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digital.ahrq.gov/sites/default/files/docs/page/Fleming_SS_508_20111021_d.pdf
June 16, 2021 - This study found that an average primary care practice with five physicians required
an estimated 611 … EHR end users, those that will ultimately use the EHRs including
physicians, clinical, and non-clinical … practice or $46,659 per physician (approximately $2,900/physician/month over the 16 months). … Physician expense
increased to about $1,650 per-physician FTE per month, which is approximately the per-physician … “While most physicians around
the country may not have the
existing technical infrastructur
to provide
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digital.ahrq.gov/ahrq-funded-projects/effect-health-information-technology-health-care-provider-communication
January 01, 2023 - Use of technology in healthcare has moved from traditional face-to-face time between nurses and physicians … Poor communication between physicians and nurses is a known cause of adverse events and a major root … This research studied how technologies facilitate or hinder communication between nurses and physicians … differences in communication technologies, communication practices, and work relationships between physicians … When relationships between physicians and nurses are good, both seek out face-to-face conversations,
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digital.ahrq.gov/ahrq-funded-projects/trial-aggregate-data-extraction-maintenance-certification-and-raising-quality
January 01, 2023 - Project Dates
09/30/2014 - 12/31/2017
Technology
Dashboard
Population
Physician … of their own measures compared to all study physicians. … Method: Quantitative , Randomized Controlled Trial (RCT) Technology: Dashboard
Transforming physician … certification to support physician self-motivation and capacity to improve quality and safety. … Transforming physician certification to support physician self-motivation and capacity to improve quality
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digital.ahrq.gov/ahrq-funded-projects/pilot-testing-electronic-prescribing-standards
January 01, 2023 - Care Setting
Ambulatory Setting
Pharmacy
Population
Pharmacist
Physician … Assess the effects on physician office operations of implementing e-prescribing systems that use the … was evaluated with a mixed-methods approach, including workflow modeling; an expert panel process; physician … Retrospective Technology: Clinical Decision Support System , Electronic Prescribing Population: Physician … Case Control Study , Quantitative , Retrospective Technology: Electronic Prescribing Population: Physician
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digital.ahrq.gov/ahrq-funded-projects/ed-information-systems-kentucky-indiana-hospitals
January 01, 2023 - aims were to: 1) implement the Ibex ED information systems and train users at four hospitals and three physician … through improved diagnostic coding and billing and fewer repeat tests; and 4) evaluate patient and physician
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/malasanos-t-et-al-2005
January 01, 2005 - online education, could provide effective care for children with diabetes while making efficient use of physician … Instead of quarterly visits by physician teams, the family had to come to the University or wait for … the next physician visit.
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digital.ahrq.gov/principal-investigator/simonaitis-linas
January 01, 2023 - Project Name
Improving Lab Follow-up by Delivering an Enhanced Medication List to Outpatient Physician … Project Name
Improving Lab Follow-up by Delivering an Enhanced Medication List to Outpatient Physician … Improving Lab Followup by Delivering an Enhanced Medication List to Outpatient Physician … Project Name
Improving Lab Follow-up by Delivering an Enhanced Medication List to Outpatient Physician … Improving Lab Follow-up by Delivering an Enhanced Medication List to Outpatient Physician
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digital.ahrq.gov/ahrq-funded-projects/improving-accuracy-electronic-notes-using-faster-simpler-approach
January 01, 2023 - The system was designed to match the workflow of physicians when doing inpatient rounds. … The RCT assigned physicians in the intervention group to VGEENS and the control group to the usual practice … This result was unexpected and the study team hypothesized that physicians did not dictate their notes … Additionally, physicians were averse to creating notes using VGEENS, citing prior negative experiences … Asynchronous speech recognition affects physician editing of notes.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tamblyn-r-et-al-2003
January 01, 2003 - by the study physician (RR 2.15, 95% CI 0.98-4.70). … or by another physician. … and another physician or another physician alone ... … and other physicians than for the other types of prescription problems." … by other physicians.
