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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/890.html
November 01, 2023 - Searchable database of AHRQ Grants
PCOR
AHRQ Projects funded by the Patient-Centered Outcomes … receiving health services research grant applications that advance the nation’s goal of improving health outcomes … Reducing the amount of time to give antibiotics to sepsis patients should contribute to better health outcomes … The booklets in English and Spanish address preparing for and recovering from colorectal surgery, surgery … Health Serv Outcomes Res Methodol 2023 Oct;23(4):416-32. Epub 2022 Dec 14.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation.pptx
December 01, 2017 - Donadebian (1919–2000) was the physician and founder of the study of quality in health care and medical outcomes … and can be shared with staff sooner than outcome measures, due to the 30-day delay when evaluating outcomes … It’s just one process measure initially developed for the colorectal operating room.
9
Glucose Control … way or another, make sure ALL your staff see how they’re doing with the process measures and what the outcomes
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen4a.html
April 01, 2018 - Searchable database of AHRQ Grants
PCOR
AHRQ Projects funded by the Patient-Centered Outcomes … Healthcare Safer Reports
AHRQ Research Studies
Health Care Systems for Tracking Colorectal … continued)
Previous Page Next Page
Table of Contents
Health Care Systems for Tracking Colorectal … implemented the intervention, but these elements of the intervention did not always produce the planned outcomes … the above results for the effectiveness of SATIS-PHI/CRC to increase the odds of being screened for colorectal
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen3.html
April 01, 2018 - Searchable database of AHRQ Grants
PCOR
AHRQ Projects funded by the Patient-Centered Outcomes … Healthcare Safer Reports
AHRQ Research Studies
Health Care Systems for Tracking Colorectal … Methodology
Previous Page Next Page
Table of Contents
Health Care Systems for Tracking Colorectal … Free from other complicating colorectal or gastrointestinal conditions (e.g., Crohn's disease or ulcerative … We sought to assess the effect of the intervention on these outcomes.
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
December 01, 2017 - Slide 17: The Improvement Model Works in Surgery
Colorectal NSQIP SSI Rate at Hopkins 8
Image: … Line chart shows gradual decrease in colorectal SSI rate from 42% to 12 % over 4 years. … Slide 40: Why Safety Culture Matters
Safety Culture is Related to Outcomes 2-8
Patient outcomes … Clinician outcomes:
Incident reporting.
Burnout/turnover. … Organizational climate and health care outcomes.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
December 01, 2017 - event or shift
Stress learning and improvement
Designed to improve teamwork skills
Designed to improve outcomes … – Implementation
SAY:
Many studies link briefings and debriefings in the surgical services to key outcomes … process
Build effective communication behaviors
Briefing and debriefing process closes the loop with outcomes … Second, the briefing and debriefing process closes the loop with outcomes. … Surgical Safety Checklist
Sample checklist created for colorectal surgical unit
Model for Briefing
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
October 01, 2014 - Readmission rates and cost following colorectal surgery. … quality measures
initiatives: moving forward to improve measurement, care, and child and adolescent outcomes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
March 01, 2010 - www.ahrq.gov/cahps
Reported Patient Experiences are Related to
other Important Processes and Outcomes … experiences
and best practice clinical processes,
lower hospital readmissions, and
desirable clinical outcomes … Blacks’ hypertension medication adherence
• Breast cancer patients’ adherence to tamoxifen
• Rates of colorectal … Lyu et al. (2013); Sorra et al. (2012)
36
www.ahrq.gov/cahps
Patient Experience and Clinical Outcomes … • Positive patient experiences may provide unique benefit
to clinical outcomes for AMI patients over
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-fac-notes.html
December 01, 2017 - Searchable database of AHRQ Grants
PCOR
AHRQ Projects funded by the Patient-Centered Outcomes … Donadebian (1919–2000) was the physician and founder of the study of quality in health care and medical outcomes … It’s just one process measure initially developed for the colorectal operating room. … way or another, make sure ALL your staff see how they’re doing with the process measures and what the outcomes
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
December 01, 2017 - Searchable database of AHRQ Grants
PCOR
AHRQ Projects funded by the Patient-Centered Outcomes … Kennedy, MD, PhD
