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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/BenchmarkingQuestions.pdf
January 01, 2010 - The following questions can be used to better understand others’ experiences with the health IT
system … – e.g., practice management system)
• What type of system (if any) did you have before choosing your … current system? … • What workflows, if any, were adversely affected by the health IT system? … • Do you consider your health IT system implementation a success? Why or why not?
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_implementation_checklist.pdf
January 01, 2006 - of EHR
Handling of Existing Data
Identify key information and documents that need to be in system … Develop plan for entering them into system
Develop plan for handling new, outside documents and … additional training sessions
Allow staff on-the-job learning time to familiarize themselves with system … EHR Implementation Checklist
System Testing
Conduct unit testing (i.e., single module)
Conduct … from backups prior to go-live
Ensure system backup plan in place and running
Arrange for regularly
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digital.ahrq.gov/ahrq-funded-projects/conversational-information-technology-it-better-safer-pediatric-primary-care/annual-summary/2010
January 01, 2010 - Underserved, Pediatric *
Summary: This project seeks to develop and evaluate an automated telephony system … The system gathers personal health data and counsels parents before scheduled visits, integrates the … The internally developed interactive voice response (IVR) telephony system interfaces with the providers … The system is being evaluated via a three-armed randomized controlled trial (PHP only, PHP assessment … and the EHR is complete, and the system is now fully operational.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/magnus-d-et-al-2002-gps
January 01, 2002 - Logistic regression analysis showed that users of the [the most common EHR] computer system were much … The type of computer system used by GPs may make it more or less likely that they override alerts." … Type of Health IT
Decision support system
Type of Health IT Functions
The alerts differ … by electronic health record system. … in the British National Formulary (rather than another data source) and the system does not grade the
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digital.ahrq.gov/ahrq-funded-projects/improving-outpatient-medication-lists-using-temporal-reasoning-and-clinical/annual-summary/2011
January 01, 2011 - Natural language processing (NLP) is any system that manipulates free-form text or speech. … , the ambulatory care EHR at Partners HealthCare System. … Zhou and her project team completed the development of the NLP system at the beginning of the year. … The system, called the Medical Text Extraction, Reasoning and Mapping System (MTERMS), applies a modular … As last self-reported in the AHRQ Research Reporting System, project progress and activities were on
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digital.ahrq.gov/sites/default/files/docs/citation/EHR_Usability_Toolkit_Background_Report.pdf
January 26, 2006 - after using the system in question. … System Usability Scale (SUS)
The System Usability Scale (SUS) developed by Digital Equipment Corporation … factors,
and system feedback, system capabilities, and learning factors, as well as questions on system … Satisfaction with the system was positively
correlated with those clinicians who integrated the system … Otero et al. utilize the system usability scale (SUS) in their
design of an intelligent alarm system
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022938-mitchell-final-report-2017.pdf
January 01, 2017 - to support
implementation of a fully powered clinical trial of the system called The Sophie CBT System … Results: A total of 21 participants completed testing of the Sophie RA-CBT system. … They appreciated that their progress with the system was measurable. … System Usability - Navigating the Sophie System: … Others
recommended that the RA system be directly connected to providers.
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digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
January 01, 2008 - Inpatient Pharmacy System (Jan 2005)
2. … System Usability Analyses. … For each system phase that introduced new features/functions,
an analysis of system usability was performed … Identifying system or
training solutions for these problems in advance helps ensure that the system … Problems with consistency are frequently observed in complex commercial system
because each system component
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digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-outpatient-order-entry/annual-summary/2008
January 01, 2008 - Business Goal: Knowledge Creation
Summary: The United States health care system continues to face … As of August 2008, seven practices are using the system. … Specific Aims
Evaluate physicians’ use of the EMR system in chronic disease management, preventive … The functional and technical specifications for the Advanced Results Manager module of the ACPOE system … test results, 62 percent did not have a system to detect a missed ordered test, and 32 percent were
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digital.ahrq.gov/ahrq-funded-projects/accessing-cutting-edge-implementing-technology-transform-quality-se-kern/annual-summary/2009
January 01, 2009 - A Web-based PHR system (MyHealthKeeper) was implemented as a diabetes self-management tool. … Three primary care practices have Web links to EKCITA but read-only access to the system because they … registration, training, and system marketing. … Despite the large amount of data in the system, utilization has been light to date. … Five providers have viewed a total of 55 patient records through the system.
