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digital.ahrq.gov/principal-investigator/fraser-hamish-sf
January 01, 2023 - Project Name
Evaluating Diagnostic Decision Support Systems for Patients Requiring Urgent Primary … or Emergency Care or with Stroke
Evaluating Diagnostic Decision Support Systems
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/jimbo-m-et-al-2006
January 01, 2006 - Workflow-Related Findings
"Systems that automatically prompt users, provide specific recommendations … The searches were focused on the following: "screening of all information systems in office-based practice … and primary care; broad/general search on screening and information systems; prevention and health promotion … screening/prevention; cancer prevention and physician practice patterns; and cancer screening and reminder systems
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digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/annual-summary/2009
January 01, 2009 - viable option for reducing errors while increasing efficiency in clinical settings; however, these systems … have not yet been perfected, and most research evaluating these systems has been conducted in the inpatient … United States is delivered in community-based ambulatory settings, where the use of ambulatory (A)CPOE systems … is low and research questions about how these systems impact medication safety, their time-intensity … The effectiveness of electronic health records, CPOE, and e-prescribing systems is critically dependent
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015328-coleman-final-report-2007.pdf
January 01, 2007 - The development of HIE systems, however, have not progressed as well as expected. … To date, few HIE initiatives have included radiology in their systems. … A DICOM standard was designed to ensure the
interoperability of radiology systems. … Non-DICOM compliant systems needed to be upgraded or replaced to conform
to the system. … Each hospital had to decide how to integrate CI-PACS with their respective Meditech
systems.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021590-ralston-final-report-2017.pdf
January 01, 2017 - across health care systems. … Moreover, the effectiveness of such enhanced communication systems
is unclear. … In addition, reminder and notification systems
have the potential to annoy, overwhelm, or frustrate … Like many
US healthcare
systems, notifications
of medical test results
are sent through US
mail … of systems used in the home (e.g. paper and electronic)
Opportunistic Reminders.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs026732-usher-final-report-2023.pdf
January 01, 2023 - Inter-hospital transfers are complicated by incongruent
information systems, indirect and asynchronous … As such, interoperability between health care systems has lagged
significantly behind. … transferred within a single system as opposed to across systems. … and 1.8% of admissions
occurring across legacy systems. … Complete EHR integration across two legacy health systems occurred at the dotted line.
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digital.ahrq.gov/program-overview/research-reports/2023-year-review
January 01, 2023 - and practical guidelines, we create value for patients and their families, clinicians, and healthcare systems … Learn More Engaging and Empowering Patients Optimizing Care Delivery for Clinicians Supporting Health Systems
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digital.ahrq.gov/sites/default/files/ahrq-dhr-2023-year-in-review.pdf
January 01, 2023 - Examples range from simple but impactful safety enhance
ments to electronic health record systems to … Hamish Fraser, an associate professor of medical science and health
systems policy and practice at … ORGANIZATION
Brown University
RESEARCH PROFILE
Evaluating Diagnostic Decision
Support Systems for … However, interoperability between
these systems for vaccination information exchange is limited. … While digital solutions like computerized provider order entry (CPOE)
systems have reduced medical
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs015426-lozzio-final-report-2005.pdf
January 01, 2005 - information technology systems across the state. … Integrated newborn screening service
systems. … Proceedings of A Vision for Child Health
Information Systems: Developing Child Health
Information Systems … Proceedings of A Vision
for Child Health Information Systems: Developing
Child Health Information Systems … Quality measures and electronic
medical systems.
