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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/randomized-trial-computer-based
February 01, 1999 - Publication Date: 1999 Feb Volume: 106 Issue: 2 Pages: 144-50 HIT Description: Computerized physician … Purpose of Study: To determine the impact of giving physicians computerized reminders about apparently … order entry with clinical decision-support features alerting physicians to potential redundant clinical … Description: Implementation of computerized physician order entry with clinical decision-support features … alerting physicians to potential redundant clinical laboratory tests.
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018229-dalal-final-report-2012.pdf
January 01, 2012 - Scope: Physician awareness of the results of TPADs is generally poor. … Physicians could opt out at anytime by responding to study staff. … physicians),
10 due to physician being involved in study design (2 unique physicians), none due to … properly
7 survey generated/sent incorrectly
33 patients excluded:
6 physician opted out
10 physician … “It is best to send these pathology results not just to the ordering physician but also the GI physician
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digital.ahrq.gov/funding-mechanism/understanding-clinical-information-needs-and-health-care-decision-making-processes
January 01, 2023 - Information Technology
Keystrokes, mouse clicks, and gazing at the computer: how physician … Keystrokes, mouse clicks, and gazing at the computer: how physician interaction with the EHR affects … Clinical Workflow
Communication in the electronic age: an analysis of face-to-face physician-nurse … Communication in the electronic age: an analysis of face-to-face physician-nurse communication in the
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-voice-and-knowledge
January 01, 2002 - cost savings, compliance, clinical outcomes, and patient satisfaction Summary: Settings: Hypothetical physician … free-text dictations: The system with natural intelligent language technology is as low as $499 per physician … , or $2,500 per physician including hardware purchase and installation. 3) Unstructured free-text dictation … The authors predicted that, if only 14 percent of all US physicians (100,000 physicians) adopted voice … In the scenario of a large clinic (100 physicians), a saving of $730,000 is estimated.
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015084-graumlich-final-report-2007.pdf
January 01, 2007 - there was no perceived barrier in physician-to-physician
communication and the patient was excluded. … Not reaching follow-up
physicians. Can Fam Physician 2002 Apr;48:737-42.
9. … Computer physician order
entry: benefits, costs, and issues. … Which
do family physicians prefer? … Discharge
planning scale: community physicians’ perspective.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/workflow-analysis/primary-care-physician-time
January 01, 2004 - Primary Care Physician Time Utilization Before and After Implementation of an Electronic Health Record … electronic health records (EHRs), one major barrier to adoption is the concern that EHRs may take longer for physicians … Twenty physicians were observed and specific activities were timed during a clinic session before and … While the EHR did not require more time for physicians during a clinic session, further studies should … Publication Month: Jun Volume: 38 Issue: 3 Page Number: 176-188 Epub 2004 Dec 14 Link: Primary Care Physician
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digital.ahrq.gov/sites/default/files/docs/page/2006Simon_051211comp.pdf.pdf
October 01, 2005 - groups
HMO-owned practices are three times more
likely than physician-owned practices to use
an EHR … Simon, MD All Rights Reserved
Physician Survey
Same sample of practices as office
manager survey
Included … Simon, MD All Rights Reserved
Additional Adoption Statistics
On a physician level, a total of 45 percent … of
physicians in Massachusetts had EHRs. … 1 physician 1 --
2-3 physicians 0.81 0.50 – 1.31
4-6 physicians 1.68 1.01 – 2.77
7 or more physicians
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/clinical-effect-computer
September 01, 2004 - Clinical effect of computer generated physician reminders in health screening in primary health care- … Purpose of Study: To evaluate the effects of a program for computer generated physician reminders, integrated
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digital.ahrq.gov/ahrq-funded-projects/bringing-measurement-point-care
January 01, 2023 - Provider Attitudes and Experience Description: This is an interview guide designed to be conducted with physicians … PCIP) Evaluation: Provider Survey Description: This is a questionnaire designed to be completed by physicians … Implementation: Survey of Providers Description: This is a questionnaire designed to be completed by physicians … Survey Description: This is a questionnaire designed to be completed by nurses and physicians in an … Assessment Population: Nurse , Physician Care Setting: Ambulatory Setting Technology: Electronic
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/murray-md-et-al-1998
January 01, 1998 - When the prescription order selection is chosen [by the physician], all active prescription medications … The physician can renew or modify an existing medication that has been previously stored or order a new … To prescribe a new medication, the physician can quickly summon a specific order by typing in a few letters … After the physician enters all medications, an electronic copy of the patient's prescription is sent … For example, a physician may enter a prescription as 'Take one 100-mg tablet TID' when the pharmacy has
