-
digital.ahrq.gov/sites/default/files/docs/page/tool-3.1-flyer-english-large.pdf
June 16, 2021 - However, we also need time to fill your prescription. … The time needed to fill your prescription can be affected by the number
of prescriptions we have received … Once
we receive your prescription, we will need
time to fill it.
-
digital.ahrq.gov/sites/default/files/docs/survey/oklahoma-patient-survey.pdf
June 16, 2021 - I am satisfied with the amount of time I have waited to be seen. .................................... … I have a hard time remembering the names of the medicines and their dosages. ........................ … How did you hear about us:
2 This is my first visit here:
3:
I am satified with the amount of time … Sometimes it is hard for me to remember the medicines that I am taking:
12:
I have a hard time
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digital.ahrq.gov/sites/default/files/docs/page/2006Levett_051711comp.pdf
June 16, 2021 - Procedures
Control Planning
Mistake-Proofing
SPC
BSC
Variation Analysis5S Lean
Kan Ban Cycle-Time … changes
Number of times physician contacted
Incidence of values outside protocol
Length of time … on warfarin therapy
Number of corrective action plans
Time in therapeutic range
Outcome Metrics … Risk profile of patients developing complications
Reduction in deaths
Reduction in length of time … on warfarin, number of
dosage changes, and improved patient time in
therapeutic ranges
Reduction
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/sittig-df-et-al-2006
January 01, 2006 - [Link]
Abstract
"Background: Real-time clinical decision support (CDS) integrated into clinicians … helps them take better care of their patients" (3.6 on scale of 1: Never - 5: Always), "is worth the time … of clinicians admitted to being at least 20 minutes behind schedule "some", "most", or "all of the time … fairly positive, reporting that "It helps me take better care of my patients." (3.5), "It's worth the time … reminded them" of something they had forgotten (1: 91% vs. 15: 69%), "some", "most" or "all" of the time
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digital.ahrq.gov/ahrq-funded-projects/predictive-modeling-social-needs-emergency-department-settings
January 01, 2024 - The current model is to screen via a patient interview or questionnaire; however, time constraints, ED … Quantify the impact of real-time screening for social needs on subsequent utilization. … social services, the use of the current interview and questionnaire screening model is limited due to time … Joshua Vest
Quantifying the impact of real-time screening for social needs
The team will evaluate … The use of this real-time CDS tool will provide ED clinicians with a clear course of action and improve
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/research
January 01, 2023 - ) and variations in that time investment among GPs. …
compares "both the actual procedure time and patient time involved for chest examination in a fully … clinics: a time-motion study." … an electronic health record: a time-motion study." … Ullah R et al. 2002 "Otolaryngology consultations by real-time telemedicine."
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/krall-m-et-al-1995
January 01, 1995 - Most of this time was spent performing "orders and diagnosis" work, which included new required elements … Tools Used
Survey
Observation
Time and Motion Study
Type Clinic
Primary care … Workflow-Related Findings
"Fifty-two percent of clinicians agreed with the statement '[the EMR] is worth the time … Nine percent were neutral and 39% disagreed at that time (n=33).
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015350-horn-final-report-2008.pdf
January 01, 2008 - The goal was to reduce time spent on monthly change-over
(redoing the MAR every month) and time spent … Staff accessed Real-Time reports via a web portal provided by Digital Pen
Systems. … Project leaders accessed Real-Time reports on a regular basis. … time to do it the previous day. … Use of reports by front-line
team members took more time than expected.
-
digital.ahrq.gov/sites/default/files/docs/page/percentage-of-verbal-orders-quick-reference-guide.pdf
March 01, 2009 - Monitoring the percentage of verbal orders allows
organizations to measure the use of verbal ordering
over time … nurse
or unit clerk) receiving the order, and (3)
required a provider signature at a subsequent
time … Health IT
Study Design
Measure the percentage of verbal orders at set points
over a specified time … A simple chart or graph that displays the
decrease in verbal orders over time is an
effective way to … Any manual chart
review is resource intensive in terms of space, time,
and costs.
