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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kaushal-r-et-al-2003
January 01, 2003 - Studies were included for systematic re-view if the design was a randomized controlled trial, a nonrandomized … Of the CPOE studies, 2 demonstrated a marked decrease in the serious medication error rate, 1 an improvement … Of the 7 studies evaluating isolated CDSSs, 3 demonstrated statistically significant improvements in … The remaining 3 studies had nonsignificant results. … "Studies were included for review if the design was RCT, a non-RCT controlled trial, or an observational
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/medical-home/review-evidence-medical-home
We selected 33 articles that reported on 30 distinct studies, 10 of which were comparison-group studies … None of the studies examined the medical home in its entirety. … Additional studies with comparison groups encompassing all or most of the medical home attributes need
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database
May 03, 2021 - Barriers and Implementation
All studies initially reviewed were screened for data on barriers to adoption … For this analysis, qualitative studies that were primarily focused on barriers and studies that collected … Studies in which barriers were briefly discussed, but were not a primary focus, were excluded.
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digital.ahrq.gov/sites/default/files/docs/activity/2011_290071006015_mckibbon_pdf_3.pdf
January 01, 2011 - Sustainability studies,
http://www.ahrq.gov/clinic/tp/medmgttp.htm
2 | Enabling MEdication ManagEMEnt … The bulk of this evidence
of improvement is shown in studies set in hospitals. … Inpatient care is the most studied setting, followed
by ambulatory care; whereas few studies assessed … Regarding technology, most of the studies evaluated computerized decision support systems or
computerized … Rigorous studies are needed to accurately
assess economic and other values.
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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/health-it-tools-and-resources/evaluation-resources/time-and-motion-studies-database
September 01, 2006 - Time and Motion Studies Database
The application of computing to health care changes how, … Resources for Time and Motion Studies
Researchers at Partners Healthcare have created a tool to help … Journal Article ( PDF , 0.93 MB, PubMed Abstract )
How AHRQ Grantees Are Using Time and Motion Studies
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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/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-costs-and-benefits-database
January 01, 2023 - Barriers and Implementation
All studies initially reviewed were screened for data on barriers to adoption … For this analysis, qualitative studies that were primarily focused on barriers and studies that collected … Studies in which barriers were briefly discussed, but were not a primary focus, were excluded.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/haynes-rb-et-al-1987
January 01, 2023 - the claims of the creators and promoters of these systems, however, are not based on sound clinical studies … Fourteen studies were well designed and executed. … All studies reported improvements in the process of care. … "Four of the more comprehensive studies found positive effects on physician performance that were not
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/how-well-do-physicians-use
October 21, 2021 - Summary: Intervention: Variety of ijnformation retrieval systems Evaluation Method: Varied across studies … Quality of Care and Patient Safety Outcome: Three studies reported the effect of information retrieval … systems on outcomes with two studies reporting that a change in patient care was made between 40-60%
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digital.ahrq.gov/principal-investigator/toh-darren
January 01, 2023 - multiple imputation for one-step, privacy-protecting estimation of causal treatment effects in multi-site studies … multiple imputation for one-step, privacy-protecting estimation of causal treatment effects in multi-site studies … Applying machine learning in distributed data networks for pharmacoepidemiologic and pharmacovigilance studies … Applying machine learning in distributed data networks for pharmacoepidemiologic and pharmacovigilance studies
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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/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/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/health-it-bibliography/telehealth/assessing-telemedicine-systematic
April 01, 2000 - 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/sites/default/files/docs/activity/synthesizing_lessons_learned_using_health_information_technology_2010_pdf__2.pdf
January 01, 2010 - (Ongoing)
• Integrate findings from PPRNet’s previous studies with the current perspectives of practice … 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 … 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/sites/default/files/docs/page/practical_approaches_to_using_health_it_to_improve_quality_and_business_processes_in_medicaid_chip_agencies_summary_5.pdf
October 27, 2009 - • What are some of the limitations of the
studies? … )
• Doctors spent more time on computerized
records (2 studies)
• Increased doctor-centered speech … )
• Practice and guidelines (6/12 studies)
• Patient outcomes (0/6 studies)
• Increased user and patient … Examples of Studies
Use of reminders to increase compliance with tetanus booster vaccination. … Examples of Studies
Examples of Studies
Examples of Studies
As Previously Noted…
Example: Montgomery
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digital.ahrq.gov/sites/default/files/docs/factors-contributing-use-hie-slides-031616.pdf
April 21, 2016 - • Radiology testing – 9 studies
► 7 studies in ED setting showed reduced testing.
► 2 studies in ambulatory … • Quality – 3 studies
► 2 retrospective studies found HIE associated with improved quality of
care … , seven
multiple-site case studies, two before-after studies … • We found additional evidence from European
studies. … Incomplete information was mentioned as a barrier in US studies but not in the European studies, partially
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computerised-reminders-and
January 01, 2003 - Summary: Settings: Seven of the studies were from the Reganstrief Institute and one was from the VA. … Clinical Outcomes: Results were mixed across studies with most but not all studies reporting improvements