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5701. Archived: Evidence Summary: Sexually Transmitted Infections: Behavioral Counseling | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary1/sexually-transmitted-infections-behavioral-counseling-september-2014
      September 22, 2014 - The young age of the participants and the reliance of the trial on self-report of STI symptoms rather … Several had attrition greater than 15% (up to 34% in 1 trial), and many did not describe their allocation … Although a few more trials included men than in the previous review, most still targeted adolescent and … We also excluded studies with high HIV prevalence, which we defined as more than 10% of the sample. … having high HIV seroprevalence but was included because HIV prevalence in the study sample was lower than

5702. Disposition of Comments_Comparative Effectiveness Review No. 249: Malnutrition in Hospitalized Adults: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-249-malnutrition-disposition-comments_0_0.pdf
      October 13, 2021 - than real-life practice. … The challenge is not to restrict nutritional screening, assessment and diagnosis, but rather the opposite … to biases, such as selection bias, than RCTs. … to screening, such as resource allocation (i.e. dietitians are triaged to only at-risk patients, rather … than all patients), that may also impact clinical outcomes.

5703. Final Progress Report: Development of a toolkit for dissemination and implementation of the OR crisis checklists (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/berry2-report.pdf
      January 01, 2024 - For English versions, there have been more than 70,000 downloads of these types of tools in the past … Also, 8.4% had less than 5 years of experience, 10.9% had 5-10 years, 21.7% had 11-20 years, and 53.8% … The survey was returned primarily by anesthesiologists (84%) with more than 20 years of experience (54% … The facilities ranged in size from one to more than 30 operating rooms, and most were larger than four … note that an absence of an implementation strategy does not mean that none of the sites used it but rather

5704. Heart-Failure-Natriuretic-Peptide Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/heart-failure-natriuretic-peptide_executive.pdf
      November 01, 2013 - studies have not been fully developed.10 We also omitted KQ7 because it asks about biological variation rather … than a clinical or diagnostic outcome. 6 The following strength ratings were used: • High: High … All but three studies102,118,121 produced sensitivities greater than 0.90. … Typically the optimized cutpoint for men was lower than that for women. … In the two studies in which healthy individuals were evaluated, the RCVs were higher than those in

5705. Crohns-Disease Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/crohns-disease_executive.pdf
      February 01, 2014 - Biologic treatments differ from other medication classes because they are synthesized using biologic, rather … than chemical, processes. … Most RCTs were multicenter (76 percent) and located in Europe and North America, with fewer than 10 … 365 days) than with no TNF-alpha inhibitors or no immunomodulators. … 365 days) than with no thiopurines.

5706. HEALTHCARE COST AND UTILIZATION PROJECT — HCUP (pdf file)
      hcup-us.ahrq.gov/db/nation/neds/NEDS2020Introduction.pdf
      September 01, 2022 - Some States provide more than the maximum code fields retained on the NEDS. … Less than 1 percent of all ED records report more codes than the maximum allowed on the NEDS. … Some States provide more than the maximum code fields retained on the NEDS. … The superpopulation model, in contrast, adopts a stochastic viewpoint rather than a deterministic viewpoint … Any ages greater than 90 were set to 90.

5707. Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
      January 01, 2025 - prior to diagnosis represent diagnostic opportunities when the disease of interest was present but rather … Including these additional clinically plausible conditions resulted in more than twice the number of … Visits to more than one healthcare provider/location in a 24-hour period significantly decreased delay … However, for most diseases studied, a subset of patients experienced a substantially longer than average … In addition, for most diseases studied, a substantial subset of patients experienced longer than average

5708. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-team-assessment-scale-jtcommjqualpatsaf.pdf
      June 30, 2024 - to organizations empha- sized that the results of the survey were not being collected or shared, but rather … Regarding the number of beds, the dis- tribution ranges from less than 50 (22.2%) to greater than 1,000 … have with other measures (that is, a scale cannot produce a correla- tion with another measure greater than … However, the lower- than-anticipated response rates introduce uncertainty into this study’s findings, … Related measures (such as safety culture) are known to vary more within an organization (by unit) than

5709. Antipsychotics-Children Research-Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/antipsychotics-children_research-protocol.pdf
      June 04, 2010 - Because a single individual might experience more than one event, this assumption may overestimate the … are measured in different scales, a standardized mean difference (SMD) will be used to pool results, rather … than a weighted mean difference (WMD). … evaluated in other childhood disorders, ORAP is not recommended for use in any condition other than … Disorder Use of pimozide in tx of Tourette’s Disorder involves different risk/benefit considerations than

5710. Microsoft Word - POA Methods 11_01.doc (pdf file)
      hcup-us.ahrq.gov/reports/methods/2011_05.pdf
      January 01, 2011 - Nonetheless, data sets that do not include POA will yield different results than those that do include … The percentage change was larger than 10% for only two IQIs: IQI 11 Mortality Rate for abdominal aortic … registered nurses on staff may have led to earlier detection and prompt treatment of complications, rather … than a reduction in complications. … expected mortality than did those models that did not use POA variables

5711. JAMA (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/pACFPdCoN8fVoddBs-_CLE
      November 12, 2019 - recommendation applies to women, the net ben- efit estimates are driven by biological sex (ie, male/female) rather … than gender identity. … more studies of newer imaging tech- niques (breast MRI), surgical procedures (salpingo-oophorectomy rather … than oophorectomy alone), and medications (aromatase in- hibitors). … Cancers associated with BRCA1 and BRCA2 mutations other than breast and ovarian.

