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41. Improving Quality through Health Information Technology: Testing the Feasibility and Assessing the Impact of Using Existing Health Information Technology Infrastructure for Better Care Delivery (pdf file)
    digital.ahrq.gov/sites/default/files/docs/activity/improving_quality_through_health_information_technology_2009_update_2.pdf
    January 01, 2009 - how health IT tools can improve compliance, efficiency, and quality of care by reducing duplicate tests … and improve both the efficiency and quality of care by reducing the numbers of duplicate laboratory tests … The rate of duplicate viral load tests for HIV at each center was low both pre- and post-implementation … who were seeking HIV care at the CHCs tended to be aware of their status and knew when laboratory tests … post-implementation was evident on several measures, including CD4, lipid profile, and liver function tests

42. Young DW 1981 "Improving the consistency with which investigations are requested." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/young-dw-1981-improving
    January 01, 2023 - In the first study the number of tests not ordered fell from 68 to 16, and in a second study from 130 … After patient information is entered, such as patient history, physical examination, and laboratory tests

43. State and Regional Demonstration in Health Information Technology: Delaware | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstration-health-information-technology-de
    January 01, 2023 - Reduce the number of duplicative tests and expedite the reporting of consultant opinions and tests/ treatments … that data provided in the DHIN will have an impact on care delivery including reduction in duplicate tests … This was supported with an analysis of results for tests that are often high cost and high volume.

44. Delaware Health Information Network (DHIN) State and Regional Demonstration Project - 2011 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/delaware-health-information-network-dhin-state-and-regional-demonstration/annual-summary/2011
    January 01, 2011 - (Achieved) Reduce the number of duplicative tests and expedite the reporting of consultant opinions … and tests/ treatments between specialists and the referring physicians. … that data provided in the DHIN will have an impact on care delivery including reduction in duplicate tests … This was supported with an analysis of results for tests that are often high cost and high volume. … A standardized nomenclature or identifier for tests and procedures should be established.

45. Kim J et al. 2005 "Development and initial testing of a computer-based patient decision aid to promote colorectal cancer screening for primary care practice." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kim-j-et-al-2005
    January 01, 2005 - of an introductory segment, four test-specific segments, and information to allow comparison of the tests … Within 6 months of viewing, 43% of patients had completed screening tests. … design and provides a 5-minute introduction followed by five additional sections describing various tests … Through video footage and physician/patient narration, the resource allows patients to review various tests

46. Improving Safety and Quality with Outpatient Order Entry (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r01hs015226-gandhi-final-report-2008.pdf
    January 01, 2008 - • Order Tracking: Reports of tests that were ordered but not performed. … Outcome—Completion rate of tests ordered. … Outcome— Percentage of the time redundant tests are performed. … Order Tracking: Reports of Tests That Were Ordered But Not Performed. … tests producing the cost-savings number.

47. From the front line, report from a near paperless hospital: mixed reception among health care professionals | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/front-line-report-near-paperless
    April 26, 2021 - physicians, such as check and sign discharge summaries (which was at 100% in 2005), obtain results of new tests … , ordering tests, etc.

48. Delaware Health Information Network (pdf file)
    digital.ahrq.gov/sites/default/files/docs/activity/2011_290050012_lee_pdf_3.pdf
    January 01, 2011 - (Achieved) •   Reduce the number of duplicative tests and expedite the reporting of consultant opinions … and tests/ treatments between specialists and the referring physicians. … that data provided in the DHIN will have an impact on care delivery including reduction in duplicate tests … This was supported with an analysis of results for tests that are often high cost and high volume. … A standardized nomenclature or identifier for tests and procedures should be established. •   The value

49. Portal and Non-Portal User Surveys to Assess MyPreventiveCare Portal (pdf file)
    digital.ahrq.gov/sites/default/files/docs/survey/portal-and-non-portal-user-surveys-to-assess-mypreventivecare-portal.pdf
    March 30, 2015 - □ Make s ure I take my medications as prescribed □ Make sure I get all the tests … and calories □Track your exercise □Remind you when to take prescriptions □Remind you when you need tests … medicines, immunizations, and other information in one place □Looking at the results of your lab tests … or other tests □Seeing your doctor’s instructions for taking care of your health □Getting a reminder … Learning about when you □ □ □ □ □ need tests and care Seeing your doctor’s □ □ □ □ □ instructions

50. A prospective controlled trial of computerized decision support for lipid management in primary care | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/prospective-controlled-trial
    April 01, 1996 - Outcomes:  Prescribing of lipid lowering agents, use of laboratory tests and referrals for the investigation … Evaluation Method:  Measures of laboratory tests and prescribing activity and referrals along with measures … Healthcare Utilization:  There was no effect of having a system on the gross rate of requests for lipid tests

