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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
September 01, 2022 - AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
The Four Moments of Antibiotic Decision … Pharyngitis
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 … AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
The Four Moments of Antibiotic Decision
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-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 … 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
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-slides.pptx
June 01, 2021 - lung exam, CBC with differential, chest x ray
Management RTI
5
The Four Moments of Antibiotic Decision … :
Elevated WBCs
Chest x rays show infiltrates
7
Management RTI
7
The Four Moments of Antibiotic Decision … Management RTI
14
The Four Moments of Antibiotic Decision Making
Does the resident have symptoms … one-pagers to prescribing clinicians and other frontline staff
Apply the Four Moments of Antibiotic Decision … one-pager
Approach to Patients With Reported Penicillin Allergy one-pager
Four Moments of Antibiotic Decision
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide2.html
August 01, 2024 - For example: Some key organizations will have a role in leadership and decision making (e.g., sitting … resources from existing systems Develop commitment for a minimum of 3 years All members involved in decision … benchmarks Build interdependent system to address issues and opportunities Consensus used in shared decision … The Executive Committee had decision-making authority and used consensus to ensure members retained equal … The PI from the lead organization headed the Steering Committee and maintained decision-making authority
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-discussion-guide.docx
September 01, 2022 - to determine how the practice can collectively improve communication with patients around antibiotic decision
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www.ahrq.gov/sites/default/files/2025-04/graber-report.pdf
January 01, 2025 - California, in conjunction with (and just following) the annual meeting of the
Society for Medical Decision … Day 2 events focused on
real-world options and experience with reducing diagnostic error, including decision-support … thought directed at reducing harm to patients from diagnostic error through
changes in practice and decision … A second panel reviewed
the efficacy of available decision-support software (DXplain, ISABEL, VisualDX … from 2008 (AMIA) to
SMDM in 2009, we anticipated being able to work with the SMDM’s journal (Medical Decision
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
August 01, 2024 - Shift shared decision making from being disease focused to being better aligned with patient priorities … adult patients, family members and caregivers, and their care providers include those focused on shared decision … You” planning worksheet 126 and the Institute for Healthcare Improvement’s My Health Checklist. 127 Decision … The use of diagnostic clinical decision support tools and technologies, such as those that support the … A scoping review of the literature from 2010-2021 found 17 papers where decision support tools improved
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-meetings.pdf
June 02, 2025 - Check-in meetings for PDSAs can be short, decision-making about complex issues
longer. … Embrace positive conflict and dissent as ways to improve decision-making.
9. … A brainstorming meeting should end with a decision about an action to take.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/26-michigan-hh4m-outreach-charter.pdf
August 01, 2021 - The workgroup will decide on a case-by-case basis if a decision that is made in the
absence of a workgroup … member can be revisited, permitting that workgroup
member to weigh in and possibly change a decision
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
June 01, 2021 - when deviations from the Safety Program occur—for example, not using the
Four Moments of Antibiotic Decision … Focusing on the Safety Program’s toolkit, specifically the Four Moments of Antibiotic Decision Making … of material from the Webinars
into daily practice will ensure the use of best practices in guiding decision … The Web site includes a Four Moments of Antibiotic Decision Making Form; it is
encouraged to complete … resident-days, and number of urine cultures
sent, and continued use of Four Moments of Antibiotic Decision
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/sheridan_screening_overuse.pdf
January 01, 2014 - “unlikely”, “likely”
Using numbers such as “4 out of 1000”
Using patients’ stories modeling decision … Presenting evidence-based information on harms of screening to patients has little effect on their
decision … . appealing to cultural cues)
- Providing special support to low literacy and other disadvantaged decision-makers
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6e.pdf
July 07, 2017 - Providing the PCP with decision support for the referral decision (typically in the
form of guidelines … A referral process that involves the patient in decision making. … it is still illustrative of the
improvements that technology can make, in this instance by linking decision … through a series of three screens:
Data entry: This page collects the information needed for the decision
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mcc_infographic_printable.pdf
June 02, 2025 - The Importance of Investing in Care for People with Multiple Chronic Conditions
INVESTING IN CARE FOR PEOPLE WITH
Multiple Chronic Conditions
COMMON CHRONIC CONDITIONS
Depression
Asthma
Heart Disease
Arthritis
Diabetes
Patients with multiple chronic conditions (MCC) have two or more chronic ill…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mcc_infographic.pdf
June 02, 2025 - The Importance of Investing in Care for People with Multiple Chronic Conditions
0 MCC = $215 3 MCC = $1,035 5 MCC = $1,620
AVERAGE ANNUAL OUT OF POCKET EXPENDITURES
RX
5 chronic conditions = 50 prescriptions
3 chronic conditions = 23 prescriptions
0 chronic conditions = 3.5 prescriptions
…
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www.ahrq.gov/hai/cauti-tools/ena-slides/part2a.html
October 01, 2015 - 116
Mizerek E, Wolf L. (2014) To Foley or not to Foley: Emergency nurses' perceptions of clinical decision … All of this information is included in a good handoff to promote collaboration on the decision to retain … Other aspects included in the soft data were competence and confidence in the skills and process of decision … Slide 134
Soft data
Improvement in communication and practice
Improvement in the decision making … Slide 135
Protocols/standardized documentation help to remove assumptions from the decision making
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www.ahrq.gov/sites/default/files/2024-07/kukafka-report.pdf
January 01, 2024 - Both health-related decision making (such as the choice between cancer
therapies) and health promotion … Journal of Medical Decision Making. In Press. … Promoting informed choice: transforming health care to
dispense knowledge for decision making. … Prospect theory: An analysis of decision under risk. Econometrica.
1979;47:263-291.
30. … Numeracy and decision making.
Psychological Science. 2006;17(5):407-413.
40.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
January 01, 2000 - Real-time decision support was provided by the automatic
printing of the probability of ACS on the ECG … Project overview
As with our previous work using real-time decision support,1-5 at the core of
our … The resulting
value is automatically printed on the ECG’s text header as a decision-support aid
for … Cardiology departments in
some hospitals were interested in installing the decision support software … Successes and lessons learned
Real-time decision support
The ACI-TIPI software was available at
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www.ahrq.gov/opioids/implementing-what-works/compendium.html
November 01, 2024 - HLC: Patient Engagement
Use shared decision making and patient-centered goal-setting to develop individualized … engagement techniques
Train clinicians and staff on patient engagement techniques, such as shared decision-making … - Ensure tools and resources are available in language and literacy level
Ensure that any shared decision-making … stigma
Openly discuss the impact of stigma, biases, and assumptions on equity in the use of shared decision
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
January 01, 2004 - Judgment and decision making in
dynamic tasks. … Information and Decision
Technologies 1988;14:3–14.
23. Foley P, Murray, N. … Medical decision
making 1981;1:145–64.
Advances in Patient Safety: Vol. 2
254
38. … The Challenger launch decision: risky
technology, culture and deviance. … Decision making: a psychological
analysis of conflict, choice, and commitment.
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www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
January 01, 2024 - A prescription for improving drug formulary decision-making. PLoS Med
9(5), 1-7. … Effect of lab-medication clinical decision support on inpatient hyperkalemia.
Purpose. … It shows that
physicians consider label information in their decision-making process. … Pharmacoeconomic analysis using a formal decision model
Data source. … Linking Lab and Pharmacy: Clinical Decision Support to Manage Inpatient Hyperkalemia.