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digital.ahrq.gov/ahrq-funded-projects/improving-rural-health-care-implementing-innovative-integration-solutions/annual-summary/2008
January 01, 2008 - A proof of concept of an enhanced health information technology (IT) system was achieved as a result … (HIS), and the clinic electronic medical record (EMR) system, using a single sign-on and synchronized … Second, integrate data from the picture archive communicating system (PACS) system and data retrieved … from the portal, and integrate the Dartmouth Hitchcock Medical Center Clinical Information System (CIS … This stage was modified to incorporate the PACS system that went live in October 2007.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016156-obrien-final-report-2009.pdf
January 01, 2009 - Results: The EHR system was successfully implemented. … ’s staged
activation throughout its system. … or Pharmacy Information System. … If the medication order is
entered in the CPOE system directly by the prescriber, the system automatically … The EHR system was successfully implemented.
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digital.ahrq.gov/sites/default/files/docs/citation/securemessagingpediatricrespiratorysettingreport_013012comp.pdf
January 01, 2011 - The
Kryptiq Secure-Messaging System™ referenced herein was the secure messaging system used by
the … to a
secured messaging system. … register and use the system. … Interviewees included those who had registered but never used the system, those who used the
system … a system?
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digital.ahrq.gov/sites/default/files/docs/page/forging-pathway-for-electronic-prescribing-of-controlled-substances.pdf
March 01, 2014 - As a result, prescribing has become a fractured system,
comprising a combination of electronic prescriptions … To establish a system for EPCS, Dr. … • Providers were satisfied with the EPCS system
and found it to have value. … • Development of an EPCS system that complies
with DEA requirements is feasible but challeng-
ing. … A driverless system, such as
a one-time password, would likely be more scalable.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/cimino-jj-et-al-2001
January 01, 2001 - MED) to record patient problems, medications, and adverse reactions in an outpatient medical record system … CONCLUSIONS: Data entry by clinicians using the outpatient system and the MED was generally successful … "The time required to enter, review and select a term [to enter as a code in the system]...ranged from … Response time of the system varied from instantaneous to 10 sec.... … In general, the reason for failure was that the [system] lacked a synonym or abbreviation...
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/andriole-kp-et-al-2002
January 01, 2002 - service is calculated from the time of examination ordering as stamped in the radiology information system … (RIS), to the time of image availability on the picture archiving and communication system (PACS), to … and 10.7 patients per hour with the DR system. … Type of Health IT
Radiology information system (RIS)
Picture archiving and communication system … They gave the CR system ratings of "better" to "much better" than screen-film for all categories.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024335-rangachari-final-report-2018.pdf
January 01, 2018 - Conclusions: An SKN system could be valuable in enabling implementation of complex innovations (like … Design & implementation of SKN system on EHR MedRec
The SKN system implemented at AU Health, included … Microsoft Yammer is an example of an
enterprise SKN system. … There were two types of users of the SKN system:
1. … Reconciliation System: A Study Protocol.
