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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/how-common-are-electronic-health
Settings: included only those surveys in which the underlying population of interest consisted of physicians … , physician group practices or hospitals Intervention: systematic review of peer reviewed and non-peer … viewing of laboratory and radiology results and electronic prescribing System Penetration: About 24% of physicians … use an HER, about 5% have CPOE Barriers: Large physician offices were much more likely to have an HER … than solo or small physician practices (39% v. 16%)
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021290-agha-final-report-2017.pdf
January 01, 2017 - Physician Interviews /
Stimulated Recall
Semi-structured interviews with physicians, addressed perceptions … Aim 2 Physician Nonverbal
Behavior
Physicians’ nonverbal behaviors were coded based on room video … review to a set of discrete behaviors (eg, physicians' eye gaze). … Activity Measure Subjective Workload
(TLX subscale)
Sample Size
(physicians)
Physician-aggregated … That is consistent with the characterization
of physicians as expert users.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/evaluation-studies-health-it/evaluation
January 01, 2007 - Evaluation of Outpatient Computerized Physician Medication Order Entry Systems: A Systematic Review … : 14 Issue: 4 Page Number: 400-406 Epub 2007 Apr 25 Link: Evaluation of Outpatient Computerized Physician
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/quality-measurement-and-improvement/using
Using electronic health records to measure physician performance for acute conditions in primary care … : Feb Volume: 47 Issue: 2 Page Number: 208-16 Link: Using electronic health records to measure physician
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-hospitalwide-computerized
January 01, 2005 - The impact of hospitalwide computerized physician order entry on medical errors in a pediatric hospital … Description: Established warnings, selected by physician advisors, were placed in the computer system
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/randomized-controlled-trial
June 01, 1993 - A randomized controlled trial of computerized pharmacokinetic theophylline dosing versus empiric physician … Intervention: Computerized pharmacokinetic theophylline dosing was compared to empiric primary care physician
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/schade-cp-et-al-2006-e
January 01, 2006 - They did not all agree that EHRs actually saved physician time." … "One physician attributed a reduction in acute myocardial infarction incidence to better lipid management … Not only was the complaint dismissed, the physician received compliments for his documentation." … merely replace handwritten prescriptions with computer printed ones, achieve [substantial savings in physician … and office staff time], according to the UK physicians we visited."
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/acceptance-and-performance
January 01, 1995 - HIT System: Vendor-offered ambulatory EMR system (EpicCare), implemented in two different physician … Implementation: o Increase in physician agreement to the statement ÒEpicCare is worth the time and effort … to use itÓ from 52% (at 2 months) to 85% (4-6 months). o Increase in physician agreement to the statement … ÒEpicCare is easy to useÓ from 45% (at 2 months) to 79% (4-6 months). o Eighty-five percent of physicians
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digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes
January 01, 2023 - Electronic Prescribing
Care Setting
Ambulatory Setting
Population
Physician … The specific aims of the study were to:
Measure physician use of two safety-related e-prescribing … between measures of e-prescribing system use and the types of e-prescribing systems used, as well as physician … Outcomes Document Type: Report
Technological viewpoints (frames) about electronic prescribing in physician … Technological viewpoints (frames) about electronic prescribing in physician practices.
