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www.ahrq.gov/patient-safety/reports/engage/interventions/index.html
June 01, 2023 - Patient and Family Engagement in Primary Care
Research shows that when patients are engaged in … Interventions
The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and … Families is a compilation of evidence-based best practices for improving patient safety through patient … an adverse drug event, such as overdosing, underdosing, or missing medications, or other important contextual … This transparent handoff of care allows patients and families to hear what is said and engages patients
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-3-topic-work-plan-development
This definition acknowledges the importance of the patient clinician relationship as facilitated and … To be feasible in primary care, the intervention should target patients seeking care in primary care … The population appears at the left margin of the diagram and specifies the type(s) of patients to whom … Similarly, analytic frameworks do not guide clinical decisionmaking for an individual patient, nor do … A clinical "sign" is not a health outcome that is not sensed by the patient; a clinical sign is analogous
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/prostate-cancer-screening
April 28, 2016 - Contextual Questions
Contextual … Can patient- or physician-level interventions (e.g., decision aids) successfully align prostate cancer … screening and treatment decisions with patients’ informed personal preferences? … Do model estimates of net benefit depend on patients’ values and/or preferences for various health states … and treatment of screen-detected or early-stage prostate cancer will assess for differences within patient
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023826-malone-final-report-2017.pdf
January 01, 2017 - Our approach was to change the underlying
framework for DDI alerting to an advanced and contextual CDS … Specific Aim 1: Prototype a rules-based DDI KB with attributes necessary for patient-specific and
contextual … contextual
alerting. … The patient profiles generated for this analysis required patients to be receiving both object and
precipitant … The patient profiles were not admission specific, meaning that
data for patients with multiple admissions
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/brca-related-cancer-risk-assessment-genetic-counseling-testing
April 11, 2024 - . § Genetic testing may be done on the index patient, a relative with cancer, or a relative with highest … Contextual Questions
Contextual … Additionally, Contextual Question 1 is designed to address other important health equity considerations … surgery or procedures (e.g. , mastectomy, salpingo-oophorectomy) performed for preventive purposes in patients … outcomes of posttest counseling (improved patient knowledge, understanding of benefits and harms of
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/breast-cancer-medications-for-risk-reduction
July 20, 2017 - Contextual Questions
Contextual … What are current clinician and patient attitudes and practices regarding use of medications to reduce … This KQ was replaced with a contextual question about current clinician and patient attitudes and practices … Finally, comments related to risk assessment suggested that risk stratification for patients without
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digital.ahrq.gov/ahrq-funded-projects/medication-monitoring-vulnerable-populations-information-technology-mmiti
January 01, 2023 - Pediatrics
Health Care Theme
Adverse Events
Meaningful Use
Medication Management
Patient … The team also evaluated the relationship between contextual factors, e.g. teamwork and the safety climate … measures of medication monitoring for vulnerable populations that are served by BMS CHC that impact patient … Evaluate the relationship between contextual factors (teamwork and the safety climate at BMS) and provider … Jt Comm J Qual Patient Saf 2012;38(5):216-23.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/hypertensive-disorders-pregnancy-screening
September 02, 2021 - Contextual Questions
Contextual … United Nations Development Programme)
Clinics and study sites treating only high-risk maternity patients … response, the USPSTF modified the Research Plan to clarify the population of interest, the wording of the contextual
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep6.html
June 01, 2010 - Services
Executive Summary
Introduction and Scan Methodology
Evaluation of Measures in the Scan
Client … Functioning Measures and Gaps
Client Experience Measures and Gaps
Program Performance Measures and … Utilization Project (HCUP) data for hospitals. xxii They also included many of the "never events," which are patient … safety events that pose serious harm to patients but can be considered entirely preventable, as defined … of the State-to-State comparisons mandated by the DRA will rest in part on appropriate use of these contextual
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/aspirin-to-prevent-cardiovascular-disease-preventive-medication
May 14, 2020 - Does regular aspirin use in patients … Contextual Questions
Contextual … Are there patient populations for whom CVD risk is underestimated or overestimated using the Pooled Cohort … USPSTF criteria
KQ 1: Randomized, controlled trials; controlled clinical trials; and individual patient … data meta-analyses
KQ 2: Randomized, controlled trials; controlled clinical trials; individual patient
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/QTkyWhfQHqFUy4He2B6HU4
Research Gap
Key
Questions* or
Contextual
Questions
Direct/
Indirect
Pathway† Type of Gap … Research is needed to help clinicians and
patients understand the best strategy for breast
cancer screening … Settings
applicable to
U.S. primary
care.