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digital.ahrq.gov/ahrq-funded-projects/enhancing-providers-ability-followup-abnormal-test-results
January 01, 2023 - Medical Condition
Breast Cancer
Cancer
Cervical Cancer
Population
Physician … of the usability of electronic health records with cognitive workload and performance levels among physicians … of the usability of electronic health records with cognitive workload and performance levels among physicians … Relating task demand, mental effort and task difficulty with physicians’ performance during interactions … Relating task demand, mental effort and task difficulty with physicians’ performance during interactions
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-52c-sample-task-table-erx-renewal
January 01, 2023 - Check whether request meets protocol for authorization vs. needing physician review
Authorized office … review and route request to physician or to be approved per protocol
Protocol for staff renewal and … E-prescribing system linked to the practice management system; patient chart as needed
If physician … review required: Send to physician task list (step 5b) If protocol authorization: Go to step 5a … Prescriber approve or decline request or change medication
Prescribing physician/NP
Decision
Decide
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/miller-rh-et-al-2004
January 01, 2004 - [Link]
Abstract
"The electronic medical record (EMR) is an enabling technology that allows physician … Based on a qualitative study of physician practices that had implemented an EMR, we found that quality … , financial savings accrued from less staff time spent finding, pulling, and filing charts and less physician … Study Design
Only postintervention (no control group)
Study Participants
Thirty physician organizations … took part in the study, and 90 interviews were conducted with EMR managers and physician champions in
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digital.ahrq.gov/principal-investigator/gandhi-tejal
January 01, 2023 - Tejal
Primary care clinician attitudes towards ambulatory computerized physician … Primary care clinician attitudes towards ambulatory computerized physician order entry. … Safety and Quality with Outpatient Order Entry
Impact of ambulatory computerized physician … Impact of ambulatory computerized physician order entry on clinicians' time. … Implementing practice-linked pre-visit electronic journals in primary care: patient and physician use
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digital.ahrq.gov/ahrq-funded-projects/emr-planning-improve-north-iowa-health-care
January 01, 2023 - implement an integrated electronic health record (EHR) for nine small, rural hospitals and their affiliated physician … three-year plan to implement a standard, sophisticated, and integrated EHR system with computerized physician
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digital.ahrq.gov/sites/default/files/docs/survey/qualitative-interview-ehr-implementation.pdf
June 16, 2021 - INTERVIEW QUESTIONS PRIOR TO EHR IMPLEMENTATION
CEO/Physician/Nurse Practitioner Leader
1. … What is the leadership style of your CEO/Physician/Nurse Practitioner leader?
5. … Describe how you communicate with the CEO/Physician/Nurse Practitioner leader
7. … What is the leadership style of your CEO/Physician/Nurse Practitioner leader
2. … How do you communicate with the CEO/Physician/Nurse Practitioner leader
4.
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digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-outpatient-order-entry
January 01, 2023 - Clinical decision support systems (CDSS) and ambulatory computerized physician order entry (ACPOE) have … electronic medical record called the Longitudinal Medical Record (LMR) that has been used by primary care physicians … Implementing practice-linked pre-visit electronic journals in primary care: patient and physician use … Impact of ambulatory computerized physician order entry on clinicians' time. … Primary care clinician attitudes towards ambulatory computerized physician order entry.
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digital.ahrq.gov/ahrq-funded-projects/impact-meaningful-use-clinical-workflow-emergency-departments
January 01, 2023 - The research team concluded that the complexity and demands placed upon physicians in academic ED settings … Record , Radio Frequency Identification Device Population: Clinical Staff/Clinician
Emergency physicians … Emergency physicians' perceived influence of EHR use on clinical workflow and performance metrics. … Efficiency of emergency physicians: Insights from an observational study using EHR log files. … Efficiency of emergency physicians: Insights from an observational study using EHR log files.
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digital.ahrq.gov/sites/default/files/docs/resource/David_Mehr_IQHIT_Q6_Aim_1_Analytics_Screen_Shots_April_2009.pdf
January 01, 2009 - Aim 1: Analytics Screen Shots
Image 1: Performance on Diabetic Quality Measures, Individual Physician … ................. 2
Image 2: Performance on Diabetic Quality Measures, Practice Team (Green Team, Physician … Image 3: No additional notes
Image 4: Patient names and physician names not shown to protect confidentiality … provide a listing of all patients
who either meet or do not meet a specific measure by primary care physician … Mehr)
Image 2: Performance on Diabetic Quality Measures, Practice Team (Green Team, Physician Names
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018220-fleming-final-report-2011.pdf
January 01, 2011 - • Non-physician staff per physician FTE
• Work RVU per physician FTE (productivity)
• … Physician variables
Mean (SE)
No. of Physicians – n 5.20 (0.12)
Time in HTPN – years 5.96 (0.06 … differed for the remaining “small group” practices (each with ≤
12 physicians). … Physicians And Ambulatory Electronic
Health Records. Health Aff (Millwood). … Physicians
and electronic health records: a statewide survey. Arch
Intern Med.
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digital.ahrq.gov/ahrq-funded-projects/cchs-east-huron-hospital-cpoe-project
January 01, 2023 - In this way, physicians can easily adjust medications or request tests, regardless of whether they are … For example, in a traditional hospital setting, physicians typically go to a nurse's station to write … Get too many of those, and physicians will start ignoring the alerts or go back to their old paper-based … so that the physician can change the order. … Indeed, Huron Hospital physicians are heeding their system alerts.