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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-information-design-and-usability-toolkit
January 01, 2023 - health information technology (IT) systems are expected to significantly reduce medication errors, studies … While electronic health records (EHRs) might be an improvement over their paper predecessors, studies
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digital.ahrq.gov/sites/default/files/SMD%20Workflow%20Measurement%20Approaches%20Report_to%20AHRQ%208.9.23_508.pdf
July 01, 2023 - Studies
measuring the impact of PC CDS interventions of clinician efficiency have reported positive … has been noted.53 The variety in
studies is in part attributed to the lack of a clear definition of … Alert fatigue and clinician burnout are common primary outcomes of clinician workflow studies. … While an increasing number of studies look at the
impact of CDS on clinical workflows, existing studies … Even though positive results have been reported by individual studies,
when assessed across studies,
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2003
January 01, 2003 - Studies have documented that CPOE can decrease costs, shorten length of stay, decrease medical errors … Some studies have confirmed this aspect of CPOE, but at least one study has shown that electronic ordering … "Studies have shown that CPOE systems can reduce medication errors and associated costs and injuries. … Study Design
Systematic literature review
Study Participants
Eighteen studies were reviewed … with and perception of CPOE systems, and three studies of the effect of CPOE on physician time spent
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digital.ahrq.gov/ahrq-funded-projects/synthesizing-lessons-learned-using-health-information-technology/annual-summary/2010
January 01, 2010 - Using the new insights developed through the secondary analysis across all of the studies, a semi-structured … In the review of these data, concepts were clarified and will be compared to the other studies. … As these three studies were recently completed during the reporting period, the primary qualitative analyses … Manuscripts pertaining to these most recent studies were revised, refined, clarified, and submitted for … Ongoing use of the NVivo database will be used to complete the secondary analyses of the seven studies
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digital.ahrq.gov/ahrq-funded-projects/barriers-and-drivers-health-information-technology-use-elderly-chronically-ill
January 01, 2023 - Studies were assessed for their quality, abstracted, and summarized. … The project team found few studies that compared the elderly, those with chronic conditions, or the underserved … Comparing studies was challenging as measures varied considerably and had no apparent standardization … Studies which had data on usefulness and usability generally had that data as secondary components of … Studies generally measured usefulness as part of usability assessments, with user perceptions being high
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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 - We employed a combination of methods, including observational studies, process flowcharting, semi-structured … ambulatory care practice environment, [employing] a combination of methods, including observational studies
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digital.ahrq.gov/sites/default/files/docs/publication/k01hs018352-del-fiol-final-report-2013.pdf
January 01, 2013 - in 11 studies; by Direct Observation of
patient care activities in 11 studies; by analysis of questions … Logs in 8 studies. … 81% (23% – 82%) in 3 Self-Report studies, 47% (28% - 85%) in 11 After Visit
Interview studies, and 47% … (22% - 71%) in 2 Direct Observation studies. … larger studies.
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digital.ahrq.gov/ahrq-funded-projects/impact-consumer-health-informatics-applications/annual-summary/2009
January 01, 2009 - The studies were varied in the health conditions of interest, ranging from chronic disease and cancer … The majority of studies found evidence of significant positive effect on clinical outcomes. … None of the studies found evidence of harm. … Studies evaluated in the review suggested three critical elements often found in CHI applications that … No conclusions could be made regarding the impact of CHI on economic outcomes, as only three studies
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
January 01, 2013 - perspectives of practice members participating in these
studies, findings were integrated to refine … Nemeth, PI/PD) AHRQ R03 HS018830
The mixed methods data from seven PPRNet studies were merged into … The studies focused on the following indicators and
were funded by the following agencies. … Each of the studies listed
above were considered a case. … theory development
in the TRIP-II and A-TRIP studies which were formative to the subsequent PPRNet
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digital.ahrq.gov/sites/default/files/Exec%20Sum_SMD%20Workflow%20Measurement%20Approaches%20Report%20to%20AHRQ%208.9.23_508.pdf
July 01, 2023 - Measurement approaches can be
distinguished by:
• What types of measures are used: Workflow studies … Alert fatigue and clinician burnout are common primary outcomes of clinician workflow studies. … There were a few studies
assessing the impacts of mobile application and patient portal interventions … Fundamental gaps in conducting workflow studies.
