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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-guide.docx
September 01, 2022 - recommendations for the management of acute otitis media
Slide 2
The Four Moments of Antibiotic Decision … Making
SAY:
We will be referring to the Four Moments of Antibiotic Decision Making in this presentation … Slide 3
The Four Moments of Antibiotic Decision Making
SAY:
Moment One is: Does my patient … Slide 10
The Four Moments of Antibiotic Decision Making
SAY:
Moment Two is: Do I need to order … Slide 13
Moment 3
SAY:
Pain control, regardless of antibiotic decision making, should always be
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www.qualitymeasures.ahrq.gov/practiceimprovement/index.html
August 01, 2022 - demonstrates how evidence-based care can be rapidly incorporated into clinical practice through interoperable decision … SHARE Approach
Training program for shared decision-making. … A Decision-maker's Guide to Adopting Innovations
Guide to help decision makers decide whether or
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-5.html
September 01, 2020 - In Volk R & Llewellyn-Thomas H (editors). 2012 Update of the International Patient Decision Aids Standards … How numeracy influences risk comprehension and medical decision making. … https://www.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-5.html
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-7/share-tool7.pdf
April 01, 2014 - find your
patient wants you to present information in a variety of ways.
› Make sure that multimedia decision … The best decision aids
meet cultural, and health literacy or plain language standards.
› Assess the … quality of decision aids by using the International Patient Decision Aids Standards
(IPDAS) Collaboration … Make it
clear that your role is to help them choose from among the options, not
to make the decision … http://www.hrsa.gov/culturalcompetence/index.html
For culturally appropriate interactive decision aids
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/health-literacy/professional-training/training-for-health-care-leaders.pdf
January 01, 2014 - Resources Institute Decision Aid inventory. … Available at:
http://shareddecisions.mayoclinic.org/decision-aid-
information/decision-aids-for-chronic-disease … Decision Aids Standards Instrument. … /decision-aid-information/decision-aids-for-chronic-disease/
http://shareddecisions.mayoclinic.org/decision-aid-information … Training to improve practitioners’ decision support skills: The Ottawa
Decision Support Tutorial (ODST
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www.qualitymeasures.ahrq.gov/funding/training-grants/grants/active/kawards/kawards.html
July 01, 2019 - Services after Hospital Discharge
Boss, Emily
K08 HS022932
Johns Hopkins University
Shared Decision-Making … Osteoporosis
Lin, Grace
K08 HS017723
University of California, San Francisco
Measurement of Decision … K08 HS021271
Yale University
Clinical Decision Support for Mild Traumatic Brain Injury
Miller, … Efficiency of Surgical Specialty Care
Mitchell, Suzanne
K08 HS019771
Boston Medical Center
Shared Decision … HS018780
Massachusetts General Hospital
Improving End-of-Life Care for Cancer Patients with Video Decision
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/audio-script-leaders-training.pdf
January 18, 2017 - Some
decision aids are meant for patients to use on their own, while other decision aids are to be used … • Links to online databases of decision aids. … that made the decision aid experienced in making decision aids? … • Was the decision aid properly tested? … Decision Aid Standards Collaboration and their “Criteria for Judging the Quality of
Patient Decision
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
June 01, 2021 - efforts around antibiotic prescribing
Recognize opportunities to use the Four Moments of Antibiotic Decision … Identifying Targets
9
Four Moments of Antibiotic Decision Making
10
Identifying Targets … Help train nurses to communicate the information needed to help the clinician make an informed decision … Using the Four Moments of Antibiotic Decision Making Form may help identify problems. … Assessment to identify problems
Review data collected on the Four Moments of Antibiotic Stewardship Decision
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www.qualitymeasures.ahrq.gov/funding/grantee-profiles/grtprofile-gustafson.html
February 01, 2024 - The system consisted of a computer-based interactive interview and a computerized decision-making model … , a computer-based system to help people in crisis with up-to-date information, behavior change and decision … in patients’ homes for up to 6 months with the goal of providing information, emotional support, and decision … Health Systems Research and Analysis, a multidisciplinary research center employing systems analysis, decision … science, and decision support technologies to address patient care and health policy problems.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-4/share-tool4.pdf
April 01, 2014 - Check off the strategies you will try when presenting decision aids
�� Check that the decision aids … slowly in a caring voice.
�� Use plain language and avoid medical jargon.
�� Personalize print decision … write his or her name on the educational tool.
