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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/predicting-adoption-electronic-0
January 01, 2006 - Predicting the adoption of electronic health records by physicians: when will health care be paperless … (10 physicians or fewer) Summary: Settings: outpatient Evaluation Method: Statistical modeling. … vendors going out of business, lack of implementation of common data standards, perceived threats to physician … autonomy, physician work culture. … Rates of EHR Adoption: For 2006 rates of EHR adoption in small physician practices were estimated to
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/weingart-sn-et-al-2003
January 01, 2003 - [Link]
Abstract
"Background: Although computerized physician order entry reduces medication errors … 3481 consecutive alerts generated at 5 adult primary care practices that use a common computerized physician … Physician reviewers judged that 36.5% of the alerts were inappropriate. … Computerized physician order entry systems should suppress alerts for renewals of medication combinations … In each case, the alert was triggered when a physician wrote a prescription for a drug that was in the
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/physician-practice-revenues-and
February 01, 2007 - Physician practice revenues and use of information technology in patient care
Authors: Furukawa … Purpose of Study: Large survey investigating relationship between physician practice revenue and use … Study Design: Cross-sectional Outcomes: Utilization of IT Summary: Settings: Survey of 6,849 U.S. physicians … in physician-owned practices Evaluation Method: Multivariate regression models assessing relationship … of % of revenue from Medicare, Medicaid, managed care, etc. with use of IT Description: Physicians
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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/sites/default/files/docs/publication/KSchultzetal2006HFES_JobTaskAnalysis.pdf
January 01, 2005 - We first begin by
discussing the development of the ICU physician task
taxonomy. … conversation’ and ‘Non-team physician
conversation’), the line is marked as a miss. … in the ICU environment and thus, a better
understanding of ICU physician workflow. … Controlled trial
of direct physician order entry: effects on physicians’ time utilization in
ambulatory … Comparison of time spent writing orders on paper with
computerized physician order entry.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/population-health-case-reporting/effect-message
The effect of message type on physician compliance with disease reporting requirements
Despite … Three-hundred sixty-eight physicians who had not reported patients were randomly assigned to receive … Physicians receiving correspondence describing the legal obligation to report were more likely to report … To maximize physician reporting, it is important for public health agencies to emphasize both the legal … and public health basis for reporting conditions in correspondence to physicians.
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digital.ahrq.gov/ahrq-funded-projects/optimizing-display-blood-pressure-data-support-clinical-decision-making
January 01, 2023 - Events
Research Story
A clinical decision support tool helps patients and physicians … data visualization specifically addressed human factors to create improved meaning for patients and physicians … Physicians and patients responded positively to the new designs, reporting enhanced and faster sense-making … Designing a medication timeline for patients and physicians. … “We are trying to improve blood pressure by getting home blood pressure data to the physicians in their
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effect-computer-generated
Effect of computer-generated nurse/physician reminders on influenza immunization among seniors … Purpose of Study: Study the effect of computer-generated nurse/physician reminders to offer influenza … Intervention: A computer-generated nurse/physician reminders to offer influenza vaccine to elderly patients
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/return-investment/computer-physician-order
Computer Physician Order Entry: Benefits, Costs and Issues
Information technology has consistently … Computerized physician order entry (CPOE) is a promising technology that allows physicians to enter orders … Annals of Internal Medicine Publication Year: 2003 Volume: 139 Page Number: 31-39 Link: Computer Physician
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/long-term-care/computerized-physician-order
Computerized physician order entry with clinical decision support in long-term care facilities: costs … This article describes the costs and benefits of computerized physician/provider order entry (CPOE) with … decision support (CDS) for the various stakeholders involved in long-term care (LTC), including nurses, physicians … Consideration of these costs and benefits suggests that financial incentives to physicians and facilities … Year: 2007 Publication Month: Sep Volume: 55 Issue: 9 Page Number: 1451-7 Link: Computerized physician
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-mild-traumatic-brain-injury
January 01, 2023 - clinicians the tools to support patient-provider communication could result in fewer CTs ordered, higher physician … Department
Medical Condition
Neurologic Disease
Population
Adults
Physician … The impact of risk standardization on variation in CT Use and emergency physician profiling. … , Physician Assistant , Researcher
Tablet-based patient-centered decision support for minor … When physicians expressed empathy and had increased knowledge of when CT use was appropriate, patients
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digital.ahrq.gov/archive-site-map
April 27, 2021 - (Archived April 27, 2021)
Improving preventive care by prompting physicians (Archived … Improving the compliance of primary care physicians with mammography screening guidelines (Archived … A two-year randomized trial (Archived April 27, 2021)
Requiring physicians to respond … A randomized trial of its impact on primary care physicians' initial management of major depression [ … Physicians' EHR adoption is slowed by a reimbursement system that rewards the volume of services more
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computers-exam-room-differences
January 01, 2007 - Computers in the exam room: differences in physician-patient interaction may be due to physician experience … Purpose of Study: To determine whether physician experience (resident versus faculty) modifies the impact
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/return-investment/quantifying-value-physician
Quantifying Value for Physician Order-Entry Systems: A Balance of Cost and Quality
Healthcare … CFOs commonly demand hard data to prove that an investment in computerized physician order entry (CPOE … Healthcare Financial Management Publication Year: 2002 Page Number: 44-48 Link: Quantifying Value for Physician
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/immediate-benefits-realized
May 01, 2000 - Immediate benefits realized following implementation of physician order entry at an academic medical … Assoc Publication Date: 2002 Sep-Oct Volume: 9 Issue: 5 Pages: 529-39 HIT Description: Computer physician … HIT System: Physician order entry and eMAR was introduced from February through May 2000. … System Penetration: 80% of orders were entered by physicians, with the rest by nursing or other licensed
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/detecting-alerts-notifying
January 01, 1996 - Detecting alerts, notifying the physician, and offering action items: a comprehensive alerting system … Purpose of Study: Evaluate an alert system to automatically identify, notify, and advice physicians … Intervention: Computerized clinical alert that notifies the patient's covering physician via his pager … Evaluation Method: Measure of physicians response and action to alerts. … Description: The Brigham Integrated Computer System provides results reporting, inpatient physician
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digital.ahrq.gov/sites/default/files/docs/implementation/Kall.ppt
October 26, 2004 - fewer than 2% of U.S. hospitals have CPOE completely or partially available and require its use by physicians … Workflow Redesign
Most intense part of the project
Dedicated team (Process Redesign Task Force)
Nurses, Physicians … Application Build: Design Endorsement
Designed to transfer ownership to user community
Nursing, Physicians … Adoption
Physician Adoption
Guiding Principles
Physician Involvement
Physician Connectors … Clinical Informatics Committee
Physician Adoption: Connectors
Key physicians had a dedicated resource
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digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system
January 01, 2023 - and medical staff satisfaction, as well as changes in the productivity of primary care and inpatient physicians … Availability Survey for Prenatal Record Description: This is a questionnaire designed to be completed by physicians … Availability Survey for Triage Visits Description: This is a questionnaire designed to be completed by physicians … Triage Prenatal Patient Safety Survey Description: This is a questionnaire designed to be completed by physicians … Care System
Office CPO Survey Description: This is a questionnaire designed to be completed by physicians
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/long-term-care/computerized-physician-order-0
Computerized physician order entry with clinical decision support in the long-term care setting: insights … from the Baycrest Centre for Geriatric Care
Although computerized physician order entry (CPOE … associated with the implementation of this application (continual commitment from vendors, buy-in from key physicians … Year: 2005 Publication Month: Oct Volume: 53 Issue: 10 Page Number: 1780-9 Link: Computerized physician
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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