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digital.ahrq.gov/sites/default/files/docs/page/2006BurstinMunier_051111comp.pdf
June 01, 2006 - advances in
patient safety
– Personnel trained in patient safety
– Local event reporting & improvement systems … to serve
Advancing
Excellence in
Health Care Health IT Challenges
Successful adoption of HIT systems … Reporting will require common definitions
– Event definitions
– Data elements
– Encoding schemes
HIT systems … mistake, medical error or test error in last 2 years
C Shoen et al, “Taking the Pulse of Health Care Systems … Safety and Quality Program
Ambulatory Patient
Develop, deploy and evaluate ambulatory health IT
systems
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016152-wheeler-final-report-2009.pdf
January 01, 2009 - Establish database interoperability of disparate systems by developing a system to
map received data … Data mapping
interfaces were developed to demonstrate interoperability between individual systems. … The four EHR
systems and pilot hospitals included: (1) Healthland EMR Systems at Helen Newberry Joy … Hospital: (2) McKesson EMR Systems at Dickinson County Memorial Hospital; (3) Meditech
EMR Systems at … Portage Health; and (4) CPSI EMR Systems at Baraga County Memorial
Hospital.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018649-levick-final-report-2014.pdf
January 01, 2014 - with hospital information systems through qualitative
analysis of technology acceptance and use, and … The process of installing and linking the
systems took place in three phases: In Phase I, the OB/GYN … While older EMR systems did not facilitate the transfer of information between
systems or facilities … It is important to weigh functionality of best-‐of-‐breed systems vs. integration of the data in … Proceedings of the 18th Americas Conference o Information
Systems. August 2012.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016155-connelly-final-report-2009.pdf
January 01, 2009 - information exchange (HIE) to make prior clinical information from electronic
medical record (EMR) systems … Scope: In 2003 three Twin Cities-based healthcare systems set out to investigate HIE to share
prior … To fill critical information gaps,
we planned to access outside electronic medical record (EMR) systems … In recent years
enthusiasm has grown for the broad deployment of EMR systems that are interoperable … Context
In 2003 three large healthcare delivery systems in the Twin Cities that had or were about to
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digital.ahrq.gov/sites/default/files/docs/cds-slides-10192021.pdf
October 19, 2021 - of cognitive support and risk for errors
► Review case examples of cognitive support in health IT systems … • Usability is still problematic in many systems
• Cognitive aspects
• History: GUI, browser, word … processing
• Medical: users’ specialized expertise not reflected in systems
What if? … • Intelligent use of space
• Human creations in flexible systems beget additional creativity
59 … Important Ingredients for Health Adaptive Information Systems.
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digital.ahrq.gov/methods
January 01, 2023 - information is required by decision makers (at various levels) in order to give a clear understanding of HIT Systems … What are the barriers that health care providers and health care systems encounter that limit implementation … of electronic health information systems? … journal Health Affairs , developing a list of all articles with "information technology" or "information systems … Published Meta-analysis on Computer-based Clinical Reminder Systems - In 1996, Shea, DuMouchel, and
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digital.ahrq.gov/2019-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care
January 01, 2019 - Intuitive navigation and clear configuration of EHR systems are imperative for provider usability. … a “black box,” the flight data recorder used to analyze and prevent aviation errors, to improve EHR systems … usability, implying that nurses were likely involved in the selection and implementation of the EHR systems … researchers concluded that involving nurses in the development, selection, and modification of EHR systems
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-ahrq-ambulatory-safety-and-quality-program.pdf
August 09, 2013 - , and
clinical decision support (CDS) systems. … , PHRs, and clinical decision support (CDS)
systems. … types of health IT systems. … These systems also provided a platform for delivering
educational materials to patients. … (R18 HS 017020) employed a
systems engineering approach to improving medica-
tion safety.
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digital.ahrq.gov/sites/default/files/docs/page/2006King_051611comp.pdf
June 16, 2021 - • The Clinical Data Exchange is not intended to replace existing clinical systems. … • Long-term goal will be to incorporate data into participating entities’ current systems. … http://www.volunteer-ehealth.org/�
http://www.volunteer-ehealth.org/�
Health Care
Entity Internal
Systems … How are trauma patients or John /Jane Does registered in their
systems? … How are specimens named and assigned numbers in their
systems?
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025793-chui-final-report-2020.pdf
January 01, 2020 - to
describe the impact of CancelRx implementation on outpatient clinic and community pharmacy work systems … Previously, CancelRx had not been implemented widely by health systems or
pharmacy corporations due … Further, the Centers for Medicaid and Medicare Systems have added CancelRx to
the 2017 Stage 3 Meaningful … The attempt to merge data from two separate systems (the clinic EHR
and pharmacy dispensing software … Overall, the workflow and
systems surrounding the identification and discontinuation of medications
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023708-senathirajah-final-report-2021.pdf
January 01, 2021 - Users of conventional systems identified navigation design, flowsheets, the need for repeated clicks, … C.2 Settings
Studies one and two were conducted at academic health systems. … Study three was primarily conducted online
with subjects from academic health systems. … Going Viral: meeting pandemic needs
with rapidly evolvable and shareable information systems. … Health IT and Patient Safety: Building Safer Systems for Better Care.