75 percent the third day and 100 percent by the week's end. … The first day, practitioners used it at least 50 percent of the time. … By the second day we were close to 100 percent."
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digital.ahrq.gov/ahrq-funded-projects/cardio-hit-phase-ii/annual-summary/2009
January 01, 2009 - Among patients with reported exceptions, there was 93 percent agreement between the reported exception … , with variation across the measures ranging from 2.0 to 6.2 percent. … Overall performance rate for all sites for the four CAD measures was 76.7 percent. … , with variation across the measures ranging from 5.3 to 6.2 percent. … 10 percent did not receive the drug with no reason provided.
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digital.ahrq.gov/sites/default/files/docs/page/SuccessStoryMold.pdf
January 01, 2012 - compared
to 67 percent in the control group, p < 0.0001) … to 54 percent in the control group,
p < 0.0001) … compared to 45 percent
in the control group, p < 0.0001) … compared to 87 percent in the control group,
p = 0.044) … • More users took low-dose aspirin as recommended
(79 percent compared to 52 percent in the control
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/morris-l-et-al-2003-how
January 01, 2003 - One hundred percent of the CHD patients sampled had a BP recording within the previous year, but some … disease management (40 percent), and mixed paper and electronic method of recording data for chronic … disease management (60 percent). … Context or other IT in place
In place was an electronic appointment system (100 percent of practices … ) and use of email (80 percent of practices).
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digital.ahrq.gov/ahrq-funded-projects/chronic-mental-health-improving-outcomes-through-ambulatory-care-coordination/annual-summary/2011
January 01, 2011 - Preliminary Impact and Findings: Analysis of the statewide survey showed that a majority (67 percent … ) of providers were positive about the impact of HIE, while the remainder (33 percent) were negative. … Benefits to quality of care were mentioned by 100 percent of the providers; barriers by 59 percent of … by 22 percent. … Barriers to delivery of services were mentioned by 97 percent of providers; benefits by 66 percent.
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digital.ahrq.gov/ahrq-funded-projects/getting-same-page-leveraging-inpatient-portal-engage-families-hospitalized-children
January 01, 2024 - It answered 90 percent of all my questions that I had, and it also helped me formulate questions to ask … All 25 parents accessed at least one note, with 96 percent accessing multiple notes, representing a 14 … Ninety-two percent were satisfied and understood the notes; 84 percent found them helpful in understanding … their child’s admission reason; and 80 percent recalled discharge goals. … Of significance, 20 percent of parents noted possible inaccuracies, with 60 percent confirmed as safety