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digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-prevent-medication-induced-birth/annual-summary/2010
January 01, 2010 - All of the practice sites use the EpicCare EMR system. … In 2010, project staff abstracted real time data from the EMR to assess use of the CDS system and impact … First, the team found that the CDS system was not activated for participating resident physicians. … determined that approximately 13 percent of providers responded to the alerts generated by the CDS system … Finally, health system level challenges regarding contraceptive counseling included lack of insurance
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/annual-summary/2012
January 01, 2012 - with the Partners Healthcare electronic health record (EHR) system. … The e-Pharmacovigilance system will interface with patients by an interactive voice response (IVR) system … Phase 1 involves the development and pilot testing of the integrated pharmacovigilance system. … Phase 2 is implementation of the system. … A set of recommendations for improving decision support system safety and efficiency will be based on
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017248-adams-final-report-2011.pdf
January 01, 2011 - Methods
PHP System Architecture
The content of the PHP system includes three general areas: routine … system from script code. … Each
interaction with the PHP system is launched from a Shell Module. … The PHP was designed as an
“inbound” system meaning that participants were asked to call the system … The PHP System is the
first telephony-based system that we know of that supports pediatric primary care
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digital.ahrq.gov/ahrq-funded-projects/tulare-district-hospital-rural-health-electronic-medical-record-consortium/annual-summary/2008
January 01, 2008 - Another obstacle faced by TDH was the training of staff members in the use of the IT system. … Quantitative data and methods were used to understand the impact of the IT system on medication errors … Specific Aims
Successfully deploy a fully integrated EMR system using proven health IT practices … In fact, there is some indication that the disruption caused by the Patient Care Documentation system … Most major system components remain in place, although their level of use varies.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/annual-summary/2011
January 01, 2011 - This project will develop and implement an e-Pharmacovigilance system that integrates and interoperates … with the Partners Healthcare electronic health record system. … Phase 1 involves the development and pilot testing of the integrated pharmacovigilance system. … Phase 2 is implementation of the system. … Phase 3 involves assessment of the translation and dissemination of the system using the RE-AIM (Reach
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-support-population-based-clinical-practice/annual-summary/2010
January 01, 2010 - Pediatric *
Summary: Acute respiratory infections (ARIs) are a major burden to the heath care delivery system … School of Medicine, developed Germ Watch ( https://intermountain.net/portal/site/mdvsi/ ), a reporting system … for pediatric respiratory infections that imports data from all Intermountain Healthcare system practices … of interest that patients and parents have in having access to viral epidemic data, and evolving the system … The research team has made substantial progress with evolving the system infrastructure to support improved
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017157-carrow-final-report-2012.pdf
January 01, 2012 - System Deactivations. … The initial focus for the common identifier was a serial number found in the
DrFirst system. … Core System User’s Guide. … , to the intermediary, to the pharmacy system, and finally, to the PMP. … , or incompatibility with current computer operating system).
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015280-hsu-final-report-2008.pdf
January 01, 2008 - leaders need to
use the aggregate clinical information at the system level. … System factors included having a regular
doctor, insurance type, and years in the health system. … Within this system, the quality of antihyperlipidemia care is improving. … in 2005 and 2006 during a 3-year staggered implementation
of an EHR system. … Variation in Chronic Disease Care in Primary Care Teams of a Large Integrated
Delivery System.
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015377-schadow-final-report-2008.pdf
January 01, 2008 - Scope: The Regenstrief Institute’s CPOE system (Gopher) and a newly created application
based on SPL … Build a e-prescribing system on the foundation of the SPL/HL7 standard and its associated
terminologies … These enhanced labels were loaded into the standards based data system upon which the
e-prescribing … system was built. … Fragmentation of the environments in which this system was to be deployed made its actual
deployment
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digital.ahrq.gov/ahrq-funded-projects/computer-automated-developmental-surveillance-and-screening/annual-summary/2010
January 01, 2010 - The CHICA CDSS system includes elements such as: 1) pediatric guidelines encoded in Arden Syntax, a common … AAP) guidelines into the surveillance and screening algorithm, and evaluates the effect of the CHICA system … Specific Aims:
Expand and modify an existing computer-based decision support system (CHICA) to include … 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/sites/default/files/docs/page/EightSuccessStories_092810.pdf
September 01, 2010 - Web-Based Reporting System. … ; a new medical records
management system; an emergency department tracking system; and a new radiology … system and its linked critical access hospitals. … Table 4.1 shows that the system
has remained sustainable despite major investments at both the system … The system remains “vendor agnostic.
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digital.ahrq.gov/ahrq-funded-projects/computer-automated-developmental-surveillance-and-screening/annual-summary/2012
January 01, 2012 - 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/sites/default/files/docs/page/2006Gurwitz_051711comp.pdf
January 01, 2005 - A systems-based
approach
Computerized Clinical Decision
Support System (CDSS)
• High-severity drug … 0.81, 1.32)
Conclusion
Use of CPOE with this particular
computerized clinical decision support
system … …
• The limits of a first-generation system
• Lack of specificity of alerts – alert burden
• Need to … ��A systems-based approach
Computerized Clinical Decision Support System (CDSS)
Purpose
Methods
CPOE … …
Slide No. 21 (No title)
Computerized Clinical Decision Support System (CDSS)
Computer on Wheels