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Total Results: 1,324 records

Showing results for "lack".

361. Amendment_HIE-Protocol_3-14-2015 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-information-exchange_research-protocol.pdf
     April 20, 2015 - the path to achieving it has been more difficult than the adoption of EHRs,17,18 in part due to the lack … What evidence exists that the lack of HIE leads to poorer outcomes? 2. … What evidence exists that the lack of HIE leads to poorer intermediate outcomes? … Harms also may result from too much information as well as lack of information.

362. Dispostion of Comments Report for Screening for Hepatitis C Virus Infection in Adults (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/hepatitis-c-screening_disposition-comments.pdf
     November 27, 2012 - questions (at this point, RCTs for these questions are impractical and potentially unethical due to lack … Review was hampered due to the lack of research in the area of what the key questions asked for. … The CDC birth-cohort approach entails modeling studies, excluded from this review since they lack … The findings are limited by the lack of evidence or limited quality/consistency of findings. … of insurance, lack of supportive services, lack of access to trained providers, etc.) which the Understanding

363. Disposition of Comments for CER 163 Appropriate Antibiotics (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/antibiotics-respiratory-infection_disposition-comments.pdf
     January 27, 2016 - Theme: aRTI definition Comments on some lack of clarity in the diagnoses included and particularly … We can appreciate the concern over the lack of high strength evidence regarding the effect of public … benefit"-- difficult to prove a lack of benefit. … Also de- emphasized lack of resistance data as a limitation. … Added statement to Limitations section on lack of evidence in children.

364. Disposition of Comments Report for CER 226: Labor Dystocia (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/cer-226-labor-dystocia-comments.pdf
     May 14, 2020 - Given the importance of the labor process to patient preferences and their birthing experience and the lack … General Peer Reviewer #1 My primary criticism is that there is a lack of internal consistency in the … Results Peer Reviewer #1 The forest plots are sometimes insufficiently labeled, particularly a lack … definitions of abnormal labor were chosen (which is well written in the main report) and the evidence (or lack … providing new understanding of interventions that may help decrease labor dystocia as well as the lack

365. DEMENTIA INCLUDING ALZHEIMER'S #04 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/dementia-horizon-scan-high-impact-1412.pdf
     February 01, 2015 - This lack of scientific clarity, in turn, limits the number of interventions we identify and track, … However, a lack of clinical trial data and clear treatment ES-5 protocols reduced experts’ support … However, experts’ support was curtailed by a lack of robust clinical trial data, and they thought administration

366. Cover Page (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/medicine-safety-call-center_research.pdf
     September 01, 2007 - Immunity: A key barrier to adoption of an incident reporting system is the fear of reprisal or a lack … Fontanarosa, P., Rennie, D. and DeAngelis, C (2004) "Postmarketing Surveillance — Lack of Vigilance … , Lack of Trust" Journal of American Medical Association, 292(21) 19.

367. Cover Page (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/it-architecture-for-post-marketing-surveillance-arizona-cert.pdf
     September 01, 2007 - Immunity: A key barrier to adoption of an incident reporting system is the fear of reprisal or a lack … Fontanarosa, P., Rennie, D. and DeAngelis, C (2004) "Postmarketing Surveillance — Lack of Vigilance … , Lack of Trust" Journal of American Medical Association, 292(21) 19.

368. Untitled (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/field-triage-glascow_research-protocol.pdf
     February 25, 2016 - prioritization of TBI evaluation can contribute to variation in assessment, decisionmaking, and treatment.15 Lack … mGCS was considered a way to potentially simplify field triage, but was not adopted due in part to lack … Lack of Standardization in the Use of the Glasgow Coma Scale: Results of International Surveys.

369. PowerPoint Presentation (ppt file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-test-reviews-risk-bias.ppt
     June 01, 2012 - Relates to both systematic error (lack of accuracy/bias) and random error (lack of precision) Is the … Systematic error is a lack of accuracy (also referred to as bias), whereas random error is a lack of … It is recommended for review teams to establish clear definitions for each criterion due to lack of empirical … As there is a lack of empirical evidence to inform decisions about this process, the Methods Guide for

370. PowerPoint Presentation (ppt file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-test-reviews-applicability.ppt
     June 01, 2012 - Key questions lack clarity. Studies are not specific to the key questions. … Key questions lack clarity How the test is to be used should be stated clearly in the key questions … Challenges Specific to Assessing Applicability (2 of 4) The first challenge to consider is lack of clarity … Lack of clarity in the key questions can hinder decisions about which studies to include and which to … The lack of a gold standard is a challenge that must be addressed either by excluding the study or by

371. PowerPoint Presentation (ppt file)
     effectivehealthcare.ahrq.gov/sites/default/files/medical-test-reviews-applicability.ppt
     June 01, 2012 - Key questions lack clarity. Studies are not specific to the key questions. … Key questions lack clarity How the test is to be used should be stated clearly in the key questions … Challenges Specific to Assessing Applicability (2 of 4) The first challenge to consider is lack of clarity … Lack of clarity in the key questions can hinder decisions about which studies to include and which to … The lack of a gold standard is a challenge that must be addressed either by excluding the study or by