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digital.ahrq.gov/sites/default/files/docs/overcoming-barriers-slides-090512.pdf
September 05, 2012 - all practices set system default to
“substitution allowable”
■ Most practices used tools to help
physicians … entered brand name
10
Physician Use of Data
■ Physician perceptions of clinical value of
using … feature must outweigh time costs
■ Physicians more likely to use features
consistently:
– the more … written in Latin, Sigs often needed
editing to be more patient-friendly
■ Some systems allowed physicians … Sigs
■ Enhancing e-prescribing system design
and promoting best practices to make it
easier for physicians
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/davis-p-et-al-2001
January 01, 2001 - Referring physician and consultant provided open ended feedback as to relative strengths and weaknesses … to specialist consultation, the greatest benefit was improved communication among patient, referring physician … to specialist consultation, the greatest benefit was improved communication among patient, referring physician … "The two physicians involved in this project have found the process to be practical and effective." … Study Design
Only postintervention (no control group)
Study Participants
A family physician
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digital.ahrq.gov/ahrq-funded-projects/finding-safer-way-novel-interaction-design-approaches-health-it-safety/final-report
January 01, 2023 - Document Type
Report
Population
Clinical Staff/Clinician
Nurse
Nurse Practitioner
Physician … Physician Assistant
Research Method
Interview
Mixed Methods
Observational Study
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digital.ahrq.gov/principal-investigator/moran-barbara
January 01, 2023 - Project Name
CCHS-East Huron Hospital CPOE Project
Implementing computerized physician … Implementing computerized physician order management at a community hospital.
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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-implementation-continuum-care-rural-iowa
January 01, 2023 - Hospital
Inpatient
Pharmacy
Population
Clinical Staff/Clinician
Pharmacist
Physician … clinics to successfully implement a highly sophisticated, comprehensive EHR system with computerized physician … B) changes in quality, patient safety and access to specialty consultation, C) changes in staff and physician … service-specified evidence-based order sets change patient care processes; iii) changes in staff and physician … Record/Electronic Medical Record Population: Administrator , Clinical Staff/Clinician , Nurse , Physician
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digital.ahrq.gov/sites/default/files/docs/page/the-impact-of-stand-alone-vs-ehr-integrated-e-prescribing-systems.pdf
June 02, 2010 - shadowing clinicians, 2)
focus groups with e-prescribers, 3) claims analysis,
and 4) a survey of physicians … mixed-mode survey (email followed
by multiple mailings and telephone follow-up)
Sample: 2,000 physicians … , location, and region
of the US in which the physician practices. … Limitations
Sample included only physicians who were signed up
with an e-prescribing vendor. … The changing model of physician organizations.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022542-hettinger-final-report-2020.pdf
January 01, 2020 - and 30 resident physicians being captured. … , three attending physicians, and three nurses from two
EDs. … , three attending physicians, and three nurses. … , residents, or physician assistants. … The nurse-physician communication strategies, visualization prototype of physician
workflow decision
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/physician-use-computerized
June 01, 1994 - Physician use of a computerized medical record system during the patient encounter: a descriptive study … Purpose of Study: Investigate physician use of and interaction with a direct-entry computerized medical … Evaluation Method: Video-recorded encounters of four physicians before and after installation of the … The physicians increased the proportion of encounter time spent in documentation and decreased the proportion … The physicians work style changed from simultaneous recording on paper and talking with patients to interval
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digital.ahrq.gov/sites/default/files/docs/activity/evaluating_smart_forms_and_quality_dashboards_in_an_ehr_2010_pdf__2.pdf
January 01, 2010 - reviews, effective coded data capture, note generation, and actionable
CDS at the point-of-care to help physicians … QDs help physicians, medical directors, and practice
leaders by reporting adherence to recommended clinical … The QD graphical displays allow for
same-practice physician comparison and local and national benchmark … Data collected from the RCTs and physician
surveys were used to answer the following questions: 1) Can … Specific Aims:
• Design and implement an integrated documentation-based CDS and physician feedback
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effects-computer-assisted
January 01, 1995 - Purpose of Study: Evaluate a computer-assisted reminder system for patients and physicians. … Intervention: A computer-assisted reminder system that notified both patients and physicians of recommended … Evaluation Method: Measures of preventive services, and physician and patient compliance. … Safety Outcome: In the 22 months following implementation the authors documented a rapid increase in physician … Despite high physician compliance, they were unable to increase patient compliance rates above 70% for