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effectivehealthcare.ahrq.gov/sites/default/files/related_files/knowledge-brief-2-methods-public-deliberation-130213.pdf
February 01, 2013 - Knowledge Brief #2 Methods and Measures of Public Deliberation
AHRQ’s Effective Health Care Program … Community Forum Knowledge Brief
Number 2: Methods and Measures
of Public Deliberation
Public deliberation—a … process elements (e.g., whether
participants had equal opportunities to contribute) to assess the quality … • Evaluative case studies report on either single cases or multiple cases; they compare
selected measures … Outcomes measured in
the literature include process measures as well as measures of the effect of deliberation
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effectivehealthcare.ahrq.gov/products/dyspnea-advanced-cancer/protocol
October 22, 2019 - This tool must include patient-or caregiver-reported measures of anxiety. … A review of quality of care evaluation for the palliation of dyspnea. … Which measurement scales should we use to measure breathlessness in palliative care? … with acceptable face or content validity, reliability, and/or construct validity. 14 Observational scales … For the purposes of this report focusing on breathlessness, we wanted to focus on an objective measure
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/disparities-quality-improvement_research-protocol.pdf
February 23, 2012 - Outcomes measures for each question:
The outcome measures of interest include: health outcome … To measure potential changes
in the inequity of care between patient groups, priority condition studies … Criteria for Inclusion/Exclusion of Studies in the Review
Disparity Measure. … Included studies should capture health outcome measures and/or
process measures. … improvement intervention and measure a change in outcomes
relative to a referent group.
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effectivehealthcare.ahrq.gov/products/sleep-apnea/research-protocol
March 15, 2010 - Subjective (e.g., Epworth sleepiness scales); only validated measures
Objective (e.g., Multiple Sleep … Latency Test, Maintenance of Wakefulness Test); only validated measures
General symptom scales ( … e.g., diagnostic screening questionnaires); only validated measures
Psychological function scales; … only validated measures
Cognitive or Executive function scales; only validated measures
Physical … function scales; only validated measures
Accidents ascribed to somnolence (e.g., motor vehicle, home
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-255-transitions-care-pediatric-to-adult-services-evidence-summary.pdf
May 01, 2022 - exists for effective transition of care from
pediatric to adult services for CSHCN, nor is a single measure … Methods
The methods for this systematic review follow the Agency for Healthcare Research
and Quality … Similarly, no single measure or set of measures is used in
this body of research. … Even within a single domain, such as transition readiness or quality
of life, multiple measures are … Rockville, MD: Agency for Healthcare Research and Quality; May 2022.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0398_06-17-2008.pdf
January 01, 2008 - including
1) reduced mortality, 2) reduced morbidity, 3) reduced adverse events, and 4) improved
quality-of-life … erythrocytes or reticulocyte hemoglobin content in
relation to other measures of iron metabolic status … erythrocytes or reticulocyte hemoglobin content in
relation to other measures of iron metabolic status … What is the most effective interval in which to measure markers of iron metabolic
status to achieve … Fatigue, poorer quality of life, and cognitive impairment
have also been associated with anemia in these
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-surgical-report-cards.pdf
July 01, 2023 - What measures or indicators have been used in surgical report cards used to
examine the safety of surgical … for Medicare & Medicaid Services (CMS) patient safety measures, AHRQ’s
Patient Safety Indicators, … or the National Committee for Quality Assurance (NCQA)
patient safety related measures. … representatives who are not patients
or family members
Intervention Any intervention intended to
measure … For Review Question 2, we will focus on identifying relevant measures that are ...
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/sleep-apnea_research-protocol.pdf
March 15, 2010 - Subjective (e.g., Epworth sleepiness scales); only validated measures
ii. … Psychological function scales; only validated measures
e. … Cognitive or Executive function scales; only validated measures
f. … Physical function scales; only validated measures
g. … Sleep quality; only formal scales or questionnaires
i. Work days lost (and equivalent)
8.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/public-reporting-cost-measures_disposition-comments.pdf
March 05, 2015 - Another
measure of comprehensive information that would be more specific to the
consumers’ needs. … I was confused by the distinction between “high value providers” and “quality
comparators” If quality … We use the summery measure to
summarize and not to say they that
are equally important.
b. … In box 1 (on page 4) we define
what we mean when we say a cost
measure: A financial measure of
cost … information and
quality measures are being conflated with those reporting on costs.
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effectivehealthcare.ahrq.gov/sites/default/files/considerations-for-statistical-chapter-10.pptx
January 01, 2013 - Model Selection
Number of Followup Measures and Time Intervals
Single measure Repeated measure … , fixed intervals Repeated measure, variable intervals
Outcome measure No clustering Clustering (e.g … Examples of correlated data include repeated measures on study subjects over time, patients selected … Repeated measures per study subject can be collapsed to a single summary measure per subject. … Random-effects models are another suitable analytical approach to handle repeated measures data.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/restless-legs_research-protocol.pdf
December 16, 2011 - first 2 years of treatment and sometimes many
years into treatment.
