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digital.ahrq.gov/sites/default/files/docs/publication/r36hs023719-cohen-final-report-2017.pdf
January 01, 2017 - of clinical documentation, are there any categories that reflect high
variation across primary care physicians … We first use data from a national EHR
vendor to quantify the extent of physician-to-physician variation … we identified
documentation categories with high variation, we use semi-structured interviews with physicians … 1 1 2
G 10 L (10+) No Cerner 2013 1 1 2 4
Total NA NA NA NA NA 16 13 11 40
*Providers includes physicians … Variability among specialty and primary care physicians in their methods of using
and perceptions of
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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/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/health-it-tools-and-resources/health-it-bibliography/population-health-case-reporting/electronic-0
May 03, 2021 - Electronic laboratory reporting for the infectious diseases physician and clinical microbiologist … There are several ways that infectious diseases physicians, infection control professionals, and laboratory … Issue: 11 Page Number: 1638-43 Link: Electronic laboratory reporting for the infectious diseases physician
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/brief-report-prevalence-and-use
September 01, 2005 - Brief report: The prevalence and use of chronic disease registries in physician organizations. … Purpose of Study: To determine the prevalence of disease registries in physician organizations and the … Interoperability: Some disease registries are linked to electronic medical records System Penetration: 47% of physician
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/return-investment/return-investment
January 01, 1993 - Return on Investment for a Computerized Physician Order Entry System
Although computerized … physician order entry (CPOE) may decrease errors and improve quality, the high costs and limited data … May-Jun Volume: 13 Issue: 3 Page Number: 261-266 Link: Return on Investment for a Computerized Physician
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digital.ahrq.gov/ahrq-funded-projects/functional-assessment-screening-patient-reported-information-fast-pri
January 01, 2023 - Medical Condition
Mental/Behavioral Health
Tobacco Use
Population
Adults
Physician … While physician involvement can help patients make positive changes in their health behaviors and improve … their HRQoL, provider time constraints and limited physician self-efficacy may limit patients’ behavior … FAST-PRI was evaluated with a randomized controlled trial clustered at the physician level. … Patient and physician participants completed questionnaires at baseline, 6 months, and 12 months regarding
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tierney-wm-et-al-2005
January 01, 2005 - 2 factorial randomization of practice sessions and pharmacists resulted in four groups of patients: physician … Physician attitudes toward guidelines were mixed.
Conclusions. … intervention, pharmacist intervention, physician and pharmacist intervention, or control. … Thirty-two percent of the suggestions were adhered to in all groups except the physician and pharmacist … rigid to apply to individual patients, hampered physician autonomy, and were used to decrease health
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/inpatient-computer-based
November 01, 2004 - Inpatient Computer-based Standing Orders vs physician reminders to increase influenza and pneumococcal … Purpose of Study: Assess the effects of computerized physician standing orders compared with physician … Intervention: Patients with reminders, in which the computer system provided reminders to physicians
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/reminders-physicians
January 01, 1984 - Reminders to physicians from an introspective computer medical record. … Purpose of Study: Evaluate the effect of the reminder messages generated by 1490 rules on physician … containing a limited set of the total clinical data base and responding to its own content according to physician-authored … Evaluation Method: Measure of physicians' behavior, and their response to reminders. … Description: The reminder system (with the physician authored rules written in ÒCAREÓ) was part of ÒThe
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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/health-it-tools-and-resources/health-it-costs-and-benefits-database/inpatient-computer-based-0
November 17, 2004 - Inpatient computer-based standing orders vs physician reminders to increase influenza and pneumococcal … effect of computerized standing nurse orders for influenza and pneumococcal vaccines as compared to physician … At discharge, patients care for by physicians on the standing order teams had automatic generation of … Physicians on the reminder teams received computerized reminders regarding the vaccines throughout the … Care and Patient Safety Outcome: Standing orders resulted in graeter rates of vaccination compared to physician
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digital.ahrq.gov/principal-investigator/phillips-robert
January 01, 2023 - Maintenance of Certification and Raising Quality
ABFM to simplify MOC for family physicians … ABFM to simplify MOC for family physicians and make it more meaningful: a family medicine registry. … Extraction for Maintenance of Certification and Raising Quality
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/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ornstein-s-et-al-1995
January 01, 1995 - An extensive physician education series was also implemented. … Physician acceptance of the system was good--in 1992, 30% of physicians used the preventive services … reminders in most of their patient visits, and in 1993, 88% of physicians reported more frequent use. … Workflow-Related Findings
Patient exit surveys showed that physicians did not discuss preventative … A physician survey indicated that 30 percent of physicians used the preventative services reminders in
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/improving-hypertension-control
August 01, 1981 - Improving hypertension control: impact of computer feedback and physician education
Authors … Purpose of Study: Evaluate a computer-generated feedback for physicians to improve hypertension control … patient safety, Impact on health care effectivness/quality, Other outcome Summary: Settings: Four physician … computer-generated feedback to facilitate identification of poorly controlled hypertensive patients; 2) a physician … Healthcare Utilization: All feedback team physicians requested appointments for listed patients, and
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rosser-ww-et-al-1992
January 01, 1992 - Interventions: For the patients in the physician reminder group the physician was reminded at an office … Workflow-Related Findings
"Physicians required an estimated 15 seconds to discuss and record a patient's … Approximately 19.6 percent of patients whose physicians received reminders were vaccinated, compared … The physicians in these practices did not change their usual approach to tetanus vaccination. … Contamination occurred if the study physicians recommended tetanus vaccination to control patients more
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digital.ahrq.gov/ahrq-funded-projects/cardio-hit-phase-ii
January 01, 2023 - has received increasing attention from varying stakeholders, including consumer and patient groups, physicians … In the context of physician performance measurement, exceptions are an element of physician performance … quality improvement and patient management, track variations, and prevent unintended penalization of physicians … This project investigated and validated the prevalence and patterns of exception reporting among physicians … the collaborative are Fox Prairie Medical Group, Midwest Heart Specialists, North Ohio Heart Center, Physicians
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/overriding-drug-safety-alerts
Overriding of drug safety alerts in computerized physician order entry
Authors: van der Sijs … Purpose of Study: Review of physician override of computerized drug safety alerts Years of study: 1980 … Review focuses on determinants of physician overrides of alerts Description: Any CPOE system with medication
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/medical-home/joint-principles-patient-centered
September 06, 2021 - The American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), American College … of Physicians (ACP), and American Osteopathic Association (AOA), representing approximately 333,000 … physicians, have developed joint principles to describe the characteristics of the PC-MH. … These principles include: having an ongoing relationship with a personal physician, the personal physician … directs the team who collectively take responsibility for the health of its patients, the personal physician
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ramaiah-m-subrahmanian
January 01, 2023 - The results from the study show that specialty physicians are more favorable toward adopting EHR systems … than primary care physicians are. … The barriers to adoption of EHR systems by primary care physicians can be attributed to the complex workflows … that exist in primary care physician offices, leading to nonstandardized workflow structures and practices … Also, primary care physicians would benefit more from EHR systems if the systems could interact with