3
Research Gap
Key
Questions* or
Contextual … Settings
applicable to
U.S. primary
care.
4
Research Gap
Key
Questions* or
Contextual … Research Gap
Key
Questions* or
Contextual
Questions
Direct/
Indirect
Pathway† Type of Gap
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_wi-intuit.pdf
January 01, 2024 - Examine the impact of implementation strategy and
contextual factors on UI-Assist’s Reach, Adoption, … Identify the impact of UI-Assist and contextual factors
on patient-reported outcomes. … Lastly, the team will evaluate outcomes important to
patients. … Improvement in UI will be measured by the
Patient Global Impression of Improvement (PGI-I) tool
assessed … practices have launched their implementation
21 practices are actively implementing UI-Assist
785 patient-reported
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www.ahrq.gov/ncepcr/reports/grants-transform/executive-summary.html
March 01, 2017 - The desire to improve patient care was a lead motivator for transformation. … Contextual factors play an important role in the success of transformation efforts. … The following contextual factors were identified as particularly important for primary care transformation … Results from three studies suggest that patients welcomed and valued the enhanced access offered through … with improved satisfaction scores for both patients and providers and with lower rates of clinician
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digital.ahrq.gov/ahrq-funded-projects/ml-rover-machine-learning-reduce-laboratory-test-overutilization
August 01, 2024 - decision support tool to reduce laboratory testing overutilization in pediatric intensive care unit patients … Pediatrics
Tertiary Care
Health Care Theme
Clinical Decision Making
Human Factors
Patient … clinical decision support (CDS) alerts are overridden by clinicians, contributing to burnout and potential patient … Assess the Practical Robust Implementation and Sustainability Model (PRISM) contextual factors to inform … To ensure effective implementation, they will use the PRISM framework to assess contextual factors and
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-3.html
July 01, 2023 - This out-of-office monitoring could provide reassurance to some patients but may cause unnecessary anxiety … In many cases, they do not individualize a patient’s risk, consider patient-specific contextual factors … , or address patients’ specific concerns about diagnosis and treatment. … Although two such patients may be given the same advice of “talk to your healthcare provider” in response … These examples also highlight the potential for patients to experience unwarranted reassurance or alarm
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digital.ahrq.gov/ahrq-funded-projects/open-act-tracking-health-care-team-response-ehr-asynchronous-alerts
January 01, 2023 - notifying primary care teams of medication safety concerns and the need for close followup in elderly patients … The study found that these alerts had no impact on patient outcomes, with 40 percent of staff-directed … The specific aims of the project were as follows:
Identify contextual factors, types of alerts, and … characteristics of providers, patients, and hospital discharges that relate to timely opening of alerts … Identify contextual factors, types of alerts, and characteristics of providers, patients, and hospital
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan-aspirin-to-prevent-cancer/aspirin-to-prevent-cardiovascular-disease-and-cancer-april-2016
October 07, 2013 - Contextual Questions
Contextual … women
Institutionalized persons (psychiatric inpatients)
Persons in long-term care
Postsurgical patients … Persons who are contraindicated or not eligible for aspirin chemoprevention
Symptomatic patients … trials
Systematic reviews and meta-analyses for evidence of harms
Large prospective cohort studies
Patient … As part of the increased scope, three Key Questions (KQs 1, 2, and 6) and two Contextual Questions (1
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digital.ahrq.gov/ahrq-funded-projects/trial-decision-support-improve-diabetes-outcomes/annual-summary/2008
January 01, 2008 - be eliminated if the gap between what is possible and what is actually done in the care of diabetic patients … self-management and contextual variables, such as the adequacy of health insurance. … demographics, clinical co-morbidities and adherence-related measures, census-derived contextual measures … patients had 21 percent decreased odds of poor control (MOR 0.79, p<0.01). … There was more Web portal adoption among patients in the PA-E and PA-E plus DM² groups as compared to
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digital.ahrq.gov/technology/radio-frequency-identification-device
January 01, 2023 - Project Name
Assess Risk of Wrong-Patient Errors in an EMR That Allows Multiple Records Open
Develop … Impact of Meaningful Use on Clinical Workflow in Emergency Departments
Contextual … Contextual computing: a Bluetooth based approach for tracking healthcare providers in the emergency room
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs022352-koru-final-report-2014.pdf
January 01, 2014 - Each care episode needs to be approved by a
physician after meeting with the patient face to face. … In terms of patient satisfaction, it was mentioned that patients want dependable and reliable
clinicians … their patients when the level of
trust is high. … Health information exchange and patient safety. … Jt Comm J Qual Patient Saf, 38(8):366–74, August 2012.
[35] Frank R Lichtenberg.