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digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end
January 01, 2023 - Description
Publications
Events
Use of DDInteract resulted in patients favoring pain … DDInteract was positively received by both patients and physicians, with patients favoring pain treatments
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digital.ahrq.gov/sites/default/files/docs/page/2016-ahrq-hit-annual-report.pdf
January 01, 2016 - Associated pain scores and sociodemographics
were assessed, as well as pain medication orders and the … The study found that
pain trajectories were different based on race, gender, service, and initial pain … Regardless of level of initial pain, pain was reduced by approximately 50 percent at 48 hours
following … Of note, the pain of most patients failed to fully resolve. … The authors
concluded that the use of graphical pain trajectories may yield new understanding of pain
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023641-levin-final-report-2018.pdf
January 01, 2018 - low-acuity complaints post-implementation included low-risk chest pain … and abdominal pain that were almost
never present during the ESI pre-implementation time period as … be resource intensive), but there is some divergence as well (e.g., low-risk female with abdominal pain … , % 8.9 (8.6-9.1) 8.5 (8.3-8.7)
Chest pain, % 7.1 (6.9-7.4) 7.1 (6.9-7.4)
Shortness of breath, % 4.6 … (4.4-4.7) 4.8 (4.6-5.0)
Back pain, % 2.7 (2.6-2.9) 2.8 (2.7-3.0)
Headache, % 2.8 (2.6-2.9) 2.8 (2.7
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digital.ahrq.gov/sites/default/files/docs/activity/u19hs021093-lambert-annual-summary-2012.pdf
January 01, 2012 - large-scale studies of comparative drug safety and effectiveness; 2) opioid prescribing and
dosing for acute pain … (Ongoing)
• Improve the safety and effectiveness of inpatient acute pain care by developing and validating
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computer-controlled-infusion
October 01, 1995 - Evaluation Method: Measures of pain scores, number of valid demands, median performance error (MDPE)
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-evidence-based
Costs were compared in 10 therapeutic categories (depression, GERD, rhinitis, infections, pain, hypertension
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digital.ahrq.gov/sites/default/files/docs/survey/eldertree-baseline-survey.pdf
October 16, 2014 -
In the past 7 days…
Worst
No imaginable
pain pain
j. … How would you rate
your pain on average? … Abdominal pain?
r. Frequent urination at night? … blood pressure, monitor weight for gain or loss, observe for
injuries (bruises, limping) monitor for pain
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/soopramanien
January 01, 2023 - Reference
Soopramanien A, Pain H, Stainthorpe A, et al.
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digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-overview
January 01, 2021 - Publicly available, standards-based, interoperable clinical decision support (CDS) for chronic pain … Sharing the Decision, Sharing the Data: Interoperable Clinical Decision Support Tool for Chronic Pain … PainManager, have the potential to expand upon the shared decision-making processes used in chronic pain … Devine's Project Profile
Use of DDInteract resulted in patients favoring pain treatments with
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2021-year-in-review.pdf
January 01, 2021 - Sharing the Decision, Sharing the Data: Interoperable
Clinical Decision Support Tool for Chronic Pain … https://digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-chronic-pain-management-rti … millions of Americans suffer from chronic pain. … While opioids can be part of an appropriate treatment
plan for people with chronic pain, Drs. … in this
patient who’s already on these different medications and pain
medications?’
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digital.ahrq.gov/ahrq-funded-projects/scaling-and-spreading-electronic-capture-patient-reported-outcomes-leveraging
January 01, 2024 - collected four Patient-Reported Outcomes Measurement Information System (PROMIS) measures (Global-10, Pain … postoperative morbidity, compared to those without, had significantly worse physical function, fatigue, pain
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digital.ahrq.gov/type-care/orthopedics
January 01, 2023 - pilot-tested TJR App, a mobile application designed to help patients with osteoarthritis track their pain
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digital.ahrq.gov/2019-year-review/research-summary/patient-engagement-improves-care-and-shared-decision-making
January 01, 2019 - Liss' Impact Story
Without close followup and titration of pain medications, those with sickle … cell anemia typically have a high rate of acute care visits resulting from pain events.
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-maintenance
August 01, 2023 - Across the Health Care System
Medical Condition
Chronic Conditions
Chronic Pain … focused on specific use cases and pilot demonstrations in the domains of cholesterol management, chronic pain
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-learning-network
January 01, 2023 - Physician , Researcher , Stakeholder , Vendor
A Stakeholder-driven Action Plan for Improving Pain … A
Stakeholder-driven Action Plan for Improving Pain Management, Opioid Use and Opioid Use Disorder
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digital.ahrq.gov/sites/default/files/docs/page/acts-meeting-with-notes-01302019.pdf
January 30, 2019 - After Total Knee Arthroplasty
AHRQ Research Studies limited to topics “Pain” and “Opioids”
2. … Data Repository
Technology Assessment Program
Noninvasive Nonpharmacological Treatment for Chronic Pain … Review
AHRQ Grants and Reports related to Opioids
Interagency Guideline on Prescribing Opioids for Pain … usefulness, interoperability readily available
in marketplace
CDS Connect
CDS Connect Opioids and Pain … CDS Connect Opioids and Pain Management Artifacts
6.
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digital.ahrq.gov/sites/default/files/docs/cds-medication-management-slides-012814.pdf
January 28, 2014 - months; half of
the practices in each group received feedback
OM Quality Metrics
• All OM:
► Pain … assessed (pain score recorded)
► Pain treated (analgesic prescribed or recommended)
• AOM:
► Adequate … AOM comprehensive care: difference 4%, p=0.006
o OME comprehensive care: difference 3%, p=0.03
o Pain … percentage points (p=0.004)
Impact of CDS Use on Quality
• For all OM:
► 48% relative increase in pain
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digital.ahrq.gov/sites/default/files/docs/page/hie-translation-of-findings-to-other-care-settings.pdf
June 04, 2010 - why
Financial value
Overall
Disease-specific
Clinical value
Backache
Headache
Chest pain
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digital.ahrq.gov/sites/default/files/docs/integrating-pros-into-practice-slides-02272024.pdf
February 27, 2024 - , limping, daily
functions, sleep
Pain, daily
functions
Pain, limping, daily
functions, sleep … Stiffness, pain,
daily functions
58 … Most common personalized outcomes
Ability to walk without pain/discomfort – 57%
Pain relief – … lifestyle – 36%
Ability to return to leisure activities – 23%
Ability to use stairs without pain … – 43%
Concerned about infections – 31%
Home not handicapped accessible – 28%
Concerned about pain
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/interactive-computerized
May 01, 1986 - An interactive computerized protocol for the management of hypertension: effects on the general practitioner's clinical behaviour
Authors: Brownbridge G, Evans A, Fitter M, Platts M Journal: J R Coll Gen Pract Publication Date: 1986 May Volume: 36 Issue: 286 Pages: 198-202 HIT Description: Decision s…