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digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics/annual%20summary/2010
January 01, 2010 - The project will analyze data generated from BJC HealthCare system, which includes the St. … This automated system is being evaluated for efficiency (positive predictive value [PPV] and time and … Study pharmacists re-classified the automated system alerts into events. … Comparison of the pharmacist assessment of alerts generated by the automated system with the standard … Comparison of the automated system without pharmacist review of the alerts with the standard.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computer-based-intervention
January 01, 2003 - Date: 2003 Volume: 119 Issue: 3 Pages: 432-8 HIT Description: Computerized decisions support system … routine into an existing computerized physician order entry system. … Interoperability: Computerized decision support system that works as part of the computer physician … order entry system at the study site. … System Penetration: The computerize physician order entry system accounts for 38% of total inpatient
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/safran-c-et-al-1998
January 01, 1998 - "The nature of data entry in a computer system allows for more efficient updating of records, such as … People use the email system extensively because they find it superior to other modes of communication … Using the computer system, communication "flow is not based on any visible hierarchy." … This affects the inclusiveness of [the system] and creates frustration for the primary care providers … ] printout provided rather than the [system] itself while actually with the patient."
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015096-davison-final-report-2008.pdf
January 01, 2008 - An interface was established between
the laboratory’s system and the HMS system, because the laboratory … the system. … problem with the speed of the system. … Many nurses
refused to use the system, contending that the system was too slow. … : the POI system for scanning supplies, and the electronic scheduling system
for ancillary departments
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digital.ahrq.gov/ahrq-funded-projects/connecting-healthcare-central-appalachia/annual-summary/2008
January 01, 2008 - Business Goal: Implementation and Use
Summary: As an integrated, not-for-profit rural health care system … ARH is an integrated health care delivery system serving approximately 20 rural counties throughout Central … The system provides a continuum of care for its patients, including clinics, inpatient and outpatient … The rural care setting and wide range of services offered by this system require an intense focus on … ARH recognized that the incremental introduction of a comprehensive clinical system is critical to its
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digital.ahrq.gov/sites/default/files/docs/page/2006Dye_051111comp.pdf
June 05, 2006 - 08 09 10 11 12 01 02 03 04 05 06 07 08 09 10 11 12 01 02 03 04 05
Pharmacy System … 08 09 10 11 12 01 02 03 04 05 06 07 08 09 10 11 12 01 02 03 04 05
Pharmacy System … EMAR CLIN DOC CPOE
Go-Live Go-Live
Self-Reporting System (ONS)
Medication Errors including ‘near … • Increased order entry “burden” on pharmacy
• System dose range checks, clinical screening (allergy … ,
interactions, duplicate therapy) improve ability to catch
preventable errors
Impact eMAR system
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/washingtons-everett-clinic-e
September 29, 2007 - The Everett Clinic is a community-based, physician-owned integrated health system in the north Puget … to the commercial EPIC system. … and now transitioning to a commercial-based system. … prices have come down, making a commercial system much more affordable. … But a new EMR system also means a new e-prescribing system -- EPIC's.
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digital.ahrq.gov/sites/default/files/docs/AHRQ2007STSConferenceCall-Final.pdf
March 28, 2007 - Presented by Pascale Carayon, PhD
3
What is a Sociotechnical
System? … - 2
Technical
sub-system
Social
sub-system
Environment
Principles:
* joint optimization/design
* … For instance, laboratory's system becomes outdated and IS has let that department pick the
system of … The system was purchased in a great hurry due to Y2K issues. … Work
system design for patient safety: the SEIPS model.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015124-selker-final-report-2008.pdf
January 01, 2008 - The baseline and intervention periods for EMS System B were shorter than for System A. … (n=2,755)
EMS
System
A:
P value
EMS System
B: Baseline
(n=326)
EMS System
B: Intervention … (n=2,755)
EMS
System
A:
P value
EMS System
B: Baseline
(n=326)
EMS System
B: Intervention … (n=2,755)
EMS
System
A:
P value
EMS System
B: Baseline
(n=326)
EMS System
B: Intervention … (n=2,755)
EMS
System
A:
P value
EMS System
B: Baseline
(n=326)
EMS System
B: Intervention
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digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015182-bentley-final-report-2008.pdf
January 01, 2008 - Years of a paper-based system
had to be transferred to the electronic format. … electronic medical records system in an organized pattern. … These situations facilitate the integration of patient information from system to system,
and as new … where this is
taking place and the area that is served by this system. … no longer transferred throughout the facility or even across the ARH system.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/specificity-computerized
January 01, 2005 - Purpose of Study: To compare effects on patient care of initial CPOE system versus modified system designed … for ICU patients during an initial CPOE implementation and during implementation of a modified CPOE system … Description: Modified vendor-based system (INVISION 24) does not interfere with nursing documentation … system, included 34 workstations, (increased from 28), 29 condition-specific order sets (compared to … have been in place at the time of the modified system's implementation Barriers: With the initial system
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rivkin-s-1997
January 01, 1997 - There are more than 522,000 members part of the Henry Ford Health System mixed-model health maintenance … Data from the physician's practice management system was downloaded to the physician's prescribing system … Other times, patients were not in the pharmacy computer system because identification of the correct … "The system was a stand-alone system and required a tremendous amount of labor in wiring the offices … "Some offices were able to enter prescriptions through this system only when fully staffed.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/automated-identification-adverse
April 01, 2007 - (MedLEE) (a natural language processing system) on a partially simulated data set to optimize MedLEE … Developed phrase-matching system using common phrases related to CVC use, suggestions from three general … surgeons and synonymous phrases for CVCs and AEs from the Unified Medical Language System Metathesauras … HIT System Sustainability: pselling errors and local abbreviations Quality of Care and Patient Safety … (90%) while the phrase-matching system had higher sensitivity (70%) and lower specificity (55%).