5712. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
      August 01, 2010 - One study found that more than 70 percent of adverse events are caused by breakdowns in communication … Although nurses may voice concerns about shift report taking too long, it should be quick (no more than … This way, the choice is up to the patient rather than an assumption by the nurses. … Emory held seminars to train more than 400 staff from across the four hospitals. … In fact, counter to their expectations, bedside shift report typically took less time than conducting

5713. Final Progress Report: Advancing Patient Safety Implementation through Pharmacy-Based Opioid Medication Use Research (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/green-report.pdf
      January 01, 2024 - pharmacy environment; and patients, especially pain patients, sought more information and counseling than … Participants of Black race rated the experience lower than participants of other races. … More than half (n=119, 66.5%) had ever dispensed naloxone. … dispensers of naloxone indicated that naloxone dispensing and counseling took the same or less time than … universal opt-out strategies, in which all patients meeting evidence-based criteria are offered naloxone, rather

5714. AHRQ Slide Template 2009 (ppt file)
      effectivehealthcare.ahrq.gov/sites/default/files/reporting.ppt
      September 01, 2009 - This module focuses on reporting the review, which is more than simply presenting the findings. … setting encompasses issues of both population (hospital populations have different characteristics than … This chapter should not present any “results” (e.g., tables), but rather should serve as a guide for … is a low level of evidence…that RFA [radiofrequency catheter ablation] improves quality of life more than … who used watchful waiting , men with clinically localized prostate cancer detected by methods other than

5715. Disposition of Comments Report for Procalcitonin-Guides Antibiotic Therapy (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer78_procalcitonin_disposition_20121210.pdf
      October 05, 2012 - Section Comment Response PR #1 General Comments Our primary critique is that the authors conclude rather … In addition, evidence for effectiveness in the ICU is considerably weaker than that for ED LRTI. … We disagree that the evidence for critically-ill is weaker than that for lower respiratory tract infections … The 2 excluded studies reported effects larger than any of the included studies, so if these 2 studies … This draft is better than most that I've previously reviewed although there are a handful of issues

5716. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
      April 02, 2020 - should hence consider the broader context of value-based care, including quality, risks, and costs, rather … ■ Measurement should not be used punitively to identify provider failures but rather should be used … other data sources (e.g., selective reviews, event reports) to begin measurement as soon as possible, rather … than wait for the information technology infrastructure needed to implement EHR-based algorithms. … “Global trigger tool” shows that adverse events in hospitals may be ten times greater than previously

5717. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
      April 02, 2020 - should hence consider the broader context of value-based care, including quality, risks, and costs, rather … ■ Measurement should not be used punitively to identify provider failures but rather should be used … other data sources (e.g., selective reviews, event reports) to begin measurement as soon as possible, rather … than wait for the information technology infrastructure needed to implement EHR-based algorithms. … “Global trigger tool” shows that adverse events in hospitals may be ten times greater than previously

5718. Longitudinal Telephony & Multiple Disease Management System to Improve Ambulatory Care for Complex Patients - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017855-friedman-final-report-2013.pdf
      January 01, 2013 - COPD and HTN, depression and COPD, and DM and IHD had 5 year age adjusted mortality rates greater than … recruitment yields remained low we expanded the inclusion criteria to allow recruitment of subject with one (rather … than multiple) chronic disease (IRB approval received on 11/03/2010). … Follow-up rates were significantly lower for TLC-C participants than for control group participants … In the following Table, a hazard ratio for TLC-C less than 1.0 indicates a reduction in the risk of

5719. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
      January 01, 2020 - is readily available (Ginde, Foianini, Renner, et al., 2008), fast, and less expensive to perform than … (Note: Some contraindications are guidelines rather than strict rules. … Before puberty, boys are more likely than girls to experience headache. … In children younger than 5 years of age, about 20 percent of the active bone marrow is in the cranium … Headaches in children younger than 7 years of age. Arch Neurol 1992; 49(1):79-82.

5720. 11th Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/2021-uspstf-annual-report-to-congress.pdf
      January 01, 2021 - affected by diabetes, particularly racial and ethnic groups that have a higher prevalence of diabetes than … Screening for Colorectal Cancer • Evaluate the effectiveness of screening in adults younger than age … It does not conduct research studies, but rather reviews and assesses published research. … number of health disparities, including: • Black people are more likely to die from heart disease than … About the National Hispanic Medical Association (NHMA) Founded more than 25 years ago, the NHMA: •