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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/food-insecurity-screening
July 28, 2022 - . † Intermediate outcomes include behavioral, physiologic, decision making, patient participation, and … Contextual Questions
Contextual … acceptability (e.g., satisfaction) of food insecurity assessment and healthcare-related interventions to patients … What are the patient, provider, and health system facilitators and barriers to implementing assessment … (Contextual Question 7).
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cds.ahrq.gov/sites/default/files/workgroups/13461/CDS_Connect_WG_June_2021_Slides_0.pdf
January 01, 2021 - in the override rate from 93.9%
to 46.8% after making nearly a third (30.2%) of DDI alerts more
contextual … • See the CDS Connect Repository
► Warfarin – NSAIDS:
https://cds.ahrq.gov/cdsconnect/artifact/contextual-drug-interaction-decision … https://cds.ahrq.gov/cdsconnect/artifact/contextual-drug-interaction-decision-support-algorithm-warfarin-antidepressants … Authoring Structured PDDI CDS
16
CDS Hooks in the Prescribing Workflow
• Patient-view hook
► … work together to make a
care decision that is best for the patient.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-nembhard.pdf
January 01, 2014 - Measuring Implementation And
Contextual Factors
• Implementation: Office visit frequency
► CG-CAHPS … increase in program’s early months to address
outstanding care needs and self-management training
• Contextual … Care Experiences
Contextual factors Evidence:
% of nurse respondents agreed or
strongly agreed that … Care Experiences And Teamwork
Measuring Implementation And Contextual Factors
Finding: Modest Improvement … Teamwork
Finding: Office Visits Increase For Enrolled Patients
Getting Greater Improvement In Patient
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www.ahrq.gov/pqmp/implementation-qi/roadmap/index.html
September 01, 2021 - experts, informatics and IT experts, administrative staff, case managers, health educators, payers, patients … Guide to Patient and Family Engagement in Hospital Quality and Safety . … Implementation Team
The nursing teams led the implementation on each unit and were responsible for asking patient-families … Strategies included: reconfigured visit report pull from EHR, smart forms, dot/smart phrases, asthma patient … Providers indicated that using the smart form was helpful in effectively managing patients with asthma
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
November 01, 2017 - Monthly Contextual Factors Report .
Postfall Assessment Summary Report . … Medical Staff Meeting
Return to Top
Monthly Contextual Factors Report
Table 7. … Sample Monthly Contextual Factors Report by Facility
Monthly Contextual Factors Report … Purpose
The purpose of the report is to display facility patterns by contextual factor. … Report Description
The Monthly Contextual Factors Report by Facility displays information for all
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023661-cutrona-final-report-2017.pdf
January 01, 2017 - Identify contextual factors, types of alerts and characteristics of providers, patients and hospital … Identify contextual factors, types of alerts and characteristics of providers, patients and hospital … Identify contextual factors, types of alerts and characteristics of providers, patients and
hospital … Identify contextual factors, types of alerts and characteristics of providers, patients and
hospital … Patient and Primary Care Provider (PCP) characteristics
Characteristics of Participating Patients N
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/statin-use-in-adults-preventive-medication
November 05, 2020 - Contextual Questions
Contextual … How do patient preferences regarding use of statins for primary prevention vary at different cardiovascular … Note: A Contextual Question on risk prediction instruments is currently being addressed in a separate … USPSTF review on aspirin use for the primary prevention of CVD and colorectal cancer: “Are there patient … Patient populations include those defined by demographic, clinical, and socioeconomic characteristics
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/d8DVjQhw6JgjWaBtED97s6
Research Gap
Key
Questions*
or Contextual
Questions
Direct/
Indirect
Pathway† Type of Gap … relationship with food and
exercise, negative mental
health effects)
Negative impacts on
provider-patient … Foundational
or Contextual
N/A General RCTs, controlled clinical
trials, and
observational studies … Contextual N/A General Qualitative, survey, and
experimental research
to identify patient
preferences … preferences,
patient-reported
outcomes, patient-
provider communication)
KQ4: Harms associated
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digital.ahrq.gov/location/usa-il-chicago
January 01, 2023 - Health System to Integrate Care for Substance Misuse and HIV Treatment and Prevention Among Hospitalized Patients … machine learning classifier to identify risk for HIV acquisition or transmission among hospitalized patients … Principal Investigator(s)
Garcia, Sofia
Penedo, Frank
Integrating Contextual … Factors into Clinical Decision Support to Reduce Contextual Error and Improve Outcomes in Ambulatory … Care
Description
This research studied whether clinical decision support could reduce contextual
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digital.ahrq.gov/health-care-theme/care-planning
January 01, 2023 - Number
R21 HS026075
Principal Investigator(s)
Zhu, Xi
Integrating Contextual … Factors into Clinical Decision Support to Reduce Contextual Error and Improve Outcomes in Ambulatory … Care
Description
This research studied whether clinical decision support could reduce contextual … a set of recommendations for patients and providers. … Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients
Description
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
November 01, 2017 - Contextual Factors Report (by Unit or Facility) . … Slide 31: Contextual Factors Report
Say:
Now let’s begin by going over the Contextual Factors Report … Slide 32: Contextual Factors Report
Say:
The Contextual Factors Report displays information for … Contextual Factors Report by Month handout. … reports and that the sample graph shows contextual factors for a facility.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary46/skin-cancer-screening-2009
February 15, 2009 - Information is limited on the accuracy of screening by physicians or patients using real patients and … reviewed are:
Contextual Question 1. … Contextual Question 2. … on accuracy of screening examinations by primary care clinicians or by patient self-examination. … that the majority of lesions were detected by the patient 24 .