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digital.ahrq.gov/sites/default/files/docs/publication/action-cp-cds-tool-specifications.pdf
June 16, 2021 - Audience:
The tool was designed to provide front line nurses with real-time feedback regarding the status … is available including: age, room/bed, location/(unit),
attending physician, patient arrival (date/time … ), nurse assigned, surgical date/time, length of
stay, and reason for visit (refer to example). … (triangle icon) appears, the hover over status indicator will display a message
with the date and time … of the following found in the database:
Clinical Result on Initial Post-Fall Assessment Form
Date/Time
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shachak-et-al-2009
January 01, 2009 - The main strategy for overcoming this problem involved separating EMR use from time spent communicating … The main strategy entailed separating EMR use from time spent communicating with patients.... … [During observations] a clear separation between time spent inputting data into EMRs and time spent consulting … "[P]hysicians' average screen gaze lasted from 25% to 55% of the visit time. … use of keyboard shortcuts and templates, reduced the burden of typing and, therefore, allowed more time
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digital.ahrq.gov/sites/default/files/docs/clinical-care-slides-10142020.pdf
October 14, 2020 - MBBCh, FCASA
Presenter
Chun-Ju (Janey) Hsiao, PhD
Moderator
How to Submit a Question
• At any time … (diet, exercise, weight
loss) documented lifestyle counseling (notes / month)
• Primary outcome: time … series features, we delete sparse time series with
many missing values and select 10 most important … time series. … We
tested with three time series lengths, 30-min, 45-min, and 60-min
• We randomly split the dataset
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digital.ahrq.gov/sites/default/files/docs/citation/ahrq-rand_e-rxtoolset_020312comp.pdf
December 01, 2011 - this report focuses on
the use of and impact of the toolsets on e-prescribing implementation; these long-term … effects
could not be assessed in the pilot study described in this report.
3.1 Environmental Scan … and time spent on each. … One doctor worked full time
at this clinic and other physicians worked part time with varying schedules … The impact
of e-prescribing on prescriber and staff time in ambulatory
care clinics: a time motion
-
digital.ahrq.gov/sites/default/files/docs/cds-slides-10192021.pdf
October 19, 2021 - Senathirajah, PhD
Presenter
Roland Gamache, PhD
Moderator
3
How to Submit a Question
• At any time … EHR Data & Prototype Design
20
Cognitive Support - ED Triage/Workload
21
Cognitive Support - Time … stuff…frustration
with [vendor system] is
that I’m going back and
forth, back and forth all the
time … to this approach
• Times shorter than:
► User doing composing
► Conventional EHR review.
76
Avg Time … savings
• Checklist effect
82
5 rights of CDS
• Right information
• Right time
• Right person
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digital.ahrq.gov/sites/default/files/docs/citation/quality-performance-monitoring-data-collection-and-reporting-final-report.pdf
April 01, 2015 - They also needed financial support to
compensate for the time involved in performance monitoring: time … for Physician Champions to
lead initiatives, time for data collection tasks, time for interpretation … The practice has 8 full-time and 2
part-time physicians, 17 residents and 6 nurses on staff. … Meeting time may take time away from clinical
responsibilities or require additional work time outside … Lack of time to devote to project/ competing
demands for physician and staff time for
clinical
-
digital.ahrq.gov/sites/default/files/docs/page/e-prescribing-toolset-pharmacy.pdf
January 01, 2020 - Time Effects from E-Prescribing
In order to determine the time savings, it is necessary to focus on … Intake and input task time is greatly reduced for refill
requests. … Then, the net time savings
for conducting refill requests is calculated by subtracting the average time … for electronic requests
from the average time for the non-electronic ones to get a time savings per … With e-prescriptions there is a time savings on a daily basis.
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digital.ahrq.gov/sites/default/files/docs/Health_IT_and_Safety_070910_comp.pdf
July 13, 2010 - Conflicts in the EHR: ―Digital clues‖
―hemorrhagic Discharge
CVA‖ Dx: Admitted
for DVT CVA
time … Theoretical predictability w.r.t. time (delta-t):
Patient state:
Clinician sampling:
Predictability … Theoretical predictability w.r.t. time (delta-t):
Patient state:
Clinician sampling:
Predictability … w.r.t. sequence (tau):
Time
Value
Conclusions
Conclusions
• EHR can be … Alerts to Nurse
Real Time Alerts to Nurse (cont'd.)
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015413-samore-final-report-2008.pdf
January 01, 2008 - The mean number of minutes of office time per patient was comparable across
the two time periods. … each time a user clicked on
a page link. … Fifteen minute time-out and change of user were
used to break sessions into discrete blocks of time … of time. … All observations were time-stamped.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024062-mazur-final-report-2017.pdf
January 01, 2017 - For time to complete scenarios, analysis indicated significant longer time to
complete scenarios in … For time to complete scenarios, analysis indicated that participants took significant longer time
to … as
day and time of the day for assessments. … We also measured performance
via time-to-session completion. … We also measured performance via time-to-session completion.
-
digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems
January 01, 2023 - Conduct an interrupted time series study design to quantify the effect of indication alerts on 1) the … A before-and-after interrupted time series study was conducted to quantify the impact of indication alerts … There was no immediate effect on WD-RAR events, but they did decline slowly over time after the intervention … Errors With Indication Alerts in CPOE Systems Document Type: Report Research Method: Quantitative , Time … Indication Alerts in CPOE Systems Document Type: Journal Publication Research Method: Quantitative , Time