�� Make sure to explain health numbers presented in decision … aids from AHRQ, visit:
› http://effectivehealthcare.ahrq.gov/tools-and-resources/patient-decision-aids … Aligning ethics with medical decision-making: the quest for
informed patient choice.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/health-literacy/professional-training/training-for-health-care-professionals.pdf
January 01, 2014 - aids
International Patient Decision Aids Standards Instrument. … Decision aids
The Ottawa Personal Decision Guide. … aids
Ottawa Health Resources Institute Decision Aid inventory. … Available at:
http://shareddecisions.mayoclinic.org/decision-aid-information/decision-aids-for-
chronic-disease … /decision-aids-for-chronic-disease/
http://shareddecisions.mayoclinic.org/decision-aid-information/decision-aids-for-chronic-disease
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www.qualitymeasures.ahrq.gov/talkingquality/explain/support/help.html
November 01, 2018 - Supporting Consumers
How To Use Quality Information
Help People Make Decisions
Incorporate Decision … members of your audience will have a good idea of how to go about using quality information to make a decision … This framework is also critical to helping people make a decision, so look for ways to reiterate the … display options, you have all the more responsibility for providing report users with other ways to make decision
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www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?order=field_short_title&page=9&search_api_fulltext=&sort=desc
impairments
(30)
Perceived bias
(3)
Provider type
(1)
Relation to policyholder
(1)
Shared decision … her opinion about each cancer treatment choice
Adult
Cancer Care
Shared decision … disadvantages of each cancer treatment choice
Adult
Cancer Care
Shared decision … the advantages of each cancer treatment choice
Adult
Cancer Care
Shared decision … about more than one way to treat patient's cancer
Adult
Cancer Care
Shared decision
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www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?order=field_supplemental_topics&page=9&search_api_fulltext=&sort=desc
impairments
(30)
Perceived bias
(3)
Provider type
(1)
Relation to policyholder
(1)
Shared decision … her opinion about each cancer treatment choice
Adult
Cancer Care
Shared decision … patient might want each cancer treatment choice
Adult
Cancer Care
Shared decision … patient might not want each cancer treatment choice
Adult
Cancer Care
Shared decision … what cancer treatment choice was best for him/her
Adult
Cancer Care
Shared decision
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - Describe the moment(s) of the Four Moments of Antibiotic Decision Making that contributed to this adverse … example of what a response to Step 2 might look like for Moment 1 of our Four Moments of Antibiotic Decision … Health Care Worker
Factors
Example: Provider didn’t know whom to contact for additional antibiotic decision-making … Use these tables to describe the moment(s) of the Four Moments of Antibiotic Decision Making that contributed
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www.qualitymeasures.ahrq.gov/talkingquality/explain/support/provide-access.html
January 01, 2023 - Identify specific individuals who need information and decision support to choose and use healthcare … Refer people to appropriate sources of information and decision support. … Provide decision support. … This kind of situation can be tricky because people often ask intermediaries to make their decision for … them or to confirm the decision they have reached.
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/informed-choice/guide.html
September 01, 2020 - Assess decision aids used by one department and replace low-quality ones. … Create an inventory and sign-out sheet for educational and decision aids. … Limited use of decision aids. … X new decision aids that meet International Patient Decision Aid Standards will be added to the patient … Did anyone show you a decision aid or give you a decision aid to use?
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/812.html
April 01, 2022 - Register Now for June 1 Webinar on Real-World Uses of Clinical Decision Support . … Register Now for June 1 Webinar on Real-World Uses of Clinical Decision Support
An AHRQ webinar on … Patient engagement applications, medical devices and clinical decision support (CDS) tools are increasingly … used to support the management of clinical conditions and shared decision-making. … You need to do this…": a directed content analysis of decision making in rehabilitation after knee arthroplasty
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www.qualitymeasures.ahrq.gov/questions/resources/research.html
November 01, 2020 - Patient–clinician information engagement increases treatment decision satisfaction among cancer patients … Developing Verbal Health Literacy with Adult Learners Through Training in Shared Decision-Making. … Evaluation of the Choosing Wisely Australia 5 Questions resource and a shared decision-making preparation … Can consumers learn to ask three questions to improve shared decision making? … The Emerging Case for Shared Decision Making in Orthopaedics.
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www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?order=title&page=16&search_api_fulltext=&sort=asc
impairments
(30)
Perceived bias
(3)
Provider type
(1)
Relation to policyholder
(1)
Shared decision … stopping a prescription medicine for child
Child
Clinician & Group
Shared decision … about child having surgery or procedure
Child
Clinician & Group
Shared decision … or stopping a prescription medicine for child
Child
Health Plan
Shared decision … talked about child having surgery or procedure
Child
Health Plan
Shared decision