372. PowerPoint Presentation (ppt file)
     effectivehealthcare.ahrq.gov/sites/default/files/medical-test-reviews-risk-bias.ppt
     June 01, 2012 - Relates to both systematic error (lack of accuracy/bias) and random error (lack of precision) Is the … Systematic error is a lack of accuracy (also referred to as bias), whereas random error is a lack of … It is recommended for review teams to establish clear definitions for each criterion due to lack of empirical … As there is a lack of empirical evidence to inform decisions about this process, the Methods Guide for

373. Hepatitis-C-Treatment-Adherence Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/hepatitis-c-treatment-adherence_executive.pdf
     September 22, 2011 - Nonadherence to HCV treatment may be associated with a lack of management of adverse events,5,10 higher … pill burden and lengthy treatment,13 limited provider experience,14,15 active substance use,5,7,16 lack … Despite this, we were not able to identify the most successful intervention components, given the lack … from patient adherence interventions, but it was insufficient due to risk of bias, imprecision, and lack … The evidence on harms was also insufficient given the high risk of bias and the lack of detail provided

374. Ptsd-Adult-Treatment Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-adult-treatment_executive.pdf
     April 01, 2013 - exposure plus placebo.27 Evidence was limited by unknown consistency (single trial), attrition, and lack … other adverse effects, risk of bias of included studies, inconsistency or unknown consistency, and lack … of the evidence was insufficient to determine whether risks were increased, often primarily due to lack … Practical considerations, such as presence or lack of availability of psychological treatments and … Another common methodological limitation was the lack of masking of outcome assessors.

375. Layout 1 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/high-cholestorol-medications_executive.pdf
     September 01, 2009 - HDL-c There is lack of evidence permitting meaningful conclusions from trials comparing a combination … to confirm a difference in benefits or harms between indirect comparison of combinations due to the lack

376. CER 225: Evidence Summary Interventions for Substance Use Disorders in Adolescents: A Systematic Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/cer-225-substance-abuse-adolescents-evidence-summary%20225%20Substance%20Use%20Adolescents.pdf
     May 01, 2020 - to have moderate risk of bias, most commonly due to incomplete outcome data, poor compliance, and a lack

377. Rapid Response: Efficacy of Dental Services for Reducing Adverse Events in Those Undergoing Insertion of Implantable Cardiovascular Devices (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/rapid-response-cardio-dental.pdf
     July 01, 2023 - Authors of all of the guidelines cited a lack of clinical trial evidence on which to base their recommendations … Systematic reviews addressing both ventricular assist devices and hematological cancers23, 52 noted the lack … This lack of evidence has led to variations in guideline recommendations with regard to who should … Often, because of lack of insurance or affordability, access to regular dental care is limited for … This lack of evidence has led to variations in guideline recommendations with regard to who should

378. Implementing Evidence-Based Screening and Counseling for Unhealthy Alcohol-Use With Epic-Based Electronic Health Record Tools: A Guide for Clinics and Health Systems Developed as Part of a Pilot Dissemination Project (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/implementation-package-unhealthy-alcohol-use-final.pdf
     September 01, 2018 - than desirable, with implementation hampered by obstacles related to resources, structural barriers, lack … with a health professional.10, 11 Barriers to screening and counseling include competing priorities, lack … of provider training, misconceptions about patient comfort with discussing alcohol, and lack of appropriate … Competing priorities and lack of time pose the most substantial barrier. … be helpful in a variety of settings in addition to risky drinking including weight loss, smoking, lack

379. Emerging MRI Technologies for Imaging Musculoskeletal Disorders under Loading Stress (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/musculoskeletal-disorders-imaging_disposition-comments.pdf
     November 01, 2011 - benefits" - it seems that it would be logical to at least briefly discuss the validity of the tests (or lack … Note that given the lack of any follow-up information from the majority of studies, other adverse events … describing diagnostic outcomes could be enhanced: a) little description of validity/accuracy evidence (or lack … Given the lack of quantitative data comparing different diagnostic modalities and the conflicting input … diagnostic testing studies (including those that I am familiar with here) is that there is a basic lack

380. Comparative Effectiveness Review Disposition of Comments Report: Anxiety in Children (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/disposition-of-comments-cer-192-anxiety-in-children.pdf
     August 31, 2017 - Due to the lack of data, we were unable to conduct most of the planned subgroup analyses. … For example, as written the lack of differences between CBT and Other Psychotherapy may just be because … The clinical utility of the report is limited by the lack of data for use in more meaningful subgroup … In brief, our primary overarching concerns relate to lack of clarity and consistency within and … The recommendations lack sophistication of methodological limitations if recommended studies such