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digital.ahrq.gov/technology/clinical-decision-support-system
January 01, 2025 - standardizing practices, minimizing unnecessary procedures, and ensuring timely diagnosis for those at highest risk … effective antibiotics for each patient, reduce unnecessary use of broad-spectrum antibiotics, lower the risks … Cardiometabolic risk in pediatric patients with intellectual and developmental disabilities. … Cardiometabolic risk in pediatric patients with intellectual and developmental disabilities. … Decision Support for Venous Thromboembolism Prevention
Impact of personalized risk
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024738-gance-cleveland-final-report-2019.pdf
January 01, 2019 - 11%, and postpartum depression 2%
compared 12%), suggesting under recognition of perinatal health risks … in busy practices.7
Pregnancy health risks: Mood disorders can cause serious health conditions by … Moderate Risk High/Severe Risk
Treatment Approach Positive reinforcement Brief intervention Referral … Yes
Options:
-Reinforce importance
No (interested in being vaccinated)
Options:
-Discuss risks & … Promoting patient understanding of risks and provider confidence in counseling on the risk and
protective
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digital.ahrq.gov/sites/default/files/docs/citation/appendixg-ahrq-cdspain-practice-orientation.ppt
August 06, 2024 - Pain Management (TAPR-CPM) application (app)
*
Opioid Tapering
Challenges for Patients
Severe risk … Patients are often reluctant to taper
Challenges for Providers
Hard to identify patients who are at risk … Weighing risks versus benefits of tapering
Personalizing tapering plans
Monitoring patients taper over … therapy or other non-opioid medicines for chronic non-cancer pain
XXX patients considered at high risk … opioid use disorder
Our Goal is to reduce the number of patients on high-dose opioid therapy at high risk
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digital.ahrq.gov/sites/default/files/docs/citation/appendix-g-cdspain-practice-orientation.ppt
August 06, 2024 - Pain Management (TAPR-CPM) application (app)
*
Opioid Tapering
Challenges for Patients
Severe risk … Patients are often reluctant to taper
Challenges for Providers
Hard to identify patients who are at risk … Weighing risks versus benefits of tapering
Personalizing tapering plans
Monitoring patients taper over … therapy or other non-opioid medicines for chronic non-cancer pain
XXX patients considered at high risk … opioid use disorder
Our Goal is to reduce the number of patients on high-dose opioid therapy at high risk
-
digital.ahrq.gov/sites/default/files/docs/technologies-underserved-populations-slides-02282023.pdf
February 28, 2023 - health outcomes
11
World Health Organization, https://www.who.int/
https://www.who.int/
Social Risk … relationship strain
COVID diagnosis/recovery
COVID vaccine
COVID physical distancing
COVID perceived risk … The Lancet Digital Health. 2020
46
Risk Factors Are Common
At birth Smoked during pregnancy 11.0% … Risks at action or
maintenance at 6
months
50.0 % (28.9) 42.7% (28.3) 1.16 <0.001
Risks at action … From the CDC:
Risk Factors Are Common
The Need
Components of Preconception Care
Who is Gabby?
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digital.ahrq.gov/ahrq-funded-projects/self-management-reminders-technology-smart-appraisal-integrated-phr/annual-summary/2012
January 01, 2012 - Record project was designed to improve health care outcomes in complex patients who have or are at high risk … the use of an active patient self-management version of an existing PHR could reduce cardiovascular risk … Secondary outcomes included calculations of 10-year cardiovascular risk, changes in cardiovascular risk … the intervention did not improve prevention or treatment gap closure among patients with or at high risk … not have an effect on physiological variables at 1-year, nor on the calculated 10-year cardiovascular risk
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015234-thomas-final-report-2008.pdf
January 01, 2008 - Table 3 presents the risks and relative risk for selected SAPS II.
Table 3. … Estimated risks of hospital mortality by SAPS II score for pre- and post-tele patients
SAPS II
Pre-Tele … Risk %
Pre-Tele
95% CI
Pre-Tele
95% CI
Post-
Tele
Risk %
Post-
Tele 95%
CI
Post-
Tele … 95% CI
Relative
Risk %
Relative
Risk
95% CI
Relative
Risk
95% CI
0 1.5 1.1 2.1 3.6 2.7 … Risk %
Relative
Risk
95% CI
Relative
Risk
95% CI
0 3.7 3.4 4.2 3.8 3.5 4.2 1.0 0.9 1.2
20
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digital.ahrq.gov/principal-investigator/abraham-joanna
January 01, 2024 - learning-augmented and telemedicine-augmented sociotechnical intervention for postoperative handoffs to reduce the risks … Grant Number
R01 HS029324
Principal Investigator(s)
Abraham, Joanna
Risk … Risk factors associated with medication ordering errors. … research assessed the etiology of medication ordering errors, finding that errors stemmed from multi-level risk
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digital.ahrq.gov/organization/university-utah
January 01, 2023 - app that pulls data from the electronic health record to enable providers to have an individualized risk-benefit … discussion with at-risk patients on whether lung cancer screening is right for them. … shared decision making (SDM) tool that uses interactive decision dashboards to graphically communicate risks … Dissemination and Implementation of QT Risk Clinical Decision Support
Description
This research … implemented a clinical decision support tool to identify patients at risk for a life-threatening, uncommon
-
digital.ahrq.gov/location/usa-ut-salt-lake-city
January 01, 2023 - app that pulls data from the electronic health record to enable providers to have an individualized risk-benefit … discussion with at-risk patients on whether lung cancer screening is right for them. … shared decision making (SDM) tool that uses interactive decision dashboards to graphically communicate risks … Dissemination and Implementation of QT Risk Clinical Decision Support
Description
This research … implemented a clinical decision support tool to identify patients at risk for a life-threatening, uncommon
-
digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2012
January 01, 2012 - September 2012
AHRQ Funding Amount
$1,155,147
Summary: Patients with chronic illnesses are at risk … three rural) were able to use health information technology (IT) to monitor and deliver care for high-risk … controlled trial in six clinics on the ability to use the IT functions to monitor and deliver care to high-risk … Among eligible patients, 31 percent were preselected as having a high risk of hospitalization. … Baseline characteristics of the high-risk group did not vary across clinics.
