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digital.ahrq.gov/electronic-medical-record-systems
January 01, 2023 - Investigator: Elizabeth Hahn State: IL
Title: Improving Laboratory Monitoring in Community Practices: A Randomized … Trial Principal Investigator: Steven Simon State: MA
Title: Improving Otitis Media Care with EHR-based … Twenty-three papers met our inclusion criteria; five were randomized controlled trials, six were posttest
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017059-wu-final-report-2010.pdf
January 01, 2010 - enrolling in the Health eHearts program (N=84) were recruited to
participate in a two by three factor randomized … trial. … Half of the practices were randomized to
receive monetary incentives for each patient that that achieved … In combination, practices were also randomized to receive CDSS
versions that either aligned with the … the CDSS preventive service reminders
(e.g., number of patients with hypertension and blood pressure controlled
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015038-friedman-final-report-2007.pdf
January 01, 2007 - Methods: Both study groups were randomized and followed prospectively at pre-determined intervals … The patients
were randomized to receive either the standard of care discharge and out patient teaching … The patients will be randomized to continuing to receive standard of
care or to receive interactive web … After being randomized and prior to any interventions, both groups take a patient
satisfaction survey
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs018582-lafleur-final-report-2015.pdf
January 01, 2015 - We evaluated those assumptions with a meta-‐analysis of randomized
controlled trials. … Methods
We selected studies based on 5 criteria: (1) we only accepted randomized controlled clinical … We searched PubMed/MEDLINE, Scopus, the Cochrane Central Register of Controlled Trials (CENTRAL) in the … Although our trial-‐level meta-‐analysis showed no reason
to believe that there is reduced bisphosphonate
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015359-bryant-final-report-2008.pdf
January 01, 2008 - were included in this study.
6
Methods
Overview of Study Design
The study design was a controlled … trial to evaluate outcomes utilizing a telehealth strategy
incorporating evidence based practice guidelines … A true randomized allocation to the
intervention or control groups was not possible due to logistic … Kansas Primary Care
Weighs In: A Pilot Randomized Trial of a Chronic
Care Model Program for Obesity
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017035-mehr-final-report-2011.pdf
January 01, 2011 - A trial of home
monitoring of blood glucose and blood pressure occurred in 108 patients. … testing accuracy and response to
patients electronically reporting medication inconsistencies; and a randomized … trial of 3-months
of home monitoring of blood glucose and blood pressure with electronic reporting. … Patients randomized to the intervention group measured their blood pressure daily and
tested their blood … Aim 3 Principal Findings
The sample included 108 patients who were randomized to intervention and control
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digital.ahrq.gov/sites/default/files/docs/hit-aging-adults-slides-071717.pdf
July 17, 2017 - training
Minimal data collection
15
Typical CHESS: too complex
Keep it Simple
18
19
Randomized … Trial
•
•
•
•
•
399 older adults
>100 each from urban, rural, and suburban
Elder Tree vs. … Building network around Keystone
• Control and confidentiality
• Online recruitment into clinical trial … TreeVideo Here
Elder Tree Features
Adaptations for Elderly
Typical CHESS: too complex
Keep it Simple
Randomized … Trial
Eligibility Criteria
Results
Categories
Live Alone
Fell More Than Once in Last 12 Months
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digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-slides-06152023.pdf
June 15, 2023 - A Randomized Trial of a Multifactorial Strategy to Prevent Serious Fall Injuries. … • Conducting a large impact analysis with a cluster randomized trial to test
CDS implementation … , you will
see post-
discharge VTE
prophylaxis
recommendations
.
49
50
Clustered Randomized … to address missing, stale, and inaccurate smoking
history in the EHR.1
o Evaluation via patient-randomized … trial at UHealth and NYU.
