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digital.ahrq.gov/sites/default/files/docs/survey/pcip-evaluation-patient-survey.pdf
June 16, 2021 - this visit, did the doctor give you
clear instructions about what to do to take
care of the health problems … In your opinion, what are likely problems
with your doctor using electronic health
records? … for me to access
My medical information would be
more difficult for my doctor to access
No problems … How confident are you that you can
control and manage most of your health
problems? … Not confident
Confident
Very confident
I do not have any health problems
Thank you!
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digital.ahrq.gov/sites/default/files/docs/page/Workshop%20Introduction.pdf
June 16, 2021 - centralization
• The paradox of increasing admissions and falling bed
numbers has contributed to the problems … evidence that application of
known industrial and systems
engineering methods and tools to health
care problems … group work
• ISyE theme groups
– Scope
a) New and emerging areas
b) Existing methods applied to
new problems
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rivkin-s-1997
January 01, 1997 - Other unforeseen difficulties included connection problems with the company sponsoring the technology … savings, noted by decreases in necessary phone calls from the pharmacy to the physician's office, as some problems … There were two problems with this assumption: First, the transaction was not instant; and second, the
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digital.ahrq.gov/2018-year-review/research-spotlights/improving-ehr-design-increases-patient-safety-especially-children
January 01, 2018 - Raj Ratwani and his research team identified pervasive problems with EHR systems that regularly lead … issues, and nearly 20 percent of those may have harmed patients. 1 System feedback and visual display problems
-
digital.ahrq.gov/principal-investigator/lobach-david
January 01, 2023 - Network
Decision support for evidence-based pharmacotherapy detects adherence problems … Decision support for evidence-based pharmacotherapy detects adherence problems but does not impact medication
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs022674-adler-milstein-final-report-2014.pdf
January 01, 2014 - reconciliation of medications (for >50% of transitions of care) as well as medication allergies
and problems … Clarify whether acute problems and short-term medications need to be reconciled. … Clarify what
types of problems and medications should be reconciled to resolve heterogeneity in current … Second, practices differed in whether or not they included acute problems on the problem list and short … For example, some practices chose not to enter acute problems, such as
sinus infections, in the problem
-
digital.ahrq.gov/sites/default/files/docs/HOW%20HEALTH%20IT%20CAN%20REDUCE%20UNNECESSARY%20REHOSPITALIZATION.pdf
June 16, 2021 - On the other hand, if we cannot fix this, our chances for fixing the larger
problems in the healthcare … Stopping your
medication without being told to do so by your doctor may cause problems and can make some … There is a lot of elements, it is
really expensive, and there is lots of problems associated with it; … But what we are dealing with is twofold: One is problems caused by putting the scheduling and convenience … On the whole, I believe that we have good data and a lot of lists of the potential problems that happen
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digital.ahrq.gov/ahrq-funded-projects/effects-age-cognition-and-health-literacy-use-patient-emr/annual-summary/2011
January 01, 2011 - ability to use a patient portal of an EMR system, the study identified the root of a number of usability problems … and then proposed a set of empirically-based interventions to help those who are most likely to have problems … (Achieved)
Identify usability problems inherent in the use of patient portals and identify design solutions
-
digital.ahrq.gov/sites/default/files/docs/survey/patient-text-messaging-interview-guide.pdf
June 16, 2021 - Did you encounter any problems with sending or receiving the text messages as part
of the program? … Did you run into any other problems or obstacles related to the text
messaging program?
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/malasanos-t-et-al-2005
January 01, 2005 - CMSN) set up semimonthly remote telemedicine clinics for children with diabetes and other endocrine problems … Participants
The study participants included 99 patients (44 with diabetes and 55 with endocrine problems
-
digital.ahrq.gov/program-overview/research-stories/use-artificial-intelligence-and-machine-learning-improve-care
January 01, 2023 - medication regimens of ICU patients and work to identify and provide guidance for medication-related problems … In addition to benefiting patients by facilitating CCPs interventions when medication-related problems
-
digital.ahrq.gov/ahrq-funded-projects/implementing-personalized-cross-sector-transitional-care-management-promote
January 01, 2024 - “It’s not just health problems, it’s people who also have behavioral health problems and probably various … right information so they can take an immediate action to prevent someone from really running into problems
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digital.ahrq.gov/sites/default/files/docs/resource/b9_archives_mcconnochie_r18_hs_018912_1424.pdf
June 16, 2021 - Health Care When and Where
You Need It FAQs
What kinds of problems can be
handled through telemedicine … It’s perfect for common childhood
illnesses and problems like coughs,
colds, rashes, pinkeye, ear … It’s
perfect for common childhood ill-
nesses and problems like rashes,
colds, pinkeye and ear infections
-
digital.ahrq.gov/sites/default/files/docs/survey/stage3-mu-primary-care-provider-survey.pdf
June 16, 2021 - care record, you will be expected to reconcile the patient’s medications,
medication allergies, and problems … of referrals and care transitions, reconcile the patient’s medications, medication
allergies, and problems … patient
post-referral or
post-discharge
Problem List
Assessment (e.g., notes summarizing key problems
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digital.ahrq.gov/sites/default/files/docs/resource/PCC_Schillinger_Q3_Welcome_Letter.ENG.pdf
June 16, 2021 - • Our nurse can check in with you to help you solve problems, answer any
questions, and provide support … * “ In the last 6 months, how often did members of your diabetes team ask to talk
about any problems
-
digital.ahrq.gov/ahrq-funded-projects/measuring-and-improving-ambulatory-patient-safety-electronic-dashboard
January 01, 2023 - Among ambulatory patients, safety problems include missed and delayed diagnosis, poor monitoring, miscommunication … Lack of timely information and fragmented care in ambulatory health systems exacerbate these problems
-
digital.ahrq.gov/sites/default/files/docs/page/Systems%20Analysis,%20Change%20and%20Implementation%20Theories%20Group%20Report%20Day%202.pdf
September 21, 2009 - Implementation Theories
RESEARCH AGENDA:
GOALS
SCOPE CHALLENGES APPROACH
Identify a set of problems … After identifying problems and priorities -
most often nothing happens.
-
digital.ahrq.gov/computerized-provider-order-entry-inpatient
January 01, 2023 - Much of this was due to delayed product deliveries from vendors, but several projects reported problems … ward simultaneously, as opposed to a phased roll-out where some units will pilot the system and fix problems … This time was spent ensuring all problems were addressed as completely as possible before the roll-out … Phased roll-outs often had a longer implementation cycle than did enterprise-wide rollouts, because problems … Many AHRQ-funded projects employed a "clinical steering committee" to organize, lead, and resolve problems
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs022352-koru-final-report-2014.pdf
January 01, 2014 - Complexity of health IT is a challenge but training typically
addresses the important problems. … Therefore, for HHAs, it is crucial that health IT adoption directly addresses
their problems by causing … Then, the root causes are questioned in order to make sure that the problems are real ones,
not the … symptoms of other problems. … HHAs serving rural areas and those
serving urban areas may have different problems.
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs022110-windle-final-report-2019.pdf
January 01, 2019 - which included observations, participants’ comments while
using the system, where and when system problems … The clinician uses the review
process to begin creating a mental model of the patient’s problems. … Because of our linkage of problems and quality
metrics, all quality metrics were completed (21 of 21 … These 21 elements represent the metrics for the four primary
problems to be addressed in the clinical … The linking of problems with problem-based connectors for diagnostic,
therapeutic and quality purposes