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digital.ahrq.gov/events/national-web-conference-utilizing-health-it-improve-medication-management-care-elderly
January 01, 2023 - Physicians will be able to describe how health information technology can be used to improve health care … quality
Physicians will be able to identify health information technology strategies to implement … Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians … Physicians should claim only the credit commensurate with the extent of their participation in the activity
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rollman-bl-et-al-2001
January 01, 2001 - The electronic medical record: a randomized trial of its impact on primary care physicians' initial management … "Background: Inadequate treatments are reported for depressed patients cared for by primary care physicians … Primary care physicians who agreed with the diagnoses sooner were more likely to make a medical chart … Computer terminals were available in exam rooms, common clinic work areas, and physician offices. … Time [before the] response for usual care physicians was intermediate and did not differ significantly
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digital.ahrq.gov/sites/default/files/docs/page/Grannis.ppt
January 01, 2004 - )
Outpatient Encounter Form
A Fundamental Problem of Clinical Point of Care Data Capture
Physicians … numbers (45)
795 total digits:
689 digits entered by nurses / support staff
106 digits entered by physicians … Review (>95%) Review
(5 – 95%) Overall
Nurses 402/402 (100%) 245/285 (85.9%) 647/689 (93.9%)
Physicians … Errors
Nurses: 42/689
(6%)
Physicians: 12/106
(15%)
More on Error Rate
Neither informed … physicians
These and other types of errors can likely be decreased through feedback and training
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digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-qa-020717.pdf
February 07, 2017 - As a physician
who looks at a lot of notes, I find it harder to understand what really happened and … This method is up to the physician and outside of our
study, but it’s amazingly good. … The questioner assumes that the physician is checking the final
note before sending it out. … The note that’s produced by
VGEENS is transmitted to the EHR inbox, where it is edited by the physician … It seems like the physician would be required to find a private area.
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digital.ahrq.gov/year-survey/created-prior-2009
January 01, 2009 - , Physician Assistants, and Nurse Practitioners
Description
This is a questionnaire designed … to be completed by nurses and physicians in ambulatory and inpatient settings. … Year of Survey
Created prior to 2009
Health eHearts Physician Survey … Description
This is a questionnaire designed to be completed by nurses and physicians in an ambulatory … Employee and Staff Pre Go-Live Expectations and Perceptions Clinical Information Systems Survey: Physician
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digital.ahrq.gov/ahrq-funded-projects/improving-otitis-media-care-electronic-health-record-ehr-based-clinical/annual-summary/2011
January 01, 2011 - problems in the treatment of otitis media (OM)-infection of the middle ear- in children arise from physicians … of Philadelphia's (CHOP's) electronic health record (EHR) to integrate care over time and to supply physicians … based on the best available scientific evidence; 3) feedback on past performance of OM care provided by physicians … ; and 4) physician training on use of tools. … There was marked variation in physician adoption of CDS.
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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/sites/default/files/docs/citation/r18hs018932-hess-final-report-2015.pdf
January 01, 2015 - Physician time constraints and limited physician self-efficacy may limit patients’ behavior change. … alerts physicians to problematic health behaviors and
suboptimal HRQoL, and provides the physician … their HRQoL, physician time
constraints and limited physician self-efficacy may limit patients’ behavior … Physician participants were be recruited from GIMO’s faculty and resident physicians who together saw … their HRQoL, physician time constraints
and limited physician self-efficacy may limit patients’ behavior
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/morrow-j-2004-davies
January 01, 2004 - solution, the practice also can customize a variety of 'chart by exception' templates to match individual physician … Physicians are able to track prescription refill frequency. … due in part to the setting of mandatory fields, and facilitates more complete documentation by the physician … Now, North Fulton has reduced its call load by 12,000, freeing nurse, physician and staff time." … Physicians then review and confirm information."