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digital.ahrq.gov/sites/default/files/docs/Health_IT_and_Safety_070910_comp.pdf
July 13, 2010 - Evaluating the Impact of Barcode-eMAR
on medication Administration Errors
• Study Design
– Non-randomized … , controlled observational study
comparing error rates on units with and without bedside
barcode scanning … with existing CPOE and Pharmacy
systems
– 10 ye ar project
Implementation
• Initial Trial … • Single site study using internally-
developed e-prescribing system
(RxStar)
• Randomized … trial examining
callbacks in three local pharmacies
• Reason for callback
• Date and time
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017202-bove-final-report-2011.pdf
January 01, 2011 - Methods: 242 patients with BP≥150/90 mmHg were recruited from two medical centers and
randomized to … In a large clinical trial, the
percentage of treated but uncontrolled hypertension among African-Americans … The subjects were randomized to an advanced telemedicine communication
system with bidirectional communication
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digital.ahrq.gov/sites/default/files/docs/improve-medication-management-slides-091318.pdf
September 27, 2018 - Two Studies
• Study 1, Prospective single group trial n=19;
subjects used anti-hypertensive, used … • Study 2, RCT, prospective trial n=50; subjects in
Priority Health plan with anti-hypertensive
PDC … The risk of having a stroke is 4 to 6 times higher in people whose blood pressure is not controlled. … at risk for unexpected changes withheld
from pillbox (e.g., warfarin), plus PRNs, opioids, other
controlled
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digital.ahrq.gov/sites/default/files/ahrq-dhr-schedule-amia-2024.pdf
January 01, 2024 - for Enabling Real-
Time, True Randomization in the Electronic Health Record
to Facilitate Pragmatic Randomized … Controlled Trials
AHRQ-Funded Research at
#AMIA2024 Annual Symposium
November 9 - 13, 2024
San Francisco
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021321-joshi-final-report-2014.pdf
January 01, 2014 - A randomized controlled trial of breastfeeding
support and education for adolescent mothers.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022689-fiks-final-report-2015.pdf
January 01, 2015 - METHODS
Study Design
This study was a single-group intervention trial. … however, asthma is the most prevalence pediatric chronic disease and is a
condition for which clinical trial … Echoing enrollment
results, parents of children with well-controlled asthma were less likely to use … These results
are consistent with our prior pilot trial of MyAsthma, in which clinical outcomes including … The impact
of inadequately controlled asthma in urban children on quality of life and
productivity.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021544-zhou-final-report-2014.pdf
January 01, 2014 - Cimino et al [27] combined NLP, a controlled
terminology (Medical Entities Dictionary [29]), and a … To assess the system performance, we selected two
randomized patients’ samples who visited the two clinics … Randomized controlled trial of an automated problem list with
improved sensitivity. … Medication reconciliation using natural language processing
and controlled terminologies.
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digital.ahrq.gov/sites/default/files/docs/page/Electronic%20Prescribing%20Using%20A%20Community%20Utility%20-%20The%20ePrescribing%20Gateway_0.pdf
January 31, 2007 - The clinical trial of
ePrescribing was well accepted by clinicians and office staff. … half, such that each half of the large practice site and one of the small practice
sites would be randomized … We therefore
randomized Clinic A as the intervention unit v. … Methods
We conducted a baseline evaluation from Jan. 1, 2006 - Feb. 28, 2006 followed by a
controlled … Aim II:
Our study design employed a baseline evaluation followed by a controlled trial to
evaluate
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digital.ahrq.gov/ahrq-funded-projects/evaluation-interactive-social-media-web-site-parents-who-are-concerned-about
January 01, 2023 - The team is conducting a follow-on AHRQ-funded randomized intervention trial to further evaluate this
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs020982-schoenthaler-final-report-2015.pdf
January 01, 2015 - al. and
validated in a large sample of Black adults participating in the Eat for Life church-based trial … system in a church setting for
chronic disease self-management to develop the evidence for larger randomized … Contrary to what was expected, participants with controlled BP at baseline
(BP≤135/85) exhibited
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digital.ahrq.gov/sites/default/files/docs/impact-pcc-slides-032317.pdf
March 23, 2017 - Poetter et al., 2012)
20
Background Methods Portal Lessons Learned
AHRQ-Funded Clinical Trial … Pragmatic randomized
controlled trial assessing
impact of an acute care
patient portal on patient … Learning Objectives
Acute Care Setting
Patient Engagement
Patient Safety
AHRQ-Funded Clinical Trial
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026058-lakes-final-report-2022.pdf
January 01, 2022 - technological intervention in a way
that would easily translate to a subsequent pragmatic clinical trial … • In March 2020, we were scheduled to begin the feasibility and acceptability trial for
our DHI. … • We began the first cohort of our pilot trial in the Spring of 2020 using a protocol that
included … of an
SMS text messaging and phone reminder to improve attendance at a health
promotion center: a randomized … controlled trial.