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digital.ahrq.gov/health-care-theme/medication
January 01, 2023 - Description
This project evaluated SMARxT, web-based education modules designed to teach resident physicians … Investigator(s)
Fiks, Alexander
Maximizing Effectiveness of E-Prescribing Between Physicians … and Community Pharmacies
Description
This project involved six e-Prescribing physician software … patient data through pharmacy management, laboratory management, patient scheduling, barcoding, clinical physician … Improving Lab Follow-up by Delivering an Enhanced Medication List to Outpatient Physician
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digital.ahrq.gov/sites/default/files/docs/page/Fritz.ppt
June 09, 2005 - More than 700 physicians accessing patient records and 225 wirelessly in hospitals via personal digital … practices have access to the communicy EMR
700 physicians are accessing electronic patient records … INHS Regional Network 3 to 5 Years
Physician EMR Views per Month
EMR Views per Month
Office Staff … access and integrated clinical systems for physicians, hospitals, clinics and other health providers … offices, providing a community Electronic Medical Record
Accomplishments
We connected Physicians
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digital.ahrq.gov/ahrq-funded-projects/using-social-knowledge-networking-skn-technology-enable-meaningful-use-ehr
January 01, 2023 - the Federal policy impetus toward medication reconciliation, hospital adherence has lagged due to low physician … Fifty SKN users, including physicians, nurses, and pharmacists, participated in discussions about their … healthcare managers must make a conscious effort to link practices to outcomes in order to increase physician … Knowledge System , Medication Management System , Social Media Population: Nurse , Pharmacist , Physician … Health Record/Electronic Medical Record , Medication Management System Population: Pharmacist , Physician
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025714%20-marcin-final-report-2023.pdf
January 01, 2023 - Therapists and
physicians also completed therapist and physician surveys, respectively, after each encounter … confidence in quality of care, physician
confidence in parent education, and physician confidence in … Physician-
reported
quality of
care
No difference in
physician-reported
confidence in quality … Significantly lower
physician confidence in
quality for all-virtual
visits
Physicians expressed … Significantly lower
physician confidence in
physical exam for all-
virtual visits
Physicians found
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digital.ahrq.gov/ahrq-funded-projects/improving-outpatient-safety-older-adults-through-electronic-patient-portals
January 01, 2023 - Messaging
Care Setting
Patient Home
Population
Caregiver
Elderly
Physician … are frequently responsible for tasks such as medication reminders, prescription refills, scheduling physician … Finally, a retrospective chart review was conducted to review patient-physician communication history … , Qualitative Technology: Patient Portal , Secure Messaging Population: Caregiver , Elderly , Physician
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/balas-e-et-al-1997
January 01, 1997 - between clinicians and patients indicate that application of telemedicine should not be limited to physician-to-physician … between clinicians and patients indicate that application of telemedicine should not be limited to physician-to-physician
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/electronic-health-record-ehr-systems/electronic
January 01, 2005 - electronic health record systems and widely accepted, evidence-based clinical performance measures for physicians … Midwest Heart Specialists, a 55-physician cardiovascular group at 14 locations in northern Illinois, … has integrated cardiovascular measurement sets developed by the American Medical Association-convened Physician … these standardized data could be the foundation to support quality-based reimbursement strategies and physician
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digital.ahrq.gov/sites/default/files/docs/page/Materials%20Management%20and%20Production%20Processes.pdf
May 25, 2010 - Delivery (physician offices, hospitals, nursing
homes…)
Suppliers, Distributors, Group Purchasing … ”
Respect for bounded clinical autonomy
Build commitment
Manage conflict of interest
– involve physicians … Strong physician preferences for products, particularly in
high technology fields such as orthopedics … Physician preference for products but payment for
products by the hospital. … advertising
Declining reimbursements
Rising overhead
Malpractice climate
Decision-making by non-
physicians
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digital.ahrq.gov/sites/default/files/docs/activity/improving_pediatric_safety_and_quality_with_hit_2009_update_2.pdf
January 01, 2009 - quality of documentation—related to each intervention and surveys assessed the impact of the CDS on
physician … medication recommendations
(smart forms) on rates of guideline-adherent medication prescribing and physician … Further improvements in quality and safety are possible through
increased physician use of CDS, but … this will require physician willingness to change their workflow, as
well as improvements to EHR software … Patient-physician connectedness and quality of primary care. Ann
Intern Med 2009;150(5):325-35.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/crosson-jc
January 01, 2023 - PARTICIPANTS: Sixteen physicians and 31 staff members working in 12 practices scheduled for implementation … of an e-prescribing program and purposively sampled to ensure a mix of practice size and physician specialty … Workflow-Related Findings
"A physician in [a practice that installed e-prescribing but did not use … Study Design
Pre-postintervention (no control group)
Study Participants
"Sixteen physicians … [were] purposively sampled to ensure a mix of practice size and physician specialty."
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/improving-influenza-vaccinatio-0
May 01, 1990 - reminder to members at high risk for complications of influenza, a computer-generated reminder to the physician … high-risk patients, performance feedback to chiefs of service, and, retrospective feedback to each physician … comparing his/her performance with that of the other physicians. … Care and Patient Safety Outcome: A significant increase in vaccination rates was not achieved until physician