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digital.ahrq.gov/electronic-medical-record-systems
January 01, 2023 - Physician access to patient information, such as diagnoses, allergies, lab results, and medications. … Electronic health records in ambulatory care -- a national survey of physicians. … CCHIT certified products also meet requirements set forth by HHS in final physician self-referral law … Midwest Heart Specialists, a 55-physician cardiovascular group at 14 locations in northern Illinois, … improvement depends heavily on physicians' use of the EMR?
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digital.ahrq.gov/ahrq-funded-projects/hit-strategic-plan-sw-minnesota-health-providers
January 01, 2023 - Outpatient
Medical Condition
Chronic Conditions
Population
Administrator
Physician … hospitals (almost all critical access hospitals), primary and satellite clinics, specialty clinics, physicians … The primary lessons learned include the need for physician involvement and extensive planning for success
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digital.ahrq.gov/sites/default/files/docs/resource/C3_Patient_Enrollment_Form_Blue.pdf
June 16, 2021 - RACE: ___________ SEX:_____________ DOB:____________________ SS#:___________________
PRIMARY CARE PHYSICIAN … wound started by (circle one): h) Other ____________________
a) Patient/ patient caregivers
b) Physician … RECEIVES WOUND CARE
PATIENT’S HOME Yes_No _ WOUND CLINIC Yes_No _
HOME HEALTH Yes_No _ PHYSICIAN
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digital.ahrq.gov/principal-investigator/mullen-rnee
January 01, 2023 - Keeping it real--building an ROI model for an ambulatory EMR initiative that the physician … Keeping it real--building an ROI model for an ambulatory EMR initiative that the physician practices
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digital.ahrq.gov/ahrq-funded-projects/understanding-complex-clinical-decision-tasks-better-health-information
January 01, 2023 - Affairs Medical Center
Medical Condition
Infectious Disease
Population
Physician … clinical picture does not match the pattern, 2) there is a lack of comprehension of the situation, and 3) physicians … Design Document Type: Journal Publication Research Method: Interview , Qualitative Population: Physician … Technology System Design Document Type: Report Technology: Clinical Decision Support System Population: Physician … Design Document Type: Journal Publication Research Method: Interview , Qualitative Population: Physician
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhyCareAboutWorkflow.ppt
January 01, 2010 - To minimize the impact on physician–patient interaction, we opted for an encrypted wireless network with … None of the physicians was especially computer-literate. … approximately $140,000, which is within the range that other investigators have reported on a cost-per-physician … Example (continued)
Before the EHR, a staff person provided each physician with the paper chart for … access to patient records just before seeing a patient
Delaying the physician entering the exam room
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digital.ahrq.gov/ahrq-funded-projects/rural-community-partnerships-electronic-medical-record-emr-implementation
January 01, 2023 - Medical Condition
Chronic Conditions
Population
Clinical Staff/Clinician
Physician … Populations
Keeping it real--building an ROI model for an ambulatory EMR initiative that the physician … Keeping it real--building an ROI model for an ambulatory EMR initiative that the physician practices
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking/annual-summary/2011
January 01, 2011 - The system encouraged physicians to engage in shared decisionmaking by including prompts to elicit questions … The physician clarified any issues with the patient and updated the patient's medication list in the … The clinic was organized into four areas (pods) with separate nursing staff and physicians and the clustered … Key informant interviews alluded to physician barriers not addressed by the intervention; for example … These are tangible products that have been widely accepted by physicians as assisting in improving and
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digital.ahrq.gov/sites/default/files/docs/page/1_ScenariosGuide_1.pdf
June 16, 2021 - actors that may be representing those organizations in the work group
meetings, which may include physicians … Physician 3. Federal 6. Public Health clinics and and nursing 11. … The ER physician is requesting the information on behalf of Hospital A. … for a state-mandated screening test
and the state lab test results are made available to the child’s physicians … lab also enters the information in its registry, and tracks the
child over time through the child’s physicians
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digital.ahrq.gov/sites/default/files/docs/page/1_ScenariosGuide_0.pdf
June 16, 2021 - actors that may be representing those organizations in the work group
meetings, which may include physicians … Physician
groups
3. Federal
health facilities 4. Hospitals 5. Payers
6. … The ER physician is requesting the information on behalf of Hospital A. … for a state-mandated screening test
and the state lab test results are made available to the child’s physicians … lab also enters the information in its registry, and tracks the
child over time through the child’s physicians
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digital.ahrq.gov/principal-investigator/juckett-david
January 01, 2023 - Support
Discordant patient pain level reporting between questionnaires and physician … Discordant patient pain level reporting between questionnaires and physician encounters of the same day
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/brownbridge-g-et-al
January 01, 2023 - When the physician was using the protocol, the patients also provided more information about protocol … Physicians in the experimental condition asked significantly fewer questions that were not on the protocol … When using the computer protocol, physicians recorded the non-occurrence of protocol events in the patient … For example, the physician may have recorded that the patient did not have a stroke without asking the … Three of the participating physicians worked in both practices.
