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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hoch-i-et-al-2003
January 01, 2003 - to provide physician alerts regarding potassium testing. … Physician age and gender played a small part in predicting compliance to the alert, but specialty and … electronic health record (EHR) including "complete historical records of patient demographic data, physician … between the time the reminder was issued and the time the test was done was dependent on [when the physician … read the reminder], when the physician gave the patient a referral and when the patient had the test
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digital.ahrq.gov/ahrq-funded-projects/minimizing-stress-maximizing-success-physicians-use-health-information
January 01, 2023 - Burden
Sociotechnical Aspects
Physician stress and burnout impact physician health, professional … Researchers conducted focus groups with 41 physicians at three institutions using three different EHRs … focus groups then informed the development of a survey that was administered to 450 providers including physicians … , Physician Assistant
The electronic elephant in the room: physicians and the electronic health … The electronic elephant in the room: Physicians and the electronic health record.
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel
January 01, 2023 - Using patient appointment data, physician panel sizes, and case mix from primary care databases, the … How should practices best match patient and physician preferences, while simultaneously considering the … The models indicated optimized physician-patient panels increased physician capacity and may create an … opportunity to mitigate physician shortages. … Improving clinical access and continuity through physician panel redesign.
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digital.ahrq.gov/funding-mechanism/health-information-technology-community-tracking
January 01, 2023 - Practices and Pharmacies
Physicians’ experiences using commercial e-prescribing … Physicians’ experiences using commercial e-prescribing systems. … Principal Investigator
Grossman, Joy
Project Name
Physicians' Experiences Using Commercial … Contract Number
290-05-0007-3
Principal Investigator(s)
Grossman, Joy
Physicians … practices using e-prescribing, examining physicians’ perceptions of benefits of use, and the reasons
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digital.ahrq.gov/sites/default/files/docs/page/McColmSuccessStory2009_0.pdf
December 01, 2009 - revisions to the EHR, targeted physician feedback, and training ~ Denni McColm, Principal
can be used … providers
• LSS Data Systems, Inc. is (nurse practitioners and physician assistants) who measure … All 15
physician practices were already using the ambulatory MEDITECH EHR, which was linked to a … Thus far, physicians at CMH-affiliated
Physician Quality Reporting Initiative (PRQ) Measures practices … This report could be used to provide feedback on physician performance and thus increase
compliance
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digital.ahrq.gov/organization/center-studying-health-system-change
January 01, 2023 - for Studying Health System Change
Effective Use of e-Prescribing in Physician … Principal Investigator
Grossman, Joy
Project Name
Effective Use of e-Prescribing in Physician … Practices and Pharmacies
Effective Use of e-Prescribing in Physician Practices … Contract Number
290-05-0007-3
Principal Investigator(s)
Grossman, Joy
Physicians … practices using e-prescribing, examining physicians’ perceptions of benefits of use, and the reasons
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digital.ahrq.gov/sites/default/files/docs/survey/survey-physician-computer-technology.pdf
June 16, 2021 - Massachusetts Survey of Physicians and Computer Technology
Massachusetts Survey of Physicians and Computer … [MD_ID] *NOT FOR CITATION OR REPRODUCTION* Page 1 of 8
Massachusetts Survey of Physicians and Computer … : ___ ___ ___ Physicians: ___ ___ ___
Nurse practitioners or physician assistants: ___ __ … _ ___ Nurse practitioners or physician assistants: ___ ___ ___
7. … 1 2 3 4
b) $10,000 - $25,000 per physician 1 2 3 4
c) Greater than $25,000 per
physician 1 2 3 4
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hunt-dl-et-al-1998
January 01, 1998 - Hunt DL et al. 1998 "Effects of computer-based clinical decision support systems on physician performance … Effects of computer-based clinical decision support systems on physician performance and patient outcomes … clinical trials assessing the effects of computer-based clinical decision support systems (CDSSs) on physician … Effects on physician performance were assessed in 65 studies and 43 found a benefit (66%). … Workflow-Related Findings
Fourteen out of 16 studies examining the effect of decision support on physician
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-52b-sample-task-table-delegation
January 01, 2023 - Check whether request meet protocol for authorization vs. needing physician review
Authorized office … and routes request to physician or to be approved per protocol
Patient record and protocol for staff … Inform physician
Authorized office staff
Communication
Inform physician verbally or in writing … Prescriber retrieve message with record
Prescribing physician or nurse practitioner
Retrieving … Give prescription and record to office staff
Prescribing physician or nurse practitioner
Handoffs
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mcdowell-i-et-al-1989
January 01, 2023 - Considering the costs of the three interventions, the physician reminder was the most cost effective, … patients in a large family practice to obtain a blood pressure check," computer-generated reminders to physicians … at the time of the patient visit, advising the physician to check the patient's blood pressure. … Workflow-Related Findings