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digital.ahrq.gov/ahrq-funded-projects/value-technology-transfer-discharge-information/annual-summary/2009
January 01, 2009 - Study participants were internal medicine hospitalist physicians at a teaching hospital and patients … The discharge software used a computerized physician order entry system. … perspectives of the patient, the discharging hospitalist, the pharmacist, and the outpatient primary care physician … Patient and physician perceptions after software-assisted hospital discharge: cluster randomized trial … Discharge planning scale: community physicians’ perspective.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/friedman-r-et-al-1996
January 01, 1996 - This information was sent to their physicians regularly. … medication adherence, SBP and DBP during 6 months, satisfaction of patient users, perceived utility for physicians … Most physicians integrated it into their practices. … Findings
Although several studies have shown that regular home blood pressure monitoring can help physicians … Of the 102 physicians whose patients were system users, 85 percent stated that they read system reports
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digital.ahrq.gov/ahrq-funded-projects/closing-feedback-loop-improve-diagnostic-quality/annual-summary/2010
January 01, 2010 - The hypothesis is that harm can be prevented or mitigated by providing rapid feedback to the physician … The project is developing automated processes for proactive followup and ongoing rapid feedback to physicians … The ED intervention is an automated followup and feedback report to the ED physicians on the final diagnoses … The process for providing feedback to emergency medicine physicians was begun. … There was no evidence of association with resident or attending physician.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015316-blair-final-report-2008.pdf
January 01, 2008 - Fifty providers from a large physician organization made up of
independent practitioners, a regional … Initially, MVP and TIPA tried using a physician
payment withhold approach to incent quality. … physicians and physicians on-call. … and Pediatric physicians
practicing in the Hudson Valley. … During the initial phase, up to 500 physicians will be enrolled
in the project.
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digital.ahrq.gov/ahrq-funded-projects/evaluating-electronic-health-record-data-use-diabetes-quality-reporting/annual-summary/2011
January 01, 2011 - Before using this data for quality reporting, it is critical to understand how physicians use the EHR … (Ongoing)
Learn where in the EHR physicians document diagnoses of diabetes and identify motivators … One change from the original application was to include physician assistants and nurse practitioners … in addition to physicians. … implications or a patient finding out about a diagnosis through a patient portal before being told by the physician
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mcdowell-i-et-al-1989
January 01, 2023 - Considering the costs of the three interventions, the physician reminder was the most cost effective, … patients in a large family practice to obtain a blood pressure check," computer-generated reminders to physicians … at the time of the patient visit, advising the physician to check the patient's blood pressure. … Workflow-Related Findings
Thirty-one percent of patients in the group with the physician reminders … "To verify the physicians' recording of blood pressure readings, we [observed] 20 visits for which a
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digital.ahrq.gov/sites/default/files/docs/page/2006Overhage_051711comp.pdf
June 16, 2021 - ea
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• “All” Indianapolis med/surg hospitals
• Physician … Data
repository
Health
Information
Exchange
Network
applications
Payers
Labs
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Physician … •Hospitals
•Labs
•Physicians
•Hospitals
•Patients
•Physicians
•Hospitals
•Payors
•Patients
•Physicians … & tools
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3
4
5
6
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Major urban hospitals Non-hospital labs Pharmacies
Physician … di
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Clinical
Data
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Primary care
physician
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015076-rosa-final-report-2007.pdf
January 01, 2007 - Scope: In October 2004, CCHS-East began to implement a comprehensive EMR system that
integrates Physician … Part of this effort also
included the establishment of physician champions. … The order set would then be reviewed and
approved by various physician committees. … to physician care hand-off. … Attitudes of Resident and Attending Physicians (on a 7-point scale)
Resident
Physicians
Attending
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digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research/creating-age-friendly-health-systems-implementing-decision
January 01, 2019 - to Improve Geriatric Prescribing Practices
Scaling and disseminating a CDS system that provides physicians … Vandenberg describes the ED environment as “busy, with a lot of interruptions and transitions,” while ED physicians
-
digital.ahrq.gov/ahrq-funded-projects/improving-quality-care-children-special-needs
January 01, 2023 - Profile (TN-CHP), with implementation of web browser data access to case managers and primary care physicians … for data sharing between the partner organizations, 3) IRB approval from UT and TDH 4) involvement of Physicians
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digital.ahrq.gov/ahrq-funded-projects/risk-based-approach-improving-management-chronic-kidney-disease/annual-summary/2010
January 01, 2010 - , while the control group physicians will not. … of the appropriate documented problem list and encounter codes will be used to measure primary care physician … Ongoing )
Assess the relationship between utilization of the intervention components and primary care physician … The pilot included physician alerts and the mailing of patient support materials. … reminder systems, patient self-management support, and physician preparedness for managing CKD.