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This research will study how a safety-net hospital responds to a pandemic, specifically COVID-19, to identify how information needs are met and how decisions are made and communicated to other individuals internal and external to the institution.
The research team will implement and evaluate an integration application that incorporates relevant health information exchange data directly into the electronic health record in the emergency department.
This research will demonstrate the use of standards, including SMART on FHIR, combined with service-oriented architecture to bring vendor-agnostic clinical decision support (CDS) tools into commercial electronic health records, and provide evidence for how to implement validated CDS for important clinical domains, pulmonary, and venous thromboembolism, including for patients with COVID-19.
This research assessed the use of a health information exchange system in emergency department settings, finding that although overall usage is relatively low, additional functionalities such as single sign on add value to clinical decision making and enable faster retrieval of patient records from external sources compared to traditional methods when embedded into existing workflows.
This project compared the risk of orders placed on the wrong electronic patient record when providers were limited to having one patient record open at a time versus up to four and found no difference in errors between the two.
This project integrated an electronic medication reconciliation system with an electronic prescribing system and evaluated whether the resulting system altered the rate of medication reconciliation and the incidence of medication errors.
This project developed, implemented, and evaluated the impact of a computerized tool to automatically identify tests with pending results at hospital discharge, and assist in communicating those to followup providers.
The Indiana Network for Patient Care, an operational health information exchange (HIE) in central Indiana, is one of six AHRQ sponsored State and Regional demonstration projects begun in late 2004 and early 2005 to create State or regional HIEs.