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digital.ahrq.gov/ahrq-funded-projects/improving-management-multiple-chronic-conditions-mprove
August 31, 2024 - Recording patient-reported outcomes (PROs) in real time between visits, versus by patient recall during … However, PROs are often not used in real time by patients and clinicians, as information is not provided … sense of wellbeing to be labor intensive and of little perceived benefit, while clinicians have limited time … Sim
Using technology to capture PROs in real time
To address these issues, Dr. … Sim anticipates that collecting PROs in real time using a patient friendly format will result in increased
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/margalit-rs-et-al-2006
January 01, 2006 - Results: Physicians spent close to one-quarter of visit time gazing at the computer screen, and in some … Discussion: The computer has become a party in the visit that demanded a significant portion of visit time … Patients whose physicians spent more time keyboarding gave more biomedical information. … Physicians who spent more time keyboarding made fewer "orienting statements" like transition statements … ) gazing at the computer screen, representing some 23% (ranging from 3 to 42.5%) of the total visit time
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs015274-carayon-final-report-2009.pdf
January 01, 2009 - Antibiotic Turnaround Time. … Antibiotic Turnaround Time (time between ordering an IV antibiotic and
administering the medication) … Additional analyses using time-series analysis are underway.
Antibiotic Turnaround Time. … After the CPOE/EHR implementation, nurses spent less time in conversation and more
time doing manual … and less time in
clinical tasks.
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digital.ahrq.gov/ahrq-funded-projects/implementation-and-evaluation-pspro-person-specific-patient-reported-outcome
August 31, 2023 - HIV providers must prioritize and address multiple chronic conditions in the context of a time-constrained … living with HIV in care with multiple chronic conditions by personalizing PRO domain selection in real time … Implement real-time automatic psPRO collection for people living with HIV with multiple chronic conditions … They will then implement real-time psPRO collection for people with HIV into routine clinical care. … We're never going to be able to expand the amount of time in a visit and the amount of questions we can
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digital.ahrq.gov/principal-investigator/mueller-stephanie
January 01, 2024 - Advancing health information during interhospital transfer: An interrupted time … Advancing health information during interhospital transfer: An interrupted time series.
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digital.ahrq.gov/sites/default/files/docs/resource/B5_Recruiting_Tool.pdf
June 16, 2021 - Your nurse will take a picture of the wound, and ask you a few questions each time the picture
is taken … you agree to participate:
Three times there will be a separate interviewer that will take more time … will be
__________________________ They will contact you sometime this week to find out the
best time
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digital.ahrq.gov/ahrq-funded-projects/advancing-health-information-exchange-hie-during-inter-hospital-transfer-iht
January 01, 2024 - intervention on patient safety outcomes, including medical errors and adverse events, using interrupted time … Type: Editorial
Advancing health information during interhospital transfer: An interrupted time … Advancing health information during interhospital transfer: An interrupted time series. … Transfer to Improve Patient Outcomes Document Type: Journal Publication Research Method: Quantitative , Time … necessary clinical information that clinicians need to access to be able to safely care for patients at time
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/davis-p-et-al-2001
January 01, 2001 - A simple cost and time benefit analysis was undertaken. Results. … The process was determined to be efficient in both time and cost savings. Conclusion. … Telehealth rheumatology consultations are feasible, acceptable, and cost/time effective and are therefore … "In terms of effective time utilization the telehealth consult was significantly superior to the traditional
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017205-davidson-final-report-2010.pdf
January 01, 2010 - Lessons learned from template implementation include that due to
time processes are often time intensive … Site 2 has not yet created any reports for distribution at
the time of this assessment. … Creating and refining templates was an incredibly time intensive
process. … The investment of staff and provider time was substantial for most sites. … Site 3 spent substantially less time (6 hrs of Chief Operations Officer
time and no provider time),
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017276-burns-final-report-2011.pdf
January 01, 2011 - at a different time. … or medication taken, starting 30 minutes after the
programmed “usual time.” … >250
No
Scheduled
Time?Trend analysis Did you eat (time last
glucose – 4 hours) ? … Did you eat (time last
glucose – 2 hours)?
Improving Trend?
-¼ s.d. of mean
Stable Trend? … There is no goal
established for this
time.
No
Yes
Last glucose
< 1 hour ago?
