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Showing results for "improvement".

21. Closing the Quality Gap Series: Improving Health Care and Palliative Care for Advanced and Serious Illness | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/quality-gap-palliative-hospice/research
    December 01, 2019 - We adapted previous frameworks to categorize included studies (e.g., by improvement target, setting). … quantitatively describe the literature, we calculated the percentage of studies with a significant improvement … We found only two studies within hospice programs, both of which found a statistically significant improvement … In terms of types of quality improvement, for the target of continuity, studies including patient-centered … A systematic review of communication quality improvement interventions for patients with advanced and

22. An Ethical Framework for N-of-1 Trials: Clinical Care, Quality Improvement, or Human Subjects Research? (Chapter 2) | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/n-1-trials/research-2014-3
    August 01, 2019 - HHS/OHRP clarifies the distinction between human subjects research and quality improvement for clinical … These two important goals typically do not intersect, since most quality improvement efforts are not … However, in some cases quality improvement activities are designed to accomplish a research purpose as … Other laws or regulations may apply to quality improvement activities independent of whether the HHS … Quality improvement can be applied to n-of-1 trials, just as it is in usual care.

23. Disposition of Comments for Quality Improvement Interventions To Address Health Disparities (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/disparities-quality-improvement_disposition-comments.pdf
    August 27, 2012 - Disposition of Comments for Quality Improvement Interventions To Address Health Disparities Source … An example is you cite a 6.9 percent absolute improvement when in fact it is 8.2 percent. … The several studies that showed greater improvement in the disparate group, with improvement making … For quality improvement, however, that could be difficult. Agreed. … back and forth between QI and quality improvement.

24. Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update - Evidence Summary (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/noninvasive-nonpharm-pain-summary.pdf
    April 01, 2020 - for short-term function and a moderate improvement for short-term pain (SOE: low). … or waitlist control at short-term (8 trials [2 new]), and small improvement at intermediate-term ( … (7 trials [2 new]), and a moderate improvement at intermediate- term (2 trials) followup (SOE: low … • Multidisciplinary rehabilitation was associated with a small improvement compared with exercise … Long term, exercise was associated with a small improvement in function (1 trial) but no improvement

25. Evidence-based Practice Center Systematic Review Protocol (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/disparities-quality-improvement_research-protocol.pdf
    February 23, 2012 - interventions and to inform the development of novel quality improvement frameworks. …  Interventions: Interventions will include quality improvement strategies. … Other quality improvement strategies will also be identified through the literature search. … Seminal publications in quality improvement were published in the 1980s. … Policy 2: Definition of Clinical Quality Improvement. [cited February 2011].

26. Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/nonpharma-treatment-pain/research-2018
    December 01, 2019 - For acupuncture, there was no difference in pain at intermediate term, but a slight improvement at long … Short-term low-level laser therapy was associated with moderate improvement in function and pain (SOE … Exercise was also associated with moderate improvement in pain (SOE: low). … Long term, the small improvement in function seen with exercise persisted, but there was no clear effect … Exercise for hip osteoarthritis was associated with slightly greater function and pain improvement than

27. Facilitating the Implementation of EPC Reports in Learning Health Systems Engaged in Quality Initiatives: an EPC Pilot Project on ADHD | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/learning-health-systems-pilot-adhd/methods-report
    January 01, 2020 - utility of an Evidence-based Practice Center (EPC) report by a health system engaged in QI (quality improvement … However, from the perspective of a health system focused on quality improvement (QI), such large evidence … stakeholder feedback may facilitate implementation of evidence in a health system engaged in a quality improvement

28. Systematic Review on Noninvasive Nonpharmacological Treatment for Chronic Pain: Surveillance Report 2 (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/surveillance-report-2-noninvasive-nonpharma.pdf
    April 01, 2022 - improvement No change in conclusions Function, long term Small improvement SOE: Moderate … improvement No change in conclusions Pain, intermediate term Small improvement SOE: Moderate … improvement No change in conclusions LBP: Psychological therapies vs. … improvement SOE: Low Pain, short term No evidence 1 fair-quality RCT (N=42)16 Large improvement … 2 RCTs (N=109) *1 good-quality RCT (N=84)20 Small improvement Small improvement SOE: Low

29. Noninvasive Nonpharmacological Treatment for Chronic Pain | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/noninvasive-nonpharm-pain-update/research
    September 01, 2022 - Acupuncture improved function short and intermediate term, but there was no pain improvement compared … Functional improvement persisted into intermediate term, but pain improvement did not (SOE: low). … At intermediate term, there was functional improvement with exercise and acupuncture (SOE: moderate), … Long term, functional improvements persisted for multidisciplinary rehabilitation without improvement … Spinal manipulation resulted in moderate improvement in pain short term. Conclusions.

30. Closing the Quality Gap Series: Prevention of Health Care–Associated Infections | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/health-careassociated-infections/research-protocol
    December 01, 2019 - The implementation of quality improvement strategies for hand washing remains less developed, although … , they may impact the quality improvement efforts directed specifically at prevention of HAIs. … Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies. … Types of Quality Improvement Strategies (Source: Ranji et al. 16 ) Appendix 2. … Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies.