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-care-compact-organize-risk-and-decisionmaking-accord/annual-summary/2010
January 01, 2010 - Ambulatory Care Compact to Organize Risk and Decisionmaking (ACCORD) - 2010
Project Name … Ambulatory Care Compact to Organize Risk and Decisionmaking (ACCORD)
Principal Investigator … The system, titled Ambulatory Care Compact to Organize Risk and Decisionmaking (ACCORD), will allow patients … compacts” or agreements between provider and patient, and by providing explanatory information about the risks … partnerships that results in documented followup care plans that can be tracked reliably to reduce the risk
-
digital.ahrq.gov/ahrq-funded-projects/use-electronic-health-records-addressing-overweight-and-obesity-primary-care-0
January 01, 2023 - Use of a Web-based risk appraisal tool for assessing family history and lifestyle factors in primary … Use of a web-based risk appraisal tool for assessing family history and lifestyle factors in primary
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digital.ahrq.gov/2020-year-review/research-summary/strengthening-patient-engagement-improve-care-and-shared-decision-making-emerging-research
January 01, 2020 - They are updating and integrating a validated, artificial intelligence-based, online risk-prediction … and communication tool, the Cardiac Outcomes Risk Assessment (CORA) tool, and the research team’s own … offer patients a better understanding of how treatment options align with their values and personalized risks … the Oregon Health and Science University are studying the integration of MammoScreen, a breast cancer risk … mammography screening and genetic counseling and is an effective tool for identifying individual-level risk
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025443-abraham-final-report-2020.pdf
January 01, 2020 - Clinician-Reported Risk Factors Associated with Medication Ordering Errors
Using the SEIPS model, risk … Among the considered factors, the technological and cognitive factors were the most common risks
contributing … Environmental Risk Factors
Commonly reported environmental risk factors included interruptions (42% … majority of the ordering
errors, and all ordering errors had underlying technological and cognitive risks … Social Risk Factors
Environmental Risk Factors
Organizational Risk Factors
Clinician-Reported Strategies
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digital.ahrq.gov/population/pharmacist
January 01, 2024 - Samantha
Project Name
Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks … Alerts
Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks … Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes - … Samantha
Project Name
Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks
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digital.ahrq.gov/principal-investigator/sequist-thomas-d
January 01, 2023 - A Risk Based Approach to Improving Management of Chronic Kidney Disease - Final Report. … Clinician personality and the evaluation of higher-risk patient symptoms. … Can Risk Score Alerts Improve Office Care for Chest Pain? … Can Risk Score Alerts Improve Office Care for Chest Pain? - Final Report. … Can Risk Score Alerts Improve Office Care for Chest Pain?
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digital.ahrq.gov/principal-investigator/meguid-robert
January 01, 2023 - calculator (SURPAS) and the ACS Surgical Risk Calculator. … calculator (SURPAS) and the ACS Surgical Risk Calculator. … Project Name
Surgical Risk Preoperative Assessment System
Surgical Risk … Surgical Risk Preoperative Assessment System - Final Report. … Project Name
Surgical Risk Preoperative Assessment System
Surgical Risk
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digital.ahrq.gov/ahrq-funded-projects/evaluating-prediction-tool-and-decision-aid-patients-crohns-disease
January 01, 2023 - Research Story
Use of the Crohn’s Disease Prediction Tool, a validated individualized risk … The model was then adapted into a web-based decision aid to help patients weigh the benefits and risks … Publication , Editorial Technology: Consumer Health Informatics
Balancing and communicating the risks … Balancing and communicating the risks and benefits of biologics in pediatric inflammatory bowel disease … The decision aid can help patients understand the risks and benefits of treatments.
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digital.ahrq.gov/program-overview/research-stories/optimizing-care-delivery-for-clinicians
January 01, 2023 - alerts to individual patient circumstances, providers can deliver more tailored care for patients at risk … intimate partner violence greatly increased the number of patients identified as experiencing or at risk … Using Machine Learning for Military Service Members and Veterans at Risk for Suicide The use of a risk-prediction … Closing the Communication Gap Between Prescribers and Pharmacists to Decrease Medication Safety Risks