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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/measurement-effects-integrated
Purpose of Study: Assess a nursing module of a point of care clinical information system. … Years of study: Not Available Study Design: Time series Outcomes: Impact on patient safety, Impact … Summary: Settings: Four nursing units at a community hospital in North Carolina participated in the study … Changes in efficiency and productivity: The study data showed a statistically significant increase in
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/microcomputer-generated
September 01, 1989 - Purpose of Study: Investigate the influence of computer-generated preventive care reminders on the ordering … Years of study: 1986-1987 Study Design: RCT Outcomes: Impact on health care effectivness/quality Summary … : Settings: The study was conducted in a family clinic with 12 faculty, 18 residents, and 1262 women … Safety Outcome: Women in the experimental group were more likely to have a mammogram ordered during the study
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/using-hospital-information
January 01, 1993 - Purpose of Study: Assess the effects of ADEs on hospital length of stay and cost of hospitalization … Years of study: 1990-1992 Study Design: Case-Control Study Outcomes: Acquisition costs, impacts of … Clinical Outcomes: The study results showed an increased length-of-stay of 1.94 days, and increased
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017029_kaushal_pdf_3.pdf
January 01, 2011 - The first was a multi-center pre-post study
measuring the impact on medication errors when switching … The second
was a qualitative study of physicians using one-on-one-interviews and direct observation … For the second
study, a qualitative study measuring the effects on human-computer interaction of this … For the second study, Dr. … For the third study, 162 subjects completed all parts of the study, of which 82 patients were in the
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digital.ahrq.gov/sites/default/files/docs/page/a-randomized-study-of-the-personal-health-record-in-the-public-health-setting.pdf
January 01, 2003 - Patient entered data a new reporting tool for services and care
A randomized study of the
personal … What worked and what did not work
Future activities
Main Points
The study design is acceptable
Patients … to 6/1/10
Provider Role
• For each patient that have agreed to take
part in the study … team sends weekly emails with the
names of newly registered patients
Study participants-patients … and
clinicians
336 Patients have consented for the study
– 2 deceased patients
– 8 withdrawn (reasons
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017029-kaushal-final-report-2011.pdf
January 01, 2011 - Data Sources/Collection (Study 1)
For Study 1, Specific Aim 1, we reviewed prescriptions written by … Conclusions and Significance (Study 1)
This study is the first to our knowledge to evaluate the effect … Design
Data Sources/Collection (Study 1)
Intervention (Study 1)
Measures (Study 1)
Principal Findings … and Outcomes (Study 1)
Conclusions and Significance (Study 1)
Data Sources/Collection (Study 2)
Intervention … (Study 2)
Main Measures (Study 2)
Principal Findings and Outcomes (Study 2)
Conclusions and Significance
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digital.ahrq.gov/sites/default/files/docs/page/telemedicine-in-prevention-and-chronic-disease-management.pdf
June 03, 2010 - mmHg
Santamore No 465 1 Yr 60.7 No Doctor 18.1/7.1 mmHg
BP Telemedicine Studies
BP Accuracy Study … Design
CVD Risk Reduction Study
Hypothesis – Telemedicine Subjects will
accurately transmit their … Telemedicine
BP Accuracy Study
Systolic BP Measurements
50
100
150
200
50 100 150 200
Meter … Meter BP 136.4±11.9 mmHg
BP Accuracy Study
Diastolic BP Measurements
40
60
80
100
120
40 60 … Meter BP 79.7±7.5 mmHg
BP Accuracy Study
Mean Systolic BP versus Difference
-50
-25
0
25
50
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digital.ahrq.gov/sites/default/files/docs/page/length-of-stay-quick-reference-guide.pdf
March 01, 2009 - Another study
implementing computerized decision support for
prescribing drugs for patients with renal … Methodology for Measurement
Study Design 1: Pre and posthealth IT
implementation
Study Period … Study Design 2: Randomized controlled trial
(RCT)—depending on the type of health IT,
evaluators may … Study Period 2: Define intervention time peri
od (e.g., number of months). … a randomized control study and
thus be less costly.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/patterson-v-et-al-2004
January 01, 2004 - METHODS: This was a prospective single cohort study on the interface between primary care practitioners … GPs [general practitioners], for whom a specialist opinion was deemed necessary, were entered in the study … making the practice of neurologists more efficient, and this needs to be tested in a larger randomised study … Study Design
Only postintervention (no control group)
Study Participants
Nine GPs were selected … for the study.
