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digital.ahrq.gov/sites/default/files/docs/citation/AppendixF_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - Quality” Data not in sync; test/production 1
“Clinical-Decision Support Inadequate alerts or CDS 6
“Software … Design” Local programming 3
“Software Design” Interfacing issues 3
“Implementation” Inadequate testing … issues 1
“Hardware Hardware issues in facilities 1
“Hardware Poor mounting technique 1
“Hardware Software … Initial Fix”
Manual chart/data correction 4
“Initial Fix”
User training 4
“Initial Fix”
Delay software
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digital.ahrq.gov/sites/default/files/docs/citation/EHRVendorPracticesPerspectives.pdf
May 01, 2010 - Pennsylvania School of
Medicine; President, Social Research Corporation
David Kreda Independent Computer … Morae: usability testing and
market research software. … Principles of software
engineering management. Reading, MA:
Addison-Wesley Pub. … The
clinic/practice purchases the hardware and software license. … The software is installed,
operated, and maintained by EHS in their data center.
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digital.ahrq.gov/ahrq-funded-projects/secure-architecture-exchanging-health-information-safehealth/annual-summary/2009
January 01, 2009 - After several unsuccessful attempts to find a vendor to develop the software, the project team decided … to scale down software development to be developed internally by Fallon Clinic’s information technology … agreed to share the development and implementation costs, including providing resources for testing the software … Aims:
Conduct pre-implementation focus groups with patients and physicians. ( Achieved )
Develop software … HealthAlliance Hospital’s Leominster Campus Emergency Department. ( Achieved )
2009 Activities: SAFEHealth software
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024581-avidan-final-report-2020.pdf
January 01, 2020 - Methods: Software and workflows to support the ACT were refined through iterative usability
tests, and … Results: The software was refined seven times based on the usability results. … Prior to initiation of this work, the FDA-approved
AlertWatch® software (AlertWatch, LLC, Ann Arbor, … who accessed the software on a computer in the OR.
5. … Participant responses to alerts were logged automatically by the software.
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-ok/annual-summary/2011
January 01, 2011 - attachment (i.e., a single interface rather than separate interfaces for multiple EHR systems) for the PSRS software … Project Objectives:
Enhance the current features of SMRTNET by including the PSRS software program … After meeting with software vendors, substantial progress in the SMRTNet-eClinicalWorks hub connection … By the end of 2011, most of the software issues had been corrected and providers were re-oriented to
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digital.ahrq.gov/health-information-exchange-0
January 01, 2023 - include partners with disparate financial resources to invest in purchasing and maintaining hardware and software … considerations to mitigate disparities in technology capacity among information sharing partners in terms of software … To the extent possible, use existing and emerging standards; open source, non-proprietary software; and … Software should match the mental models of treatment.
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digital.ahrq.gov/sites/default/files/docs/page/Grannis.ppt
January 01, 2004 - OCR software has advanced considerably:
No longer requires special paper or inks
Forms can be printed … was created within Teleforms
Preprocessing settings were “fine tuned”
Confidence intervals for the software … identity
Upper vs. lower confidence intervals
No review – Guess and review – No Guess and review
Software … correctness and confidence
Evaluating Usability and Speed
Forms were processed a third time by software … Speed / Usability Results
Author took 10 minutes to review and correct all 127 forms within the software
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015362-littman-final-report-2007.pdf
January 01, 2007 - Methods: The method for developing the registry was to extend existing software developed by
a local … The assessment included the software development needed to
implement Solutions as an external product … ● Test new software and training curriculum at initial
PMG physician site
● Close PMG registry; … and was a similar finding
during the technical due diligence of PAMF’s Solutions software. … • Expanding internal software tools requires major modification in order to scale the
registry
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digital.ahrq.gov/ahrq-funded-projects/nlp-improve-accuracy-and-quality-dictated-medical-documents
January 01, 2023 - In addition to typing, dictating, and use of template-based documentation, speech recognition (SR) software … Staff/Clinician
Analysis of errors in dictated clinical documents assisted by speech recognition software … Analysis of errors in dictated clinical documents assisted by speech recognition software and professional
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/howard-j-clark-ec