Thirty-one percent of patients in the group with the physician reminders … "To verify the physicians' recording of blood pressure readings, we [observed] 20 visits for which a
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digital.ahrq.gov/ahrq-funded-projects/improving-lab-follow-delivering-enhanced-medication-list-outpatient-physician
January 01, 2023 - Improving Lab Follow-up by Delivering an Enhanced Medication List to Outpatient Physician Practices … Nine physicians were surveyed and reported the usefulness of medication histories; however, there was … Physicians strongly agreed that medication histories helped discover drugs which were previously unknown … Improving Lab Followup by Delivering an Enhanced Medication List to Outpatient Physician Practices - … Linas Project Name: Improving Lab Follow-up by Delivering an Enhanced Medication List to Outpatient Physician
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/sequist-t-et-al-2005
January 01, 2005 - electronic clinical reminder system on diabetes and coronary artery disease (CAD) care and to assess physician … electronic clinical reminder system on diabetes and coronary artery disease (CAD) care and to assess physician … This strategy avoids the pitfall of generating physician distrust of the reminder system while also capturing … "After adjusting for baseline patient and physician characteristics, patients in the intervention group … increased screening rates after adjusting for the use of a paper reminder system, and baseline patient and physician
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digital.ahrq.gov/sites/default/files/docs/publication/u18hs016394-lapane-final-report-2006.pdf
January 01, 2006 - Among prescribers, 12% were nurse practitioners, 5%
residents, 8% physician assistants and 75% physicians … Typically, recorded interviews were with lead physicians in the practice. … is possible that included physicians may not be
representative of all physicians. … Patients within Physician Practices. … For the physician practice component of the study, 20.5% some eligible
physician practices did not participate
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kaushal-r-et-al-2003
January 01, 2003 - Kaushal R et al. 2003 "Effects of computerized physician order entry and clinical decision support systems … Effects of computerized physician order entry and clinical decision support systems on medication safety … Computerized physician order entry (CPOE) and clinical decision support systems (CDSSs) may reduce medication … "Finally, physicians can electronically write an order in the wrong patient's record, analogous to handwriting … sought articles describing computerized systems for performing general order entry or CDSSs for guiding physicians
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel/annual-summary/2010
January 01, 2010 - panel”—that a physician oversees. … Using patient appointment data, physician-patient panel sizes, and physician case mix, Dr. … Visit rate, patient co-morbidities, case mix, physician preferences, and physician capacity were assessed … Another modeling approach considered reallocation of patients with the least co-morbidities from physicians … The models indicate optimized physician-patient panels increase physician capacity and may create an
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digital.ahrq.gov/sites/default/files/docs/page/2006Gurwitz_051711comp.pdf
January 01, 2005 - Effect of Computerized Physician Order Entry with Clinical Decision Support on Adverse Drug Events in … the Long-term Care Setting
Effect of Computerized Physician Order
Entry with Clinical Decision Support … Purpose
The purpose of this study was to evaluate
the efficacy of computerized physician order
entry … performed by trained
clinical pharmacist investigators
• Incidents were classified independently by two
physician … Computer on Wheels -“COW”
Document title: Effect of Computerized Physician Order Entry with Clinical
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digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr
January 01, 2023 - These technologies have the potential to change physician behavior at the precise time that clinical … Can a "Smart Form" increase physicians' satisfactions with managing patient health behavior risks? … Results of a physician satisfaction survey. AMIA Annu Symp Proc 2007 Oct 11:1047. … Smart forms help physicians to document relevant clinical information and integrate best practice information … "Physicians are so crunched for time.
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digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-information-technology
January 01, 2023 - Department
Hospital
Intensive Care Unit
Population
Adults
Children
Nurse
Physician … Adverse Events
Medication Errors
Southwestern Vermont Health Care (SVHC) and five private physician … of an electronic patient medical record, electronic medication administration record, computerized physician … order entry, and clinical decision support software in physician practices, the medical center, a home … adverse events, near misses and good catches, and feed information back to improve systems safety; 2) Physicians
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/physician-offices
January 01, 2023 - A Toolset for E-Prescribing Implementation in Physician Offices
The purpose … IHA) of Michigan has also developed a simplified timeline for EHR implementation at their independent physician
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digital.ahrq.gov/barriers-hit-implementation
January 01, 2023 - champions in 30 physicians' organizations between 2000 and 2002. … account for a large proportion of U.S. physicians. … The authors noted that resistance from physicians could escalate to the point of a "physician rebellion … Controlled trial of direct physician order entry: effects on physicians' time utilization in ambulatory … Impact of computerized physician order entry on physician time.