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digital.ahrq.gov/organization/university-illinois-chicago
January 01, 2023 - University of Illinois at Chicago
Integrating Contextual Factors into … Clinical Decision Support to Reduce Contextual Error and Improve Outcomes in Ambulatory Care … Description
This research studied whether clinical decision support could reduce contextual errors … , improve patient healthcare outcomes, and reduce misuse and overuse of medical services. … technology to usual care for benefits outcomes, adverse events, effectiveness, costs, and satisfaction among patients
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/prevention-of-human-immunodeficiency-virus-hiv-infection-pre-exposure-prophylaxis
January 13, 2022 - What is the diagnostic accuracy of provider or patient risk assessment tools in identifying persons at … Contextual Questions
Contextual … (age ≥18 years) without pre-existing HIV infection who are at increased risk of HIV acquisition *
Patient … or intermittent dosing)
Injectable cabotegravir
Dapivirine vaginal ring
KQ 3: Provider or patient … studies is often inferred or assumed based on anatomy or personal presentation and may not reflect some patients
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www.ahrq.gov/pqmp/implementation-qi/index.html
August 01, 2021 - the feasibility and usability of PQMP or existing Child Core Set measures within the Medicaid/CHIP patient … with two subject matter experts to identify an implementation science framework suitable for analyzing contextual … PQMP Learning Collaborative conducted interviews and developed worksheets to gather information about contextual … The roadmap guides potential toolkit users through considering contextual factors to understand how to
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/05-sops-teamstepps-webcast-mazur.pdf
April 30, 2022 - Agenda
Longitudinal analysis of SOPS scores
Cross-sectional analysis of unit-based data
Contextual … workplace breakdowns
Feb 28 to Mar 11, 2022
90.5% participation rate
3 groups
Contextual Inquiry … questions
1c Responses to feedback between team members
1d Communicates and receives information to/from patient … behaviors averaged slightly above 2, with an overall average of 2.1 (range 1.9-2.2)
40
TENTS vs Patient … At the unit level: Identify positive and negative aspects of culture
of patient safety and relate them
-
www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap2.html
July 01, 2013 - Patients
Which patient populations are more or less receptive to receiving clinical preventive services … need for research and evaluation using complex systems approaches to best understand the influence of contextual … need for studies designed and evaluated with a thorough understanding of the nature and effects of contextual … natural experiments" could be a valuable addition to our understanding of effective interventions and contextual … resource relationships should be more thoroughly reported, perhaps with a standard set of qualitative contextual
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/cervical-cancer-screening-adults-adolescents
March 17, 2022 - Contextual Questions
Contextual … What are barriers and implementation considerations (e.g., for the health system, clinician, or patient … labeling, partner discord, and depression/anxiety)
Study designs
KQs 1, 3:
Individual patient … response to public comment, the USPSTF included pregnant persons in the population of interest and added a contextual … In addition, the USPSTF revised the contextual questions and inclusion criteria for clarity.
-
digital.ahrq.gov/principal-investigator/pratap-jayant
January 01, 2023 - Pratap, Jayant
Mining patient-specific and contextual data with machine … Mining patient-specific and contextual data with machine learning technologies to predict cancellation … research applied machine learning to develop a model predicting surgical cancellations among pediatric patients
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-6.html
August 01, 2020 - Supporting Telehealth
Impact of Telediagnosis on Every Step of the Diagnostic Process
Role of the Patient … telehealth supports health screening, disease prevention, coordinated long-term followup, and personalized, patient-centric … Evaluation of these issues from a formal sociotechnical perspective will be essential to account for the contextual … System-level and contextual factors impacting telediagnosis (tele-dx)
Key: HIPAA = Health Insurance