Associate Professor
Vice Chairman of Quality
Associate Chief, Section of Colorectal … Kennedy, MD, PhD
Associate Professor
Vice Chairman of Quality
Associate Chief, Section of Colorectal … Catheter replacement
40.7%
2.9%
<0.001
Reinsertion and UTI
18.8%
6.0%
<0.001
Slide 41
Outcomes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final-es.pdf
September 01, 2019 - New Measures in the 2018 QDR Database
Cancer Care
Breast Cancer Measures
Cervical Cancer Measures
Colorectal … Cancer
Cervical Cancer
Brachytherapy for Cervical Cancer
Radiation Therapy for Cervical Cancer
Colorectal
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - Searchable database of AHRQ Grants
PCOR
AHRQ Projects funded by the Patient-Centered Outcomes … tested in more than 300 hospitals nationwide and includes evidence-based enhanced recovery pathways for colorectal … Financial Distress
An analysis of more than 132,000 individuals’ credit reports showed adverse financial outcomes … use credit report data to examine the impact of COVID-19 infection and/or hospitalization on credit outcomes … Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/qdr-ruralhealthchartbook-update.pdf
January 01, 2020 - suburban) areas:
■ Residents of suburban areas tend to have higher quality health care and better outcomes … • Importance: People with a usual source of care have better health outcomes and fewer
disparities … Report | 41
• Importance: Early detection of cancer allows more treatment options and often improves
outcomes … Report
• Importance: Early detection of cancer allows more treatment options and often improves
outcomes … Rural Health
Colorectal Cancer Deaths
Colorectal cancer deaths per 100,000 population, by race/ethnicity
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ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/search.html?page=12
December 01, 2016 - Searchable database of AHRQ Grants
PCOR
AHRQ Projects funded by the Patient-Centered Outcomes … Research Affiliates Report Status: Final
Telehealth: Mapping the Evidence for Patient Outcomes … Pacific Northwest EPC—Oregon Health & Science University Report Status: Final
Screening for Colorectal
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ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/search.html?page=30
November 01, 2008 - Searchable database of AHRQ Grants
PCOR
AHRQ Projects funded by the Patient-Centered Outcomes … Evidence Reports Affiliation: Southern California EPC—RAND Corporation Report Status: Final
Outcomes … Force Evidence Syntheses Affiliation: Tufts University Report Status: Final
Screening for Colorectal
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ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/search.html?page=14
January 01, 2016 - Searchable database of AHRQ Grants
PCOR
AHRQ Projects funded by the Patient-Centered Outcomes … International—University of North Carolina at Chapel Hill Report Status: Final
Management and Outcomes … Permanente Research Affiliates Report Status: Final
Aspirin Use for the Prevention of Colorectal
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ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/search.html?page=20
March 01, 2013 - Searchable database of AHRQ Grants
PCOR
AHRQ Projects funded by the Patient-Centered Outcomes … Report Status: Final
Local Hepatic Therapies for Metastases to the Liver From Unresectable Colorectal … Health & Science University Report Status: Final
Gene Expression Profiling for Predicting Outcomes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
December 01, 2017 - Here is an example of a tool developed by the Johns Hopkins Colorectal Surgery team. … Slide 33
Example of Defects Addressed: Instruments
SAY:
The colorectal team identified a shortage … Slide 36
This Model Works in the OR
Colorectal NSQIP SSI rate at Hopkins
SAY:
Briefing and debriefing … It shows the significant drop in surgical site infections achieved in colorectal surgeries at Johns Hopkins
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/58-frontline-presentation-template.docx
June 01, 2023 - presentation to frontline providers
[Service Line] Surgery at [Hospital Name]
[Service line, e.g., colorectal … patients undergoing [specify procedures] that spans the perioperative continuum of care to improve patient outcomes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
June 01, 2023 - The goal is to improve patient outcomes. … The ISCR service line pathways are listed below:
· Colorectal surgery
· Emergency general surgery (appendectomy … process measures (elements of your ISCR pathway), you can evaluate whether there are improvements in outcomes … presentation and facilitator guide)
Oral Antibiotics and Mechanical Bowel Prep for SSI Prevention for Colorectal … Setting Form to show your hospital’s baseline outcome data and discuss with ISCR team members which outcomes