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digital.ahrq.gov/ahrq-funded-projects/text-messaging-improve-hypertension-medication-adherence-african-americans/annual-summary/2011
January 01, 2011 - It is theorized that individuals who use a mobile phone-based automated text message system will have … (Achieved)
Understand the effect of the newly-developed text message system on changes in medication … The system underwent robust testing to ensure that all of its components functioned properly. … System tests confirmed that text messages were properly sent and received. … The system will then be evaluated in a randomized controlled trial.
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digital.ahrq.gov/sites/default/files/docs/activity/2011_018183_weiner_pdf_3.pdf
January 01, 2011 - Because the proposed system requires a formative evaluation, the initial system is being reviewed by … Specific Aims:
• Integrate an electronic medical reconciliation system with an e-prescribing system … (Achieved)
• Modify an EHR system to incorporate medication reconciliation. … (Achieved)
• Conduct a randomized controlled trial of the medical reconciliation system. … There has been a gradual
increase in the use of the system.
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesWeissman2010.pdf
December 31, 2007 - Using
an ARHQ THQIT grant to evaluate the system, researchers at
Massachusetts General Hospital and … and evaluating the effectiveness of additional system
components. … An eprescribing system with formulary decision support was
launched in 2003 by Tufts Health Plan, Blue … Physicians connect to
the system from a handheld device or computer with Internet
access. … In addition to formulary decision support, the eprescribing
system notifies participating physicians
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digital.ahrq.gov/sites/default/files/docs/activity/surveillance_for_adverse_drug_events_in_ambulatory_pediatrics_2010pdf_2.pdf
August 01, 2010 - The project will analyze data generated from BJC
HealthCare system, which includes the St. … This automated system is being evaluated for efficiency (positive
predictive value [PPV] and time and … (Achieved)
• Use the automated surveillance system for measuring the incidence of ADEs occurring in … Study pharmacists re-classified the automated system alerts into events. … Comparison of the automated system without pharmacist review of the alerts with the standard.
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digital.ahrq.gov/sites/default/files/docs/survey/healthcare-information-technology-capability-survey.pdf
March 30, 2015 - Applications 1 2 3 4 5 9
b) Clinical System Applications 1 2 3 4 5 9
3) Is your hospital part … of a system or network? … (Please select ONE)
Part of a network or system? … (Please circle ONE number for each area
Extent Network or System influences purchase decisions: … and
are not planning to install a new system – the present vendor’s name.
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digital.ahrq.gov/sites/default/files/docs/activity/connecting_healthcare_in_central_2009_update_2.pdf
January 01, 2009 - Business Goal: Implementation and Use
Summary: As an integrated, not-for-profit rural health care system … ARH is an integrated health care delivery system
serving approximately 20 rural counties throughout … The system provides a
continuum of care for its patients, including clinics, inpatient and outpatient … The rural care setting and wide range of services offered by this system require an intense
focus on … (Achieved)
Implement the rollout and evaluation of the EMR system.
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/st-josephs-community-hospital
September 29, 2008 - opening a brand-new 80-bed facility designed around patient safety and supported by a centralized IT system … automate where possible," says John Reiling, president and CEO of SynergyHealth, the regional health system … Joseph's, and principal investigator for the AHRQ grant that is funding implementation of the new IT system … Joseph's is affiliated, was already using the Epic system. … Implementation of the new system began in early 2005, with the creation of a Master Person Identifier