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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/tang-p-et-al-1995
January 01, 1995 - study point to functional requirements not commonly found in hospital-based systems, such as access to problem … records (EHR)
Workflow-Related Findings
"Difficulty finding patient information (e.g., problem
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digital.ahrq.gov/principal-investigator/hettinger-aaron-zachary
August 01, 2024 - Hettinger, Aaron Zachary
Project Name
Cognitive Engineering for Complex Decisionmaking & Problem … Hettinger, Aaron Zachary
Project Name
Cognitive Engineering for Complex Decisionmaking & Problem
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017795-eisenstein-final-report-2012.pdf
January 01, 2012 - A big problem 0 2 0.75 0 0.75 2
A small problem 2 8 1 11
Not a problem 24 57 11 92
Getting … Yes 22 41 0.16 6 0.055 69
No 11 44 12 67
In the last 6 months, how
much of a problem was it … A big problem 2 3 0.21 0 0.07 5
A small problem 2 1 1 4
Not a problem 18 37 4 59
23 … A big problem 0 0 n/a 0 n/a 2
A small problem 0 0 1 11
Not a problem 1 19 11 92
Getting … A big problem 1 1 n/a 0 n/a 2
A small problem 0 0 0 0
Not a problem 1 9 4 14
Overall Impressions
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/miller-rh-et-al-2004
January 01, 2004 - Workflow-Related Findings
"Although most clinicians maintained electronic problem and allergy lists … improved the legibility and accessibility of progress notes and increased the availability of electronic problem … For example, problem-specific templates (such as a sore throat template) with embedded prompts reminded
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digital.ahrq.gov/sites/default/files/docs/2010-02-24%20Transitions%20In%20Care%20(4).pdf
January 01, 2010 - .
•
Growing recognition that this is not just a
Medicare problem. … What to do if problem arises
8.
Patient education
9.
Assess patient understanding
10. … Serious health problem? … MAIN PROBLEM:
After Hospital Care Plan Maria Johnson 10/11/05
***Bring this Plan to each Appointment … Acknowledge the problem:
• Rehospitalization is not a data error: it is a
danger to patients and to
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tamblyn-r-et-al-2003
January 01, 2003 - were identified by the CDS software, the physician received an alert that identified the nature of the problem … Each alert message identified the nature of the problem and possible consequences and suggested alternative … The only substantially higher discontinuation rate for a specific prescribing problem was for drug interactions
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digital.ahrq.gov/principal-investigator/lambert-bruce
January 01, 2023 - Errors With Indication Alerts in CPOE Systems
Indication alerts to improve problem … Indication alerts to improve problem list documentation.
-
digital.ahrq.gov/sites/default/files/docs/digital-healthcare-innovations-engage-empower-qas-10112023.pdf
October 12, 2023 - ANSWER: We were anticipating that it could be a problem and budgeted for data plans. … ANSWER: It is becoming less of a problem than it has been over time, as you do not run into
many people … This is much less of a problem than we might think. … This just was not such a problem.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/sequist-t-et-al-2005
January 01, 2005 - This algorithm searched all laboratory and radiology results as well as the problem list, medication … patient summary screen ... alongside other pertinent information such as the patient medication list and problem … "This electronic record allows physicians to maintain patient problem, medication, and allergy lists
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digital.ahrq.gov/ahrq-funded-projects/electronic-records-improve-care-children/annual-summary/2009
January 01, 2009 - Clinicians were provided with quarterly summaries of their care practices relative to patient problem … Impact and Findings: The project confronted a serious chronic health problem (asthma) in a particularly … quarters, health care providers in participating centers improved the frequency of recording asthma on the problem
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digital.ahrq.gov/medical-condition/trauma
January 01, 2024 - Diverse Primary Care Practices (ASPIRE)
Characterizing the utilization of the problem … Characterizing the utilization of the problem list for pediatric trauma care.
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digital.ahrq.gov/funding-mechanism/understanding-clinical-information-needs-and-health-care-decision-making-processes
January 01, 2023 - Project Name
Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care … Project Name
Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015377-schadow-final-report-2008.pdf
January 01, 2008 - The FDA has adopted the Veteran
Administration and Kaiser Permanente (VA/KP) Problem List Subset of … medication order entry application which we had created based on these standards
includes an allergy list, problem … For
example, we showed how RxNorm, NDFRT, and SNOMED-CT can be used to make inferences
about the Problem … Medication
and indication linkage: a practical therapy for the
problem list? … Evaluation of the VA/KP
problem list subset of SNOMED as a clinical
terminology for electronic prescription
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs022674-adler-milstein-final-report-2014.pdf
January 01, 2014 - Assist with treatment and
management of the
patient's health problem
Help the patient overall … Clarify the level of detail required for problem list reconciliation. … Consider specifying that problem
list reconciliation may be performed at a less granular level than … Second, practices differed in whether or not they included acute problems on the problem list and short … This
additional level of detail often reduced ambiguity during problem list reconciliation when more
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digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-ivr-enhanced-care-transition-support/annual-summary/2012
January 01, 2012 - The Care Transition Intervention (CTI) was developed by Eric Coleman and colleagues to address this problem
-
digital.ahrq.gov/ahrq-funded-projects/past-initiatives/e-prescribing-pilot-projects
January 01, 2023 - To address this problem, the Medicare Modernization Act of 2003 (MMA) directed the Secretary of Health
-
digital.ahrq.gov/sites/default/files/docs/page/e-prescribing-toolset-pharmacy.pdf
January 01, 2020 - The most common problem is that the prescriber will select “1” as the quantity, to denote “1
unit” of … If your
pharmacy system vendor is not able to identify or remediate the problem, the vendor might be … Troubleshoot the Problem
First, get more information from the customer. … Troubleshoot the Problem
If you receive an e-prescription that appears to have an error, contact … Troubleshooting the Problem
Most pharmacies find that problems can be resolved easily by phone.
-
digital.ahrq.gov/sites/default/files/docs/cds-slides-10192021.pdf
October 19, 2021 - Describe the role of cognitive engineering for complex decision making and problem
solving in acute … 6
Funding Disclosures
• AHRQ (R01 HS22542 Cognitive Engineering for Complex
Decision Making & Problem … made to be customized is different than ‘EMR
optimization’
− The code doesn’t change., so not a problem … 1 link
Note 2 link
Note 3 link
Note 4 link
Note 5 link
…
Design Patterns
Flowsheet Navigation
Problem … Cognitive Support in the Emergency Department
Cognitive Engineering for Complex Decision Making & Problem
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digital.ahrq.gov/principal-investigator/gurses-ayse-pinar
January 01, 2023 - Health Information Technology Design
Characterizing the utilization of the problem … Characterizing the utilization of the problem list for pediatric trauma care.
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digital.ahrq.gov/technology/computerized-provider-order-entry-system
January 01, 2023 - and Clinical Decision Support for Order Entry
Indication alerts to improve problem … Indication alerts to improve problem list documentation.