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digital.ahrq.gov/sites/default/files/docs/biblio/biondich.ppt
May 14, 2013 - staff to assist in data acquisition
*
The Problem / Motivation
Need to capture data prior to physician … are asked first
*
Parental Screening Questionnaire
Patients identify their own risk factors – physicians … support “tools”:
“Extra Specific” reminders
Just-in-Time Handouts
Automated Orders
*
Sample
Physician … *
Vital Sign Calculations
Doctor’s Worksheet
(PWS)
Screening Form (PSF)
*
Physician … Preventive
Care Reminders
*
Identifying Risk Factors
Screening
Form (PSF)
Physician Form
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/electronic-health-record-use-and
July 09, 2007 - cross-sectional Outcomes: impact on health care effectiveness and quality Summary: Settings: patient, physician … and clinical information from non-federally funded, community, office-based physician practices throughout
-
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
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_4_ADE_Incident_Identification_Form.pdf
September 30, 2009 - Physician
2. Nurse practitioner
3. Physician’s assistant
4. Nurse in office
5. … Physician
2. Nurse practitioner
3. Physician’s assistant
4. Nurse in office
5. … Physician order
(Choose all that apply) ____ 2. Pharmacy dispensing
____ 3. … Physician
2. Nurse Practicioner
3. Physician Assistant
4. EMR
5. Pharmacist in office
6.
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digital.ahrq.gov/sites/default/files/docs/activity/monitoring_intensification_of_treatment_for_hyperglycemia_and_hyperlipidemia_2010_pdf__2.pdf
January 01, 2010 - quality-of-care measurement is increasingly used to evaluate quality improvement
programs and to compare physicians … Turchin and his team developed a physician performance process
measure using both structured and unstructured … of treatment intensification can be obtained through computational
analysis of unstructured text in physician … of
hyperglycemia and hyperlipidemia can be obtained through computational analysis of the text of
physician … zip code, treatment with insulin, initial HgA1c, and frequency of encounters with the primary care
physician
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_017220_wolf_pdf_3.pdf
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
-
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
-
digital.ahrq.gov/ahrq-funded-projects/optimizing-medication-history-value-clinical-encounters-elderly-patients/annual-summary/2011
January 01, 2011 - Recruitment of physicians from Virginia Commonwealth University was completed in summer 2011. … Five clinical encounters were audio recorded for each physician. … Patient survey data and physician audio data were coded to assess the quality of patient-provider interactions … No changes were found in physician perceptions of e-prescribing or in the patient perceptions of physician … Physicians overrode alerts often, and this did not vary by treatment arm.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/unertl-km-et-al-2007
January 01, 2007 - "All of the physicians had access to and made use of dictation software to varying degrees. … "Use of informatics tools varied both within each group of providers and between the physician and nurse … One physician and one nurse practitioner routinely examined data in graphical form. … One physician and one nurse routinely used the EHR for e-prescribing; one nurse practitioner occasionally … The providers noted that the portal was useful for many patients, but one physician stated that it had
-
digital.ahrq.gov/sites/default/files/docs/activity/u19hs021094-bates-annual-summary-2012.pdf
January 01, 2012 - Physician-Level Variation in Medication Overrides of Computerized Decision Support. … This project is
assessing, describing, and characterizing physician-level variations in response … (Ongoing)
• Use new sources of data from clinical decision support to identify physician-level variation … The Physician-Level Variation in Medication Overrides of Computerized Decision Support project work … Preliminary Impact and Findings: For the Physician-Level Variation in Medication Overrides of
Computerized
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/errors-associated-applying
January 01, 2006 - Drug Saf Publication Date: 2006 Volume: 29 Issue: 9 Pages: 803-9 HIT Description: Computerized physician … Interoperability: the PDMS is connected to the hospital information system and the laboratory system so that a physician
-
digital.ahrq.gov/sites/default/files/docs/activity/virtual_continuity_and_its_impact_on_complex_hospitalized_patients__care_2010_pdf__2.pdf
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 … 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.
-
digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-10-references
December 12, 2008 - Evaluation of outpatient computerized physician medication order entry systems: a systematic review . … The effect of computerized physician order entry with clinical decision support on the rates of adverse … Inpatient computer-based standing orders vs. physician reminders to increase influenza and pneumococcal … Effects of computerized physician order entry on prescribing practices. … The impact of computerized physician order entry on medication error prevention.
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs022065-kroth-final-report-2018.pdf
January 01, 2018 - The electronic elephant in the room: Physicians and the electronic health
record. … The electronic elephant in the room: Physicians and the electronic health
record. … Interventions to improve physicians' well-being and patient care. … Physician burnout. Ann Intern Med. 2001 Jul 17;135(2):145-8.
8. … American College of Physicians.
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015169-middleton-final-report-2009.pdf
January 01, 2009 - To adjust for clustering of patients within physicians and physicians within
practice sites, we used … Results of a
Physician Satisfaction Survey [poster]. … Results of a
Physician Satisfaction Survey [poster]. … Results of a
Physician Satisfaction Survey [poster]. … Results of a Physician
Survey [poster]. Spring SGIM, 2009.
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015302-mullen-final-report-2008.pdf
January 01, 2008 - In the two cases,
Physician Center and Dr. … This was rectified quickly as those physicians identified
the missing choices from the selection list … -2.88 Overall, the physicians are seeing approximately three
less patients per day. … The physicians are not
dissatisfied with this measure and feel that over time
they will be able to … Later than baseline
4 Of the nine physicians completing this question on the
survey five are going
-
digital.ahrq.gov/sites/default/files/docs/reducing-provider-burden-slides-012518.pdf
January 25, 2018 - Education of nurses and physicians
12. Education of patients
13. … Education of nurses and physicians
12. Education of patients
13. … Education of nurses and physicians
12. Education of patients
13. … Education of nurses and physicians
12. Education of patients
13. … Education of nurses and physicians
12. Education of patients
13.
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effectiveness-telemedicine
January 01, 1998 - The telemedicine physician and the physician examining the patient in the traditional manner were able
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/evaluation-studies-health-it/evaluation-and
January 01, 2006 - Evaluation and Certification of Computerized Provider Order Entry Systems
Computerized physician … order entry (CPOE) is an application that is used to electronically write physician orders either in
-
digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/MGMA_IT_Assessment_Part_II.pdf
June 01, 2003 - ❍ Yes ❍ No
• Have your physicians expressed interest in
using handheld personal digital assistants … ❍ Yes ❍ No
• Can your network adapt to wireless PDA tools
for in-office computerized physician order … E very physician practice
questions whether its
costs of providing service
to its patients are too … When costs exceed acceptable
limits, patient services may suf
fer and physician compensation
may … These costs are presented on a
“per full-time equivalent (FTE) physician” level as well as a
percent