January 01, 2023 - All 7 practices had e-prescribing, however, 2 of the practices' e-prescribing software was a separate … software and not part of the EHR. … place
All practices have EHR in place with varying time of implementation and all had e-prescribing software
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digital.ahrq.gov/time-and-motion-studies-database
January 01, 2023 - project, observers are using personal digital assistants (PDAs) running PocketTimer from Stevens Creek Software … Observers use personal digital assistants (PDAs) running TimerPro software by Applied Computer Services … The software running on the PDAs was customized to reflect the categories and tasks of interest to the
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-electronic-medical-record-and-shared-access/annual-summary/2009
January 01, 2009 - Commission for Health Information Technology-certified EMR, the Medical Practice Management suite of software … The SBLHC implemented the software, modified it to their specifications, and piloted it in the organization … Upgrade broadband network infrastructure at implementation sites. ( Achieved )
Customize system software … Software is installed by a standard process and standard dictionaries with some personalized templates
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digital.ahrq.gov/ahrq-funded-projects/evaluation-computer-generated-after-visit-summaries-support-patient-centered/annual-summary/2010
January 01, 2010 - Interviews were audio recorded, transcribed, and entered into NVivo 8 software, a qualitative data analysis … software which helps organize and analyze non-numerical data. … The interviewer recorded the sessions and the team encoded the audio using NVivo 8 software. … The software allowed researchers to track the major themes and content domains that the interviews captured
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/BenchmarkingQuestions.pdf
January 01, 2010 - • To what extent did the software vendor emphasize the importance of understanding workflows and
how … • Did the software vendor encourage…
o … flowcharting of workflows? … o … prospectively identifying issues associated with software use?
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digital.ahrq.gov/sites/default/files/docs/page/Idaho_Grannis.ppt
January 01, 2004 - vault in separate physical files, but centrally located
Standardized data structure – All use same software … OCR software has advanced considerably:
No longer requires special paper or inks
Forms can be printed … identity
Upper vs. lower confidence intervals
No review – Guess and review – No Guess and review
Software … correctness and confidence
Evaluating Usability and Speed
Forms were processed a third time by software … Speed / Usability Results
Author took 10 minutes to review and correct all 127 forms within the software
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/pareto-chart
January 01, 2023 - Recommended Supplies/Materials
Spreadsheet software
Advantages
Aids in action prioritization … Easy to construct with spreadsheet software.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017150-lapane-final-report-2010.pdf
January 01, 2010 - We
recruited 34 doctors and randomized 33 to two intervention arms: algorithms in software (n=14)
and … algorithms in software and opportunity to complete the CME training modules (n=19). … Integration of Triggers in the Real-Time Electronic Prescribing Software. … The messages were relevant,
concise, and consistent with the software display. … We ended up needing to engage with two software
vendors to reach our target physician recruitment.
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digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-information-technology/annual-summary/2008
January 01, 2008 - expansion of electronic health records (EHRs) at the hospital, the introduction of EHR practice management software … computerized physician order entry (CPOE), and the implementation of Midas+ clinical decision support (CDS) software … One of the key promises made by the eMAR vendor was that the software would alert a nurse about a potential … In practice, the software issued so many warnings that the nurses adapted by ignoring many of them.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015220-garber-final-report-2009.pdf
January 01, 2009 - Functional
requirements for the HIE were defined and software was developed. … Software was then developed to
meet these specifications. … This software development was initially attempted through an
elaborate process of renting office and … The software was written in
Microsoft .NET and uses MS SQL Server 2005. … Similarly you can develop software
internally within a good IT shop which can leverage existing software
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016128-deluca-final-report-2009.pdf
January 01, 2009 - After much research, SBL implemented the
software and built it to meet SBL’s specifications. … From there, the software was piloted in the
organization’s ambulatory clinic at Neoga, IL. … Physicians and mid-level
providers are not as accepting of the software as we had expected. … as a means to promote and build the
system
• Utilize the proper software terminology in order to … We also plan to update our software in the spring of 2010.