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digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2010
January 01, 2010 - Previously, hospitalized patients were cared for by their primary care physician (PCP), facilitating … Now, many hospitalized patients are cared for by hospital staff physicians and are returned to their … in October 2009, will enhance MedTrak, the University of Pittsburgh Medical Center (UPMC) electronic physician … Physicians who serve as PCPs and are employed by the University of Pittsburgh or by UPMC, in concert … with the UPMC Office and Physician Relations, have been recruited to participate in the study.
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digital.ahrq.gov/sites/default/files/docs/survey/stage3-mu-practice-manager-survey.pdf
June 16, 2021 - For example, two full-time (i.e., 2), one half-time (i.e., 0.5), and one quarter-time (i.e. 0.25) physicians … Physicians FTE
Mid-level Providers (NP, PA) FTE
Clinical Staff (RN, MA) FTE
IT Support Staff (trainers … Hospital Association Organization (PHO)
Medical Services Org/Physician Services
Integrated Delivery … /Integrated Health System
Physician Organization (PO)/Network
Medical Group
Other, please specify: … Please report which type(s) of IT support you receive from your Physician Organization (select all that
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022305-manojlovich-final-report-2019.pdf
January 01, 2019 - heavily weighted towards the nurse perspective and thus not helpful in understanding the physician … , possibly interrupting the physician in some other task. … Factors influencing physician
responsiveness to nurse-initiated communication.
3. … “Choosing mediums, manipulating messages:
relationships and physician-nurse communication practices … EHR no substitute for nurse-physician communication.
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digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
August 18, 2011 - RESULTS
Perceptions of physicians’ knowledge of
patients’ medications:
• Older patients overwhelmingly … • Most said their primary care physicians rarely explain much to them about their
medications. … , they expect that busy
physicians will be unable to provide this. … And then each physician or each practice can kind of set their
threshold.” … Poor communication on medication issues
Project Objectives
PHYSICIANS AS POINT OF INTERVENTION: ALERT
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/sciamanna-cn
January 01, 2023 - population (such as patients with hypertension) and incorporating decision-support feedback to help physicians … Six of the clinics were solo or dual-physician practices and four were low-income public health clinics … [to] physicians to prompt and guide them in counselling their patients." … that the program disrupted their workflow when the patient was still working with it at the time the physician … A physician reported that the program was not useful because most of the information would be covered
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digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
January 01, 2008 - The primary users of this
stage were physicians, physician assistants (PA), and nurse practitioners … for use by physicians, and an exploratory pilot of the survey with
physicians indicated that many of … Physician acceptance surveys
Physician
Acceptance Surveys Distributed Received
Response
rate … Recall that the first physician go-live (physician
documentation) went live between T1 and T2. … • For physicians the significant decline (p=0.011) in Work came between T2 (physician
documentation
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ash-js-et-al-2007
January 01, 2007 - Physicians complain of being busier. … A nurse noticed that physicians were working through their lunch hour. … Staff were alerted about a new order by the hum of the printer, not direct communication with the physician … Physicians communicate with patients while viewing information on the screen. … Another patient helped the physician with the content of a letter the physician was drafting for her
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
March 01, 2009 - .1 10 For example, seminal work conducted
at the Indiana University School of Medicine
showed that physicians … they received a reminder in the inpatient setting,
compared with 21.9 percent compliance by control
physicians … The impact of
computerized physician order entry on medication
error prevention. … Effects of
computerized physician order entry on prescribing
practices. … Characteristics and consequences of drug allergy
alert overrides in a computerized physician order