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www.ahrq.gov/funding/training-grants/disgrants.html
October 01, 2014 - 30/2015
Islam, Roosan
R36 HS023349-01
University of Utah
Understanding Complex Clinical Decision … 9/30/2015
McGarry, Brian
R36 HS023714-01
University of Rochester
Effect of Individual Decision-making
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www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Set-the-Stage-for-Conducting-the-Survey.html
December 01, 2019 - Step 5: Set the Stage for Conducting the Survey
Review all steps in the process of planning a survey project:
Step 1: Form a Project Team .
Step 2: Form an Advisory Group .
Step 3: Define Your Goals .
Step 4: Plan a Communications Strategy .
Step 5: Set the Stage for Conducting the Survey.
Step…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - Staff can use this decision tree when analyzing
an error or adverse event in an organization to help … The Incident Decision Tree supports the aim of creating an
open culture, where employees feel able to … Response to Mistakes, #2, Incident Decision Tree
Composite Measure 11. … These strategies range from computerized provider order entry and clinical decision
support to minimizing … Incident Decision Tree
3. Just Culture
Composite Measure 10.
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www.ahrq.gov/antibiotic-use/long-term-care/safety/targets.html
June 01, 2021 - Recognize opportunities to use the Four Moments of Antibiotic Decision Making framework to improve antibiotic
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www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
January 01, 2024 - Key words: nursing homes, adverse drug events, clinical decision support systems
PI= Handler R01 HS18721 … Features of effective computerized clinical decision support. … Patient‐reported Counseling about Medication‐induced Birth Defects
with Clinical Decision Support in … Can decision support systems work for acute kidney injury? [Invited Editorial]. … Effect of computerized provider order entry with clinical
decision support on adverse drug events in
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www.ahrq.gov/news/blog/ahrqviews/input-strategic-framework-pcortf.html
March 01, 2022 - Investments in shared decision making have improved provider-patient communication. … repository of shared, publicly available, FAIR (Findable, Accessible, Interoperable, Reusable) clinical decision
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-slides.pptx
June 01, 2021 - team to the facility, including their mission statement
Introduce the Four Moments of Antibiotic Decision … frontline providers
Supporting Materials
Monthly Data Collection Form
The Four Moments of Antibiotic Decision
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
September 01, 2022 - Additionally, this will improve patient satisfaction as it will help patients understand why a decision … The decision to reconsider the need for antibiotics did not occur. … Rather, a decision was made to extend the treatment course by an additional 4 days despite no evidence … When being notified of positive culture results, a reflex decision is often made to prescribe an antibiotic
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
June 01, 2023 - All ISCR Pathways
Goals and Decision Making for Elderly Patients
Recommended approach:
The Coalition … of immune modulating agents on perioperative outcomes, there is limited evidence to guide clinical decision … use should be incorporated into discussions with patients before surgery and guide informed clinical decision … Tip: Some electronic health record systems have clinical decision support that can be helpful in flagging
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www.ahrq.gov/talkingquality/resources/related-reports.html
July 01, 2022 - hundreds of online report cards based on their content, timeliness, presentation, ease of use, and decision
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/ptfamcare-facguide.docx
January 01, 2017 - You will understand the benefits of shared decision making and be able to identify key components of … Including family members in the health care team can improve clinical decision making and has the potential … Slide 9
Shared Decision Making
SAY:
Research has demonstrated that patient-centered care is associated … Engaging families in patient care can profoundly influence clinical decision making and patient outcomes
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www.ahrq.gov/research/findings/final-reports/ptmgmt/design2.html
July 01, 2018 - These same data may be used for decision support. … As with identification of the eligible population, the data available affect the type and amount of decision … Our interviewees suggested that there is great variation in decision support provided within the external … While not all programs have computerized decision support, a number of our interviewees stressed the … Give decision-support software to community providers.
Request patient data from physicians.
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www.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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www.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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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-slides.pptx
November 01, 2019 - and Teamwork Around Antibiotic Prescribing
Improving Communication and Teamwork Around Antibiotic Decision … Explain how to work as a team to improve antibiotic prescribing using The Four Moments of Antibiotic Decision … Teamwork
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
15
Four Moments of Antibiotic Decision
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cvd-risk-calculator.pdf
February 01, 2022 - calculator provides the most
accurate data available to support a clinician’s judgement and shared decision-making … Clinicians then engage patients
in a shared decision-making discussion to select the
preferred approach … See an
example of a shared decision-making discussion for
CVD risk calculation in the video on the … %5B0%5D=change_strategies%3A14497
https://www.ahrq.gov/health-literacy/professional-training/shared-decision … CVD Risk Calculation Resources for Clinical Practices
Workflow, Protocol
and Clinical
Decision
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
June 01, 2021 - Slide 5
The Four Moments of Antibiotic Decision Making
SAY:
Let’s review our Four Moments of antibiotic … decision making. … Slide 7
The Four Moments of Antibiotic Decision Making
SAY:
Now that we have determined that Mary … Slide 14
The Four Moments of Antibiotic Decision Making
SAY:
Moment 3 addresses the appropriate … Always make sure that the decision to transfer a resident to a hospital is consistent with the resident
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www.ahrq.gov/talkingquality/distribute/promote/act-early/identify.html
November 01, 2018 - Selecting an audience is a strategic decision.