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digital.ahrq.gov/ahrq-funded-projects/enhancing-quality-patient-care-equip-project/annual-summary/2009
January 01, 2009 - The project implemented advanced EHR system functionality including decision support, care management … The system is live in all four health centers, and at the end of the grant period, the system was being … All system sites were using standardized data capture forms. … An end user survey indicated high acceptance and satisfaction with the system. … Additional dashboards on patient satisfaction, system use, and access to care are being developed.
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digital.ahrq.gov/ahrq-funded-projects/computer-automated-developmental-surveillance-and-screening/annual-summary/2011
January 01, 2011 - to this grant, researchers at Indiana University developed an electronic computer decision support system … The CHICA system includes: 1) pediatric guidelines encoded in Arden Syntax, a common computer language … (Achieved)
Evaluate the effect of the CHICA system on the developmental surveillance and screening … Qualitatively, they have been looking at the factors that contribute to use of the CHICA system, such … In general they are finding that younger physicians are quicker to adopt the system.
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digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-integrated-technology/annual-summary/2009
January 01, 2009 - The project team evaluated the impact of the integrated system on patient safety and quality of care … This project demonstrated that an integrated outpatient and inpatient data system can improve patient … care and safety for women and infants. ( Achieved )
Demonstrate the value of an electronic alert system … used, and March 2008, when a fully-integrated inpatient and outpatient EHR with an outpatient alert system … The introduction of a clinical information system into a busy labor and delivery setting did not reduce
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digital.ahrq.gov/sites/default/files/docs/citation/EHRVendorPracticesPerspectives.pdf
May 01, 2010 - an automated patient
communications system; and (4) PayerView, a system that contains payer rankings … PowerWorks EMR is a Web-based system. … Online system updates. … Selected system characteristics
EHR system
Practice
management
Patient
comm. … S =separately purchased system that integrates with EHR system.
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesSelker2010.pdf
January 01, 2010 - A clinical
decision support (CDS) software system used electrocardiogram
(ECG) results and patient … information entered into the system
by paramedics to determine the probability that the patient was … A Webbased reporting
system integrated data manually entered by EMS agencies and
hospitals to measure … EMS agencies reviewed reports produced
from the system to evaluate the care provided by and develop … Grant Title: EMS Based TIPIIS Cardiac Care QIError
Reduction System
Principal Investigator: Harry
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/perednia-da-et-al-1998
January 01, 1998 - In an effort to gauge the impact of a simple teledermatology system on referral patterns and the management … The installation of a teledermatology system increases the number of patients referred for specialist … A number of cases were found in which use of the telemedicine technology system resulted in reversing … A store-and-forward teledermatology system was installed at each of the rural clinics. … The consulting site facility had a similar system, but it was configured to perform consultations.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018161-atlas-final-report-2013.pdf
January 01, 2013 - Methods
Study Design
Development of the TopCare HIT system involved creating a generic system architecture … , an
automated system, and an intervention system (Specific Aim 1). … All other patients were removed
from the active system for the remainder of the year. … Other outcomes included measures of system usage. … Use of the Population Management IT System.
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2010
January 01, 2010 - This study seeks to integrate an electronic MR system with an electronic prescribing (e-prescribing) … system and modify an electronic health record (EHR) to incorporate medication reconciliation. … 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 … . ( Ongoing )
Modify an EHR system to incorporate medication reconciliation. ( Upcoming )
Conduct
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016146-nocella-final-report-2009.pdf
January 01, 2009 - system. … Despite the large amount of data contained in the system, utilization of the system to date has
been … The active consent requirement created a significant barrier to robust use of the system. … registration and training and system marketing. … The system was adapted from FollowMe, a PHR platform developed
by Access Strategies.
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2012
January 01, 2012 - This study is integrating an electronic MR system with an electronic prescribing (e-prescribing) system … Specific Aims:
Integrate an electronic medication reconciliation system with an e-prescribing system … (Achieved)
Modify an EHR system to incorporate medication reconciliation. … (Achieved)
Conduct a randomized controlled trial of the medication reconciliation system. … The study team has also entered data into the REDCap system to complement automatically imported clinical