31. Improving Health Care and Palliative Care for Advanced and Serious Illness Disposition of Comments Report (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/quality-gap-palliative-hospice_disposition-comments.pdf
    October 01, 2012 - most of the quality improvement-oriented studies, and in the discussion as well - Expanded the … most of the quality improvement-oriented studies, and in the discussion as well - Expanded the … Quality improvement? … Equally difficult for me was whether this was a report of quality improvement interventions. … IRBs and local process improvement teams will get mixed up based upon this language.

32. Summary Report Closing the Quality Gap: Revisiting the State of the Science (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/closing-quality-gap-summary_research.pdf
    January 01, 2013 - Strategies, to bring data to bear on quality improvement opportunities. … PCMH as a quality improvement approach is still in its infancy. … Committee on Identifying Priority Areas for Quality Improvement. … Quality Improvement Interventions To Address Health Disparities. … Public Reporting as a Quality Improvement Strategy.

33. Management of Infantile Hemangioma | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/infantile-hemangioma/policymaker
    December 01, 2019 - in propranolol arm (fewer than 15% of children) [evidence medium] Propranolol vs. steroids Improvement … more effective [evidence medium] Propranolol vs. other beta-blockers (atenolol or nadolol) Improvement … studies 100 Equivalent response [evidence low] Topical timolol vs. placebo or observation Improvement … Timolol more effective [evidence low] STEROIDS Oral steroids vs. observation or placebo Improvement … steroids more effective [evidence low] LASER TREATMENTS Pulse dye laser vs. observation Improvement

34. Making Healthcare Safer IV: Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/prioritization-patient-safety-practices
    January 01, 2024 - where more research and rigorous evaluation is needed. 1 The science and practice of patient safety improvement … years, and while certain areas 2-6 have realized improvements, healthcare continues to struggle with improvement … high evidence it does not help) Teach-Back Practice was assessed to currently be viewed as quality improvement … Management Units for Hospitalized Patients Practice was assessed to currently be viewed as quality improvement … – the Case of Laparoscopic Cholecystectomy Practice was assessed to currently be viewed as quality improvement

35. EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/mhs-IV-surgical-report-cards.pdf
    July 01, 2023 - operative morbidity and mortality by providing usable clinical data to highlight areas in need of improvement … surgical outcomes in the U.S. is the American College of Surgeons (ACS) National Surgical Quality Improvement … This served as a stimulus for quality improvement and increased patient safety. … such as the Society of Thoracic Surgeon (STS) national databases, the VASQIP, the Trauma Quality Improvement … the American College of Surgeons 4 Metabolic and Bariatric Surgery Accreditation and Quality Improvement

36. Management of Infantile Hemangioma (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/infantile-hemangioma_policymaker.pdf
    June 01, 2016 - further treatment in propranolol arm (fewer than 15% of children) ��� Propranolol vs. steroids Improvement … in IH 3 studies 100 Equivalent response ��� Topical timolol vs. placebo or observation Improvement … additional studies 188 Timolol more effective ��� STEROIDS Oral steroids vs. observation or placebo Improvement … observation or placebo Improvement in IH Network meta-analysis N/A Intralesional steroids more effective … ��� LASER TREATMENTS Pulse dye laser vs. observation Improvement in IH 2 studies 143 Pulse dye laser

37. Evidence-based Practice Center Systematic Review Protocol (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/disabilities-quality-improvement-outcomes_research-protocol.pdf
    August 03, 2011 - Research and Quality (AHRQ) to assemble a critical analysis of the existing literature on quality improvement … strategies was developed for the original CQG series. 1 These quality improvement strategies are: … Our KQs focus on the quality assessment component of quality improvement. … Quality improvement as a field and the science of quality measurement had formed by this time, and … Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies.

38. Comparative Effectiveness Research Review Disposition of Comments Report (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/disabilities-quality-improvement-outcomes_disposition-comments.pdf
    October 15, 2012 - Quality Improvement Measurement of Outcomes for People With Disabilities Draft review available for … Quality Improvement Measurement of Outcomes for People With Disabilities. … The importance of maintaining function in working age people (critical to policy improvement). 2- Conceptual … While such studies may lead eventually to quality improvement, we did not include them here as they … were not aimed at quality improvement nor necessarily aimed at the disabled population.

39. A Randomized Trial of Epidural Glucocorticoid Injections for Spinal Stenosis: A Brief Summary of Findings for Clinicians (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/glucocorticoid-injections_clinician.pdf
    June 01, 2016 - The sec- ondary outcomes were improvement in function and leg pain at 3 weeks; the pro- portions of … meaningful improvement (≥50%) in disability and leg pain at 6 weeks; and scores at 3 and 6 weeks … The degree of improvement in both function and pain was similar between groups. »» The percentage … of patients with an improvement in RMDQ score of ≥50 percent at 6 weeks was similar in both groups … greater functional improvement with glucocorticoids plus lidocaine, which was statistically but not

40. Evidence-based Practice Center Systematic Review Protocol (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/health-careassociated-infections_research-protocol.pdf
    August 26, 2011 - The implementation of quality improvement strategies for hand washing remains less developed, although … The first step in designing a quality improvement project is to identify a quality gap. … The effectiveness of a quality improvement strategy is dependent not only on the strategy chosen but … Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies. … Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies.