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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.
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1 to 4 of 4 Research Studies DisplayedBusinger AC, Fuller TE, Schnipper JL
Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center.
This paper describes the challenges, recommendations and lessons learned while developing and implementing a Patient Safety Learning Laboratory (PSLL) project, which is comprised of a suite of HIT tools integrated with a newly implemented Electronic Health Record (EHR) vendor system in the acute care setting of a large academic medical center. The PSLL Administrative Core engaged stakeholders and study personnel throughout all phases of the project. Challenges to implementation included stakeholder engagement, project scope and complexity, technology and governance, and team structure. Some changes were implemented during the trial and others were labeled as lessons learned for future iterative interventions. A willingness to think outside of current workflows and processes to change health system culture around adverse event prevention was one of the keys to success.
AHRQ-funded; HS023535.
Citation: Businger AC, Fuller TE, Schnipper JL .
Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center.
J Am Med Inform Assoc 2020 Feb;27(2):301-07. doi: 10.1093/jamia/ocz193.
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Keywords: Patient Safety, Implementation, Health Information Technology (HIT), Quality Improvement, Quality of Care, Patient-Centered Healthcare, Electronic Health Records (EHRs), Evidence-Based Practice
Walsh KE, Marsolo KA, Davis C
Accuracy of the medication list in the electronic health record-implications for care, research, and improvement.
Electronic medication lists may be useful in clinical decision support and research, but their accuracy is not well described. The aim of this study was to assess the completeness of the medication list compared to the clinical narrative in the electronic health record. The study found that there was a range in the accuracy of the medication list compared to the clinical narrative.
AHRQ-funded; HS022974.
Citation: Walsh KE, Marsolo KA, Davis C .
Accuracy of the medication list in the electronic health record-implications for care, research, and improvement.
J Am Med Inform Assoc 2018 Jul;25(7):909-12. doi: 10.1093/jamia/ocy027..
Keywords: Electronic Health Records (EHRs), Quality of Care, Medication, Patient-Centered Healthcare, Patient Safety
Walsh KE, Marsolo KA, Davis C
Accuracy of the medication list in the electronic health record-implications for care, research, and improvement.
Electronic medication lists may be useful in clinical decision support and research, but their accuracy is not well described. The aim of this study was to assess the completeness of the medication list compared to the clinical narrative in the electronic health record. The study found that there was a range in the accuracy of the medication list compared to the clinical narrative.
AHRQ-funded; HS022974.
Citation: Walsh KE, Marsolo KA, Davis C .
Accuracy of the medication list in the electronic health record-implications for care, research, and improvement.
J Am Med Inform Assoc 2018 Jul;25(7):909-12. doi: 10.1093/jamia/ocy027..
Keywords: Electronic Health Records (EHRs), Quality of Care, Medication, Patient-Centered Healthcare, Patient Safety
Wang JJ, Winther CH, Cha J
Patient-centered medical home and quality measurement in small practices.
In this retrospective cohort study, the investigators sought to assess performance on quality measures among small primary care practices that recently adopted an electronic health record (EHR), and how performance differs between practices that have achieved patient-centered medical home (PCMH) recognition and those that have not. They found that among small practices that have adopted EHRs, practices with PCMH recognition consistently outperformed practices without recognition on 5 out of 7 clinical quality measures over the 2-year study period.
AHRQ-funded; HS019164.
Citation: Wang JJ, Winther CH, Cha J .
Patient-centered medical home and quality measurement in small practices.
Am J Manag Care 2014 Jun;20(6):481-9.
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Keywords: Electronic Health Records (EHRs), Quality of Care, Patient-Centered Healthcare, Primary Care, Quality Measures