24
Several developed scales … MCIDs have not been defined for these scales.
23
Table 2: Scales to assess severity of RLS and … Completed by patient
12-item questionnaire to
measure impact of RLS
symptoms on daily activities … We will evaluate methods used to define RLS, assess its severity,
and measure treatment benefits and … Studies that report only polysomnographic or other objective sleep-related
measures.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/quantitative-synthesis-expanded-methods_methods.pdf
March 01, 2013 - Agency for Healthcare Research and Quality; March 2013. … or effect size meta-analyses can be used if the same outcome
was assessed on different measurement scales … Results, however, are expressed in units of
standard deviations, rather than in units of any measurement scales … For example, Hansen et al.33 combined functional outcomes measured on different
scales in placebo-controlled … investigators
could consider calculating an approximation of mean difference on the included measurement
scales
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/phenylketonuria_executive.pdf
February 01, 2012 - Quality Assessment
Two reviewers independently assessed quality, with
differences resolved though discussion … -31 were rated as poor quality. … , one poor-
quality prospective cohort,62 and four poor-quality
case series.56,57,59,61 No study included … Currently, findings on the association of Phe levels and any
specific measure of executive function … Registries have been established and will provide
important data, as will ongoing studies that measure
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effectivehealthcare.ahrq.gov/products/prosthesis/research
September 06, 2018 - Key Messages
Thirty of 50 evaluated instruments (ambulatory/functional outcomes and other measures) … reliability, and related psychometric properties for assessment techniques, predictor tools, and outcome measures … psychometric properties of 50 instruments (classified as assessment techniques, prediction tools, and outcome measures … analyses to allow assessment of heterogeneity of treatment effect, 7 used both predictor and outcome measures … Rockville, MD: Agency for Healthcare Research and Quality; September 2018.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/deprescribing-protocol.pdf
July 01, 2023 - What patient safety measures or indicators have been used to examine the harm associated
with polypharmacy … for Medicare & Medicaid Services (CMS) patient safety measures, AHRQ’s Patient Safety
Indicators, … or the National Committee for Quality Assurance (NCQA) patient safety related
measures. … (e.g., reduction of polypharmacy or
PIMs; total medication count)
Clinical outcome measures … Rockville, MD: Agency for
Healthcare Research and Quality. July 2023.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/bundled-payments-quality-effects_disposition-comments.pdf
August 24, 2012 - Added definition from source: “Feinglass defined
financial pressure as a measure of the ‘gap
between … assessed processes,
the direct rewards were not based on quality measures. … of impact on costs and quality, especially as it relates to
measures of quality. … for appropriateness of bundles, both to help address the
unintended consequence above and also as a measure … If quality
measures were used, many of the measures were process or
intermediate health outcomes measures
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effectivehealthcare.ahrq.gov/products/arthritis-knee-physical-therapy/research-protocol
March 02, 2011 - Hand-held dynamometer
Isokinetic dynamometer
Knee goniometry
Lower extremity activity profile
Measure … capacity
Markers of inflammation:
Girth measurements for swelling/edema
Self-reported patient scales … Osteoarthritis Index (WOMAC) Pain subscale
Patient Global Assessment
Arthritis Impact Measurement Scales … Outcome Measures in Rheumatology
OMERACT outcome measures including:
Pain
Physical function … of life measure
Physician global assessment
Patient Specific Functional Scale (PSFS)
Knee
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/sleep-apnea_executive.pdf
July 01, 2011 - ., AHI), blood pressure (an
intermediate outcome for cardiovascular disease), and
hemoglobin A1c (a measure … Scale (ESS); the
quality-of-life measure Functional Outcomes Sleep
Questionnaire (FOSQ); and compliance … Any differences
in quality of life measures or neurocognitive tests were
equivocal between treatment … It did not find statistically
significant differences in ESS and quality of life
measures between patients … The reported findings on sleep study and
quality of life measures were heterogeneous across
studies.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/quality-gap-palliative-hospice_executive.pdf
October 01, 2012 - Outcome Measures for Each Key Question
For both Key Questions, we included all relevant patient or … measures, such as timeliness of response
to pain and other symptoms
• Family/caregiver psychosocial … a multicenter study found
significant improvements, but a single-center study found
no impact on measures … education in nursing homes found the
intervention had a statistically significant improvement on
measures … of attrition, and
issues with outcome measures not designed for advanced or
serious illness or not
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effectivehealthcare.ahrq.gov/sites/default/files/assessing-quality.ppt
January 01, 2010 - Assessing the Quality of Individual Studies
Assessing the Quality of
Individual Studies
Agency for … Result from problems in data analysis and interpretation, such as choice of the wrong statistical measure … Did investigators concurrently measure intervention and exposure status for intervention and comparison … Did investigators concurrently measure outcomes for intervention and comparison groups? … rating
Reporting Quality Ratings
Key Messages (I):
Definition of Quality Assessment
Quality assessment