51. The impact of a guideline-driven computer charting system on the emergency care of patients with acute low back pain | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-guideline-driven-computer
    January 01, 1995 - Post Outcomes:  Documentation of essential findings and aftercare instructions, appropriate use of tests … Healthcare Utilization:  No significant changes in the appropriateness of diagnostic tests and/or medications

52. Clinical effect of computer generated physician reminders in health screening in primary health care--a controlled clinical trial of preventive services among the elderly | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/clinical-effect-computer
    September 01, 2004 - It adjusted the list of the five screening tests to the individual patient: i.e. tests were removed automatically

53. Impact of Health IT on Lab Order Use in Community Health Centers (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/healthitandlaborders.pdf
    November 01, 2011 - To examine redundant lab tests we measured the frequency of Viral Load tests for the same patient within … Duplicate Tests The study documented the number of duplicate Viral Load tests for HIV patients before … Less than 1 percent of tests were duplicated in all time intervals examined. … Presently clinicians must scroll through all Centers’ tests, which is time- consuming. … tests are not categorized intuitively.

54. Centers for Medicare & Medicaid Services Special Study – Pilot Testing of Electronic Prescribing Standards | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/centers-medicare-medicaid-services-special-study-%E2%80%93-pilot-testing-electronic
    January 01, 2023 - Production tests were conducted to determine the functionality of the Medication History, RXFILL, and … Laboratory tests were conducted to assess the functionality of the Structured Sig and RxNorm standards

55. Open Door Family Health Center, Inc.Managing the Hypertensive Patient – User’s Manual (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Helene_Kopal_IQHIT_Q6_HTN_Intervention_Users_Manual.pdf
    March 01, 2009 - the Hypertensive Patient – User’s Manual v 1.0 7 March 2009 3.4 Using Order Sets to Order Tests … Open Door’s recommended treatment standards for hypertension appear as pre-entered: • Laboratory Tests … • Diagnostic Imaging Tests • Immunizations • Lifestyle Assessments* • Appointments Standard … Patient – User’s Manual v 1.0 8 March 2009 To order tests … Use CDSS to learn whether the patient is due for any screening tests or preventive care based on his

56. The Effects of Age, Cognition, and Health Literacy on Use of a Patient EMR - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/effects-age-cognition-and-health-literacy-use-patient-emr/annual-summary/2010
    January 01, 2010 - level, income, health information, medication use, experience with technology, and cognitive battery tests … Participants will also be given the TOFHLA and subjective and objective numeracy tests. … Cognitive tests were identified and modified.

57. Impact of an electronic link between the emergency department and family physicians: a randomized controlled trial | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-electronic-link-between
    January 31, 2006 - hospital in Montreal, Quebec, Canada Intervention:  Compared rates of repeat ED visits, duplication of tests … Mean length of stay and number of tests ordered did not decrease

58. Use of Web-based Health Information – for Patient Practice Portal Users (pdf file)
    digital.ahrq.gov/sites/default/files/docs/survey/use-web-based-health-information.pdf
    February 23, 2021 - Exercise more �Quit smoking � Make sure I take my medications as prescribed � Make sure I get all the tests … and calories �Track your exercise �Remind you when to take prescriptions �Remind you when you need tests … medicines, immunizations, and other information in one place �Looking at the results of your lab tests … or other tests �Seeing your doctor’s instructions for taking care of your health �Getting a reminder

59. Length of Stay (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/length-of-stay-quick-reference-guide.pdf
    March 01, 2009 - hospitalizations due to delays in decisionmaking by providers while they wait for results, schedule diagnostic tests … avoid waiting for paper charts to arrive to the hospital floor or ordering what may be duplicate tests … Tests, treatments, and medications are therefore scheduled and delivered faster.2,6 Viewing results … team and your stakeholders and would avoid the difficulty of conducting and interpreting statistical tests … Computerized pathology test order entry reduces laboratory turnaround times and influences tests ordered

60. Delaware Health Information Network (DHIN) State and Regional Demonstration Project - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/delaware-health-information-network-dhin-state-and-regional-demonstration/annual-summary/2010
    January 01, 2010 - care that is based on the best available information. ( Ongoing ) Reduce the number of duplicative tests … and expedite the reporting of consultant opinions and tests/treatments between specialists and the referring … LabCorp, Quest, and Doctors Pathology Services, contribute data on more than 90 percent of the laboratory tests