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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/Patient_and_Family_Engagement_in_the_ED_transcript.docx
July 07, 2015 - to how we can begin or continue to recognize the value that patients and families bring to the care decision … to think about how we can promote the opportunities to see patients and families as partners in the decision-making … understanding of their needs and their issues and their preferences and that should be part of the decision-making … Shared planning and decision-making by doing things with patients and families, not to them, is an ideal … that we're building trust quickly, we're involving patients and families from the start in the shared decision-making
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-transcript.html
December 01, 2017 - to how we can begin or continue to recognize the value that patients and families bring to the care decision … to think about how we can promote the opportunities to see patients and families as partners in the decision-making … understanding of their needs and their issues and their preferences and that should be part of the decision-making … Shared planning and decision-making by doing things with patients and families, not to them, is an ideal … that we're building trust quickly, we're involving patients and families from the start in the shared decision-making
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Magid.pdf
January 01, 2004 - Overall, 9 of 15 studies showed improvements in drug
dosing with computer-based clinical decision support … They assessed the
implementation of a decision support system that was added to an existing
computerized … The pharmacist confirms the
validity of the alert and then consults a decision support guide that helps … Computerized Physician Order
Entry (CPOE) with Clinical Decision Support Systems
(CDSSs). … Effects
of computer-based clinical decision support systems
on clinical performance and patient outcome
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - reputation,20 and emotional
distress 8, 20 have been suggested as factors inhibiting a physician’s decision … In order to attempt to answer the question, “What
affects the decision to disclose a medical error?” … Focusing specifically on the provider’s decision “to tell or not to
tell,” important influences grouped … Influences on the decision to disclose a medical error
for their patient’s welfare. … Influences on the decision to disclose a medical error
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-slides.pptx
November 01, 2019 - communication and teamwork around antibiotic prescribing
Identify areas for improvement in antibiotic decision … making
Make effective changes related to antibiotic decision making
26
Improving Antibiotic Use … Issue
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
26
The Four Moments of Antibiotic Decision … Standardizing practices by routinely using the Four Moments of Antibiotic Decision Making framework and
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
December 01, 2023 - past year,
training on how to
involve older adult
patients on long-term
opioid therapy in
shared decision … Educational materials
specific to older adult
patients and caregivers
that support shared
decision … …are available and
consistently used by care
team members to
support shared decision
making.
1 … elicit and
document older
patient goals for
managing their chronic
pain for the purpose of
shared decision … …are available and
consistently used by
providers and staff to
support shared decision-
making conversations
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-27-ehr-and-pcmh.pdf
January 15, 2024 - Describe clinical decision supports and how they support PCMH and quality.
5. … Information on Meaningful Use
decision supports. requirements for Clinical Decision Support
Centers … Clinical decision support (CDS) Clinical decision support: More than just alerts. … Clinical decision support: More than just alerts. Tipsheet. … Helping practices implement clinical decision supports.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
July 01, 2023 - health-professionals/guidelines-standards/standards/core-competencies-for-management-of-labour
Select: Decision … Core Competencies--Management of Labor, Decision Support Tool 8A—Obstetrical Emergencies Cord Prolapse … [Call time of decision to proceed with vaginal delivery] [hh:mm:ss] ____:____:____
Safe vaginal birth … [Call time of decision to proceed with cesarean section] [hh:mm:ss] ____:____:____
Obtain verbal … Time of decision to proceed with vaginal delivery and rationale –OR– time of decision to proceed with
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptx
June 01, 2021 - Frontline Providers
Collect data for your intervention
As a team, apply the Four Moments of Antibiotic Decision … frontline providers
Introduce the DESC technique
Supporting Materials
Four Moments of Antibiotic Decision … Making Form
Completion Guide for the Four Moments of Antibiotic Decision Making Form
DESC Technique
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
September 01, 2022 - Discuss recommended durations of antibiotic therapy for UTIs
Slide 2
The Four Moments of Antibiotic Decision … Making
SAY:
We will review UTIs using the Four Moments of Antibiotic Decision Making. … Slide 3
The Four Moments of Antibiotic Decision Making
SAY:
Moment One is: Does my patient have … Decision Making is:
Do I need to order any diagnostic tests? … Slide 16
The Four Moments of Antibiotic Decision Making
SAY:
Getting back to the Four Moments, Moment
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ce.effectivehealthcare.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3-4.html
October 01, 2013 - Potential Measure II
Item
Description
Title
Patient report of shared decision making regarding … prevention
Description
This measure assesses the patient’s perception of the level of shared decision-making … Domain
Shared decision-making (clinic/clinician-patient)
Data source
Patient/individual survey … Calculation method
This measure may be reported as the average level of shared decision making between
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
January 01, 2024 - Others have also found that
computerized decision support offers substantial benefits.8;9
Results: … The intervention phases will evaluate the impact of the Medley IV pump’s decision
support and feedback … Though smart IV
pumps with decision support capabilities have the capacity to intercept many dangerous … These study findings are in contrast to recent studies, in which we have
demonstrated that decision … “The Impact of Clinical Decision Support Tools on Patient Safety.”
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.pdf
August 01, 2015 - The rapid availability
of screening results, along with referral tools and other
decision-support tools … patients, families, providers,
and all office staff, as well as the clinical value of the
screening and decision-support … • Displayed a variety of tailored clinical decision-support
tools (such as automated referral letters … capture of results in real
time and the inclusion of referral resources in the system’s
clinical decision-support
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-022017.pptx
January 01, 2017 - understand relationships to one another
How communication flows
Levels of personal accountability (based on decision-making … Liabilities of Hierarchies
Communication
Can be compromised by lack of trust and lack of access to decision-makers … Paradigm Shift to Team Approach
Single focus (practice skills)
Individual performance
Under-informed decision-making … Self-improvement
Individual efficiency
Dual focus (practice and team skills)
Team performance
Informed decision-making
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-slides.pptx
September 01, 2022 - AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
The Four Moments of Antibiotic Decision … AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
The Four Moments of Antibiotic Decision … AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
The Four Moments of Antibiotic Decision … Safety Program for Improving Antibiotic Use – Ambulatory Care
11
The Four Moments of Antibiotic Decision … Safety Program for Improving Antibiotic Use – Ambulatory Care
16
The Four Moments of Antibiotic Decision
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/ltc-implementation-guide.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making Framework
Next, review the Four Moments of Antibiotic
Decision … This
framework identifies the critical time periods of
antibiotic decision making throughout a course … provides the framework for
constructive discussions between the health care team to guide antibiotic decision … Long-Term Care
Introduction
Develop and Improve Your Stewardship Program
Four Moments of Antibiotic Decision
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-one-option.pdf
November 01, 2019 - occurs when the decision is made to start antibiotics:
Ask 2 questions, “Have I ordered appropriate
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ce.effectivehealthcare.ahrq.gov/cpi/about/organization/nac/zhang.html
August 01, 2022 - Zhang is the former director of the National Center for Cognitive Informatics and Decision Making in … biomedical and health informatics, cognitive science, human technology integration, usability and workflow, decision
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ce.effectivehealthcare.ahrq.gov/prevention/curriculum/index.html
January 01, 2021 - Step 4: R each a decision with your patient. … Step 5: E valuate your patient's decision.
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ce.effectivehealthcare.ahrq.gov/talkingquality/measures/index.html
January 01, 2020 - Related Resources:
Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality … This Decision Guide from the Agency for Healthcare Quality and Research addresses critical issues related