2. Gaps related to the quality of evidence.
3. … Further, patient portal studies are
limited and present inconsistent results, often due
to the use
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/roine-r-et-al-2001
January 01, 2001 - We identified controlled assessment studies of telemedicine that reported patient outcomes, administrative … Results: A total of 1124 studies were identified. … Of these, 50 were deemed to represent assessment studies fulfilling the inclusion criteria of the review … of the available literature referred only to pilot projects and short-term outcomes, and most of the studies
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digital.ahrq.gov/ahrq-funded-projects/comprehensive-information-technology-it-solution-quality-and-patient-safety-4
January 01, 2023 - Int J Human-Computer Studies 2008 Oct;66(10):718-28.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mollon-b-et-al-2009
January 01, 2009 - have the potential to improve the quality of health care delivery, although results from high quality studies … The statistical analysis could not be completed due primarily to the small number of studies and lack … Conclusion: While RxCDSSs have the potential to change health care provider behaviour, very few high quality studies … with few exceptions, the prevalence of these features was similar between successful and unsuccessful studies … Of the 41 studies included, "37 reported successful system implementations, 25 reported success at changing
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digital.ahrq.gov/track-4-assessing-value-and-evaluating-project-impact
January 01, 2023 - Track 8 | Track 9
Track 4-I Before and After: The Impact of HIT
This session presents results of studies … Presenters will describe in detail the methods used for the studies. … Congressional Hall C
Track 4-II Playing the Numbers Game: A Brainstorming Session towards Multi-site Studies … Results from various AHRQ-funded studies will be presented.
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digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-spotlight
January 01, 2021 - in Care Decisions and Actions
These are the voices of Principal Investigators leading AHRQ-funded studies … These studies span patient populations, care settings, and critical moments in care. … All AHRQ-funded studies put patients and caregivers at the heart of the research. … Technology and Data for Better Conversations
The common elements connecting these studies are the patient … Still, these AHRQ-funded studies accomplished a great deal to advance technology use in service of patient
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kawamoto-k-et-al-2005
January 01, 2005 - and the Cochrane Controlled Trials Register up to 2003; and searches of reference lists of included studies … Study selection: Studies had to evaluate the ability of decision support systems to improve clinical … Data extraction: Studies were assessed for statistically and clinically significant improvement in clinical … Results: Seventy studies were included. … Size
not applicable
Other Information
The 70 studies included approximately 6,000 clinicians
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shojania-k-et-al-2009
January 01, 2009 - Selection criteria: Studies of a reminder delivered via a computer system routinely used by clinicians … Data collection and analysis: Two authors independently screened studies for eligibility and abstracted … We then calculated the median absolute improvement in process adherence across all studies using both … Main results: Twenty-eight studies (reporting a total of thirty-two comparisons) were included. … "The degree of improvement did not differ significantly between studies based on the type of quality
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-spotlight
January 01, 2022 - A Running Start on Healthcare AI Research Already, DHR has studies underway that are exploring healthcare … While traditional grant mechanisms that fund 5-year studies are important, they will not produce the … Rather, studies must take an iterative approach—learning and refining as they go—to produce actionable … Existing grant mechanisms such as R21 and R33 grants are ideal for pilot studies that can be scaled.
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digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-6.pdf
June 16, 2021 - • Pre- and post-
implementation
review of
financial logs,
time and
motion studies,
and workflow … Using time and motion
studies compare paper
and electronic methods on
how much time individuals
spend … See AHRQ’s Time
and Motion Studies
Database for a
detailed definition
of this measure
and additional … Logs of such calls
recorded during
time and motion
studies would be
one way to track
this. … This
resource is freely
available.
34
Scheduling/Workflow
• Impact on
imaging studies
performed
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/andre-b-et-al-2008
January 01, 2008 - change, and other behavioral aspects were found to be the main barriers [to technology acceptance] in 10 studies … Study Design
Systematic literature review
Study Participants
The search was limited to studies … The following search engines and databases were used to generate the list of studies: PubMed, Inspec … the implementation on health care personnel and those that concerned telemedicine or education, 17 studies