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digital.ahrq.gov/sites/default/files/docs/page/medication-turnaround-time-quick-reference-guide.pdf
May 01, 2009 - One
study, which implemented CPOE and eMAR,
examined the time from order to pharmacy
dispensing and … (e.g., timemotion
study or work sampling) … If you are
conducting a time motion study, you will need to
define observation periods (e.g., hours … In addition, observers should be
trained properly on conducting the
observational study chosen. … Study cost could be high to hire and train
qualified observers.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-computerized-information
March 01, 2006 - Purpose of Study: To assess the effect of computerized information systems (CIS) on quality of nutritional … support in the Intensive Care Unit (ICU) Years of study: Not Available Study Design: Controlled clinical … Part 1 was a two-week prospective study in two units of a surgical ICU, one with CIS and one without. … Strategy: The criteria used to assess nutritional support were developed in the study ICU based on previously … HIT System Sustainability: When the study was finished, the system was extended to all ICU beds.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computer-assisted-optimization
July 01, 1989 - Purpose of Study: Assess computer-guided decision support of intravenous aminophylline administration … Years of study: Not Available Study Design: RCT Outcomes: Impact on patient safety, Impact on health … patients requiring intravenous aminophylline from an emergency department (ED) participated in the study … than in group 2 (132 +/- 62 L/min), but did not differ significantly at any other times throughout the study
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/inpatient-computer-based
November 01, 2004 - Purpose of Study: Assess the effects of computerized physician standing orders compared with physician … Years of study: 1998-1999 Study Design: RCT Outcomes: Impact on health care effectivness/quality Summary … Settings: Three thousand seven hundred seventy seven general medicine patients participated in the study … Twenty-two percent of patients hospitalized during the entire 14 months of the study were found eligible
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effect-computer-generated-0
June 01, 1996 - Purpose of Study: Evaluate the effect of a computer-generated patient-held medical record summary (CHR … Years of study: 1991 Study Design: RCT Outcomes: Impact on patient satisfaction, Impact on health … patients obtained from mail recruitment and 103 from opportunistic nurse recruitment participated in the study … Intervention: There were four study groups: computer-generated patient-held medical record summary (
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effect-microcomputer-generated
Purpose of Study: Evaluate the effect of microcomputer-generated reminders on influenza vaccination … Years of study: 1987-Not available Study Design: RCT Outcomes: Impact on health care effectivness/ … : Settings: Thirty-two physicians in a university-based family practice center participated in the study … of physicians who always received reminders were more likely to receive influenza vaccine during the study
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effect-routine-use-computer
Purpose of Study: Examine whether computerized reminders for patients and physicians could increase … Years of study: 1989-1990 Study Design: Pre-Post Outcomes: Impact on health care effectivness/quality … Summary: Settings: The study was conducted at an outpatient family medicine clinical practice. … of patients who received preventive services either increased or remained stable during the 12-month study
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digital.ahrq.gov/ahrq-funded-projects/home-heart-failure-hf-care-comparing-patient-driven-technology-models/annual-summary/2008
January 01, 2008 - The health IT in this study included remote monitoring (or telemonitoring) of vital signs and symptoms … Impact and Findings: The study was placed on hold under Institutional Review Board (IRB) direction … A pilot study was developed by the researchers and implemented under IRB approval on 14 healthy subjects … The first subject was voluntarily consented and enrolled in the study in June 2005. … Patient enrollment concluded in May 2007; active study participation thus concluded in March 2008, with
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digital.ahrq.gov/ahrq-funded-projects/ehealth-bp-control-program/annual-summary/2010
January 01, 2010 - The study, the eHealth Blood Pressure (eBP) Control Program, integrates electronic medical records (EMRs … Phase 1 of the study will develop and field-test a PHR, a home BP monitoring (HBPM) device integrated … The project team noted that testing the system with developers, clinicians, study staff, and patients … , and enrolled in the study. … The study trial has been initiated.
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2012
January 01, 2012 - A previous AHRQ-funded study showed IPHRs to enhance clinician-patient communication and increase the … The current study built on those findings to evaluate whether the IPHR can be applied in health care … Through a series of learning collaboratives, study staff guided practices to create a shared vision for … The study team worked toward eight components to help engage practices and create change: 1) securing … Project Objectives:
Determine whether the study sites can begin implementing the IPHR.
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-mt/annual-summary/2012
January 01, 2012 - The overall objective of this project is to study the impacts of health IT implementation on workflow … will include: 1) non-participant observations and contextual inquiries; 2) mapping and remapping of study … Project Objective:
Study the impacts of health IT implementation on workflow processes in six primary … comprised of the previously described six quantitative and qualitative study components; and a timeline … The data analysis plan provides a summary of the study components and outlines the planned methodology