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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mcbride-mr-et-al-2004
January 01, 2004 - The site contains information on 15 cultures, 12 religions, and 6 ethnic minority cohort groups. … Web site had a simple text-based browser format with hyperlinks and contained "three categories of culture-based … information for specific ethnic groups" ("15 cultures, 12 religions and 9 American minority, cultural … , or immigrant cohort groups"): greetings and introductions, religious beliefs and beliefs about healing
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025238-xie-final-report-2020.pdf
January 01, 2020 - liberally.4 The overuse of blood
cultures has been shown to result in additional laboratory tests … Appropriate use of blood cultures may be achieved through an analytic decision-making process, during … We have been continuously collecting data on the use of blood cultures (e.g., blood cultures rate … DOes this adult patient with suspected
bacteremia require blood cultures? … Contaminant blood cultures and resource utilization.
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digital.ahrq.gov/ahrq-funded-projects/development-clinical-decision-support-tool-facilitating-naturalistic-decision
January 01, 2023 - a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture … Blood cultures are the only way to diagnose sepsis; however, overuse of blood cultures may result in … Develop an EHR-embedded CDS tool to reduce unnecessary blood culture utilization. … Implement the CDS tool in the PICU at JHH and assess its use and impacts on blood culture utilization … Dissemination of a novel framework to improve blood culture use in pediatric critical care.
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digital.ahrq.gov/2020-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care
January 01, 2020 - Blood cultures are the only way to diagnose sepsis, a life-threatening bloodstream infection that can … affect infants in the pediatric intensive care unit (PICU); however, overuse of blood cultures may result … implemented, and evaluated an EHR-embedded CDS tool to support naturalistic decision making in blood culture … research team examined individual and team cognition and decision making associated with obtaining a blood culture … used those insights to develop the electronic CDS tool iteratively and found that unnecessary blood culture
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digital.ahrq.gov/principal-investigator/xie-anping
October 19, 2021 - participatory ergonomics to the dissemination of a quality improvement program for optimizing blood culture … participatory ergonomics to the dissemination of a quality improvement program for optimizing blood culture … Utilization
Dissemination of a novel framework to improve blood culture use … Dissemination of a novel framework to improve blood culture use in pediatric critical care. … Utilization
Description
This research study addressed the overuse of blood cultures to diagnose
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digital.ahrq.gov/health-care-theme/sociotechnical-aspects
January 01, 2023 - a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture … Utilization
Description
This research study addressed the overuse of blood cultures to diagnose
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digital.ahrq.gov/location/usa-md-baltimore
January 01, 2023 - a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture … Utilization
Description
This research study addressed the overuse of blood cultures to diagnose
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digital.ahrq.gov/organization/johns-hopkins-university
January 01, 2023 - a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture … Utilization
Description
This research study addressed the overuse of blood cultures to diagnose
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digital.ahrq.gov/sites/default/files/docs/page/Quality%20Engineering%20Group%20Report%20Day%201.pdf
September 21, 2009 - What is our model for testing in multiple environments and
cultures?
6.
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digital.ahrq.gov/care-setting/hospital-intensive-care-unit
January 01, 2023 - a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture … Utilization
Description
This research study addressed the overuse of blood cultures to diagnose
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mcdonald-cj-et-al-1984
January 01, 2023 - less-common reminders, physicians were significantly more likely to order certain tests (such as "urine cultures
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digital.ahrq.gov/2018-year-review/research-dissemination/journals
January 01, 2018 - and colleagues developed and implemented a quality improvement framework to reduce unnecessary blood culture … identification of multidisciplinary stakeholders and a project champion, 3) collection and sharing of blood culture … Across the three units, blood culture rates significantly decreased by 32 percent, and the rate of cultures
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digital.ahrq.gov/sites/default/files/docs/page/Systems%20Analysis,%20Change%20and%20Implementation%20Theories%20Group%20Report%20Day%202.pdf
September 21, 2009 - Relationships are unclear, fuzzy
Organizational cultures vary, and
individuals have different mindsets
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digital.ahrq.gov/sites/default/files/docs/citation/improving-sickle-cell-transitions-of-care-through-health-it-final-action-report.pdf
January 01, 2015 - functioning to being moderately or
severely disabled.27,28 Thus differences between the health care culture … Providers, patients, and caregivers all expressed the belief that the transition from pediatric to adult … skills and interest
in caring for young adults with genetic conditions, as well as navigating the culture … Patients and physicians participating in the focus groups expressed the belief that the lack of
familiarity … Providers' perspectives and beliefs regarding
transition to adult care for adolescents with sickle
cell
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digital.ahrq.gov/program-overview/research-stories/continuous-predictive-analytics-monitoring-improve-care-risk
January 01, 2023 - medical record from the Clinical Data Warehouse, such as numerical values in flow sheets, labs, blood cultures
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digital.ahrq.gov/sites/default/files/docs/page/Materials%20Management%20and%20Production%20Processes.pdf
June 16, 2021 - constitute communities
Silos are difficult to topple
Silos are difficult to integrate
Silos have strong cultures … spend and maverick purchasing
inter-departmental power and politics
the risk adverse nature and culture
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-safe-nursing-care/annual-summary/2008
January 01, 2008 - qualitative, were used to assess goals of the system, including mindfulness; heedful interrelating; and a culture … types; geographic locations; unit physical setups, including large, small, ICU, step-down, and regular; cultures … study used pre- and post-implementation comparisons, including workflow observation and a survey of the culture … is needed to create a valid and reliable representation of the team’s collective mind, improving the culture
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digital.ahrq.gov/sites/default/files/docs/survey/telemedicine-pediatric-primary-care-satisfaction-survey.pdf
June 16, 2021 - They also do throat and fungal cultures. … They also do throat and fungal cultures.
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digital.ahrq.gov/ahrq-funded-projects/dissemination-wiseapp-improving-health-outcomes-across-settings
January 01, 2024 - of WiseApp to Latinos in the United States and the Dominican Republic (DR) by adapting it for these cultures
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digital.ahrq.gov/sites/default/files/docs/cds-slides-10192021.pdf
October 19, 2021 - diagnosis
• Perceived as a low-risk test for a disease with disastrous
outcomes
• Overuse of blood cultures … of the blood culture checklist
Challenges to Using the Blood Culture
Checklist
40
Critical Decision … ordered
► Fever but no blood culture ordered
► No fever but blood culture ordered
• Interviewing clinicians … ordered, 2 with fever but no
blood culture ordered, 17 with no fever but blood culture ordered)
► … representations of each cause (analytical vs intuitive)
► Potential challenges
► Ordering blood cultures