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AHRQ Research Studies Date
Topics
- Ambulatory Care and Surgery (1)
- Comparative Effectiveness (1)
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- Evidence-Based Practice (1)
- Health Information Technology (HIT) (3)
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- (-) System Design (7)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 7 of 7 Research Studies DisplayedFederman A, Sarzynski E, Brach C
AHRQ Author: Brach C
Challenges optimizing the after visit summary.
The purpose of this study was to describe experiences of health systems implementing a redesigned outpatient after visit summary (AVS) in commercially available electronic health record (EHR) systems to inform future optimization. The authors noted limitations to AVS modifications in EHR systems present challenges to optimizing the tool. They recommended that EHR vendors should incorporate learning from healthcare systems innovation efforts and consider building more flexibility into their product development.
AHRQ-authored; AHRQ-funded; HS023844.
Citation: Federman A, Sarzynski E, Brach C .
Challenges optimizing the after visit summary.
Int J Med Inform 2018 Dec;120:14-19. doi: 10.1016/j.ijmedinf.2018.09.009..
Keywords: Ambulatory Care and Surgery, Electronic Health Records (EHRs), Health Information Technology (HIT), System Design
Carayon P, Wooldridge A, Hose BZ
Challenges and opportunities for improving patient safety through human factors and systems engineering.
In this paper, the authors provide an overview of human factors and systems engineering (HF/SE), its demonstrated value to a wide range of patient safety problems and challenges to its broader implementation across health care. In addition, they make a variety of recommendations to maximize the spread of HF/SE.
AHRQ-funded; HS024453.
Citation: Carayon P, Wooldridge A, Hose BZ .
Challenges and opportunities for improving patient safety through human factors and systems engineering.
Health Aff 2018 Nov;37(11):1862-69. doi: 10.1377/hlthaff.2018.0723..
Keywords: Quality of Care, Patient Safety, Quality Improvement, System Design
Meyerhoefer CD, Sherer SA, Deily ME
Provider and patient satisfaction with the integration of ambulatory and hospital EHR systems.
This study examined how the installation of an ambulatory EHR at OB/GYN practices and its subsequent interface with an inpatient perinatal EHR affected providers' satisfaction with the transmission of clinical information and patients' ratings of their care experience. The study concluded that dissatisfaction of providers with an EHR system and difficulties incorporating EHR technology into patient care may negatively impact patient satisfaction.
AHRQ-funded; HS018649.
Citation: Meyerhoefer CD, Sherer SA, Deily ME .
Provider and patient satisfaction with the integration of ambulatory and hospital EHR systems.
J Am Med Inform Assoc 2018 Aug;25(8):1054-63. doi: 10.1093/jamia/ocy048..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Patient Experience, Patient Experience, System Design
Simon KC, Tideman S, Hillman L
Design and implementation of pragmatic clinical trials using the electronic medical record and an adaptive design.
The purpose of this study was to demonstrate the feasibility of pragmatic clinical trials comparing the effectiveness of treatments using the electronic medical record (EMR) and an adaptive assignment design. The authors suggest that the demonstration of successful pragmatic clinical trials based on a customized EMR and adaptive design is an important next step in achieving personalized medicine and provides a framework for future studies of comparative effectiveness.
AHRQ-funded; HS024057.
Citation: Simon KC, Tideman S, Hillman L .
Design and implementation of pragmatic clinical trials using the electronic medical record and an adaptive design.
JAMIA Open 2018 Jul;1(1):99-106. doi: 10.1093/jamiaopen/ooy017..
Keywords: Comparative Effectiveness, Electronic Health Records (EHRs), Health Information Technology (HIT), Research Methodologies, System Design
Bayramzadeh S, Joseph A, Allison D
Using an integrative mock-up simulation approach for evidence-based evaluation of operating room design prototypes.
This paper describes the process and tools developed as part of a multidisciplinary collaborative simulation-based approach for iterative design and evaluation of operating room (OR) prototypes. Researchers and architecture students worked closely with clinicians and architects to develop OR design prototypes and engaged clinical end-users in simulated scenarios. An evaluation toolkit was developed to compare design prototypes.
AHRQ-funded; HS024380.
Citation: Bayramzadeh S, Joseph A, Allison D .
Using an integrative mock-up simulation approach for evidence-based evaluation of operating room design prototypes.
Appl Ergon 2018 Jul;70:288-99. doi: 10.1016/j.apergo.2018.03.011..
Keywords: Patient Safety, Surgery, System Design, Evidence-Based Practice
Nystrom DT, Singh H, Baldwin J
Methods for patient-centered interface design of test result display in online portals.
However, current patient portals are not designed in a patient-centered way and little is known on how best to harness patients' information needs to inform user-centered interface design of portals. The researchers designed a patient-facing laboratory test result interface prototype based on requirement elicitation research and used a mixed-methods approach to evaluate this interface.
AHRQ-funded; HS023602.
Citation: Nystrom DT, Singh H, Baldwin J .
Methods for patient-centered interface design of test result display in online portals.
eGEMS 2018 Jun 26;6(1):15. doi: 10.5334/egems.255..
Keywords: Electronic Health Records (EHRs), Patient-Centered Healthcare, System Design, Web-Based
Ashok M, Hung D, Rojas-Smith L
AHRQ Author: Harrison M
Framework for research on implementation of process redesigns.
Complex system interventions benefit from close attention to factors affecting implementation and resultant outcomes. This article describes a framework for examining these factors in process redesign (PR) and for assessing PR outcomes. The authors concluded that their PR framework helped guide the qualitative study and aided researchers in informing their leadership about critical issues affecting PR implementation.
AHRQ-authored; AHRQ-funded; 290200710056I; 2902010000221.
Citation: Ashok M, Hung D, Rojas-Smith L .
Framework for research on implementation of process redesigns.
Qual Manag Health Care 2018 Jan/Mar;27(1):17-23. doi: 10.1097/qmh.0000000000000158.
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Keywords: Implementation, Primary Care: Models of Care, Primary Care, System Design