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023631-payne-amia-poster-2017.pdf
January 01, 2017 - and excessive note
length.1 Physicians have voiced concerns that writing notes in EHRs takes more time … The time between when the patient is seen on hospital rounds and the availability of the … Time VGEENS notes available in EHR. … potential to suggest diagnostic and therapeutic interventions
based on that thinking in near-real-time … Use of internist’s free time by ambulatory care Electronic
Medical Record systems.
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel/annual-summary/2010
January 01, 2010 - United States must balance the timeliness of care delivery with its continuity, i.e., balance the lead time … systems answer the following questions:
How should patient-patient panel composition be altered over time … utilize systems engineering methods (optimization and discrete event simulation) to model the system over time … dynamically generate optimal panels and incorporate changes in physician availability and patient demand over time … Self-Reported Quarterly Status (as of December 2010): The project is meeting most of its milestones on time
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digital.ahrq.gov/principal-investigator/sun-carolyn-j
January 01, 2023 - bedside shift reporting and hourly rounding completion rates and establishing a baseline for the average time … nurses spend providing direct patient care, revealing the time is significantly less than earlier studies
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digital.ahrq.gov/ahrq-funded-projects/flualert-influenza-vaccine-alerts-providers-electronic-health-record/annual-summary/2011
January 01, 2011 - including clinic resource issues, problems with multiple sources of immunization information, and lack of time … Fifty-four percent of the time (n=1,048), the alert indicated that the child was in need of an influenza … For those 1,048 instances, the vaccine was ordered 29 percent of-the time; declined 34 percent of the … time; and deferred 37 percent of the time. … when the vaccine was declined, the reason for declining the vaccine was documented 93 percent of the time
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digital.ahrq.gov/ahrq-funded-projects/mobile-app-enhance-smoking-cessation-shared-decision-making-primary-care
January 01, 2023 - The app was also designed to minimize clinical time burden. … Findings indicated that the app significantly increased the time patients spent discussing smoking cessation … with their PCPs and increased the likelihood that a decision about their smoking was made at the time … At the time of the followup calls, 22 percent of control patients versus 46 percent of intervention patients
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digital.ahrq.gov/sites/default/files/docs/page/length-of-stay-quick-reference-guide.pdf
March 01, 2009 - Computerized
provider order entry (CPOE) has been shown to
reduce the amount of time between the placement … Design 1: Pre and posthealth IT
implementation
Study Period 1: Define baseline and
intervention time … Study Period 2: Define intervention time peri
od (e.g., number of months). … Any manual chart review is resource intensive
in terms of space, time, and costs. … The effects of computerized provider
order entry on medication turn around time: A
time to first does
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digital.ahrq.gov/sites/default/files/docs/page/final-logan-story-7-2-12.pdf
June 16, 2021 - .
• Average withdrawal time of at least 6 minutes
(Process quality measure).
• Polyp detection and … “Endoscopists liked the interactive web-based
quality report card; For them, data entry time
was worth … They indicated that the ad-
ditional time required for entering the measurement data
was not overly … Measurement Burden
• Endoscopists were cognizant of the time needed
for quality measurement and the … For
example, anticoagulation plans were documented less
than 8 percent of the time.
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digital.ahrq.gov/sites/default/files/docs/page/Keenan.ppt
January 01, 2004 - Process (CPP) Method
H1.1 satisfactorily represents the collective
mind of nurses across time … and settings
H1.2 sustains mindfulness in the CPP across time
and settings
H1.3 supports heedful … interrelating about the
CPP across time and settings
Lessons Learned from Earlier Projects … Competency in use of NNN builds over time
USE to FRAME HAND-OVER (Report)
Care Plan application must … are correct q shift
Complete anonymous error reporting
Enter 1) nurse shift info, 2) patient care time
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-provide-measurement-based-care-chronic-illness/annual-summary/2011
January 01, 2011 - Their primary concern was the increased time burden, in both the length and number of treatments visits … Based on prior reports, the research team expected that providing MBC would initially require more time … , but once the system was established, the increased visit time would primarily involve the time the … Additional analyses that explore differences based on decision support usages, length of time between
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digital.ahrq.gov/ahrq-funded-projects/my-medihealth-paradigm-children-centered-medication-management/annual-summary/2010
January 01, 2010 - information-sharing concerns, the tool will not directly interface with MyHealthAtVanderbilt at this time … consists of an oral interview and a Web-based survey that asks about daily behaviors, regular dosing time … , why that time is chosen, and any variation in dosing time. … The team is meeting about 80 to 99 percent of the milestones and activities are generally on time. … project had a later start date, thus spending is on target relative to activities completed at this time