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8961. Improving Quality Care for Children with Special Needs (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016133-lozzio-final-report-2010.pdf
      January 01, 2010 - in the USA.(5) The need, benefits and challenges of adoption of EHR in ambulatory care have been well … results of the 7 state newborn screening tests and the results of hearing screening as well … developed and includes comprehensive information on hearing loss and genetic causes of hearing loss as well … and the server team of IT professionals provides support and maintenance of hardware and software as well … Research currently being conducted in the Division of Medical Genetics (Department of Pediatrics) involves

8962. Dementia-Agitation-Aggression Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/dementia-agitation-aggression_executive.pdf
      March 01, 2016 - Inclusion criteria varied; most trials required that participants have behavioral symptoms as well as … It was frequently not even clear if psychoactive medications were being given concurrently. … The process consists of observing care, the environment, and factors associated with resident well-being … Ironically, the epidemiology of agitation/aggression is not well understood, from the distribution of … A biobehavioral home- based intervention and the well-being of patients with dementia and their caregivers

8963. Improving Consumer Health IT Application Development: Lessons From Other Industries Findings from Key Informant Interviews (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/developmentmethodskeyinformantinterviewsreport.pdf
      July 10, 2012 - asked to provide their insights into methods used in the design of successful consumer products as well … prototyping stage where… we’re not really interested in anything pretty or anything that works really well … providing a channel for customers to provide feedback after product release by saying— We’ve found that being … of that product... 26 Participants also discussed factors that contribute to products not being … Consumers are increasingly sharing insights and knowledge in Web-based forums, whether they are well

8964. The Refinement of Topics for Systematic Reviews: Lessons and Recommendations From the Effective Health Care Program (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-topic-refinement_methods.pdf
      January 01, 2013 - (s), outcome(s), timing, and setting(s) of interest—collectively referred to as the PICOTS;5,6 (2) well … the initial topic nomination and development stage and end with the refined topic and summary report being … each described their own EPC’s approach to topic refinement, including their routine procedures as well … topics vary widely, the relative importance of each principle may also vary according to the topic being … o Is it important to know how well an intervention works? Or just that it works?

8965. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/wireless-motility-capsule_research-protocol.pdf
      March 14, 2012 - Currently, wireless motility capsule testing is being used in a complementary fashion as an addition … Two or more of the above criteria must be fulfilled for the last 3 months, with symptom onset being … We will consider spectrum bias as part of the assessment of how well studies address the entire population … Expert Panel (TEP) to assure that the questions are specific and explicit about what information is being … methodological experts who provide input in defining populations, interventions, comparisons, or outcomes, as well

8966. Enhancing Patient Matching in Support of Operational Health Information Exchange - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs023808-grannis-final-report-2023.pdf
      January 01, 2023 - The point estimate and the 95% confidence interval of the AUC, as well as the comparison of multiple … The posterior probability of being a match is decreased for record pairs 1 and 2, but increased for … However, omitting missing data may lower the precision of estimated parameters due to fewer record pairs being … The point estimate and the 95% confidence interval of the AUC, as well as the comparison of multiple … The point estimate and the 95% confidence interval of the AUC, as well as the comparison of multiple

8967. School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services (STARS) for Children with Special Health Care Needs Living in Rural and Underserved Communities - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs025714%20-marcin-final-report-2023.pdf
      January 01, 2023 - Participants Regardless of which model of care was being used, all parents of patients receiving care … The implications being that children living in rural and underserved communities that need pediatric … If they are higher functioning and can follow directions and are engaged and aren’t shy it goes well … , I’m much more comfortable with someone laying hands upon the child, looking at that equipment, being … plan between in-person and hybrid models The hybrid and in-person models both involve the parents being

8968. Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
      January 01, 2024 - associated with noncompliant use of a checklist that is administered concurrently with clinical activities being … associated with noncompliant use of a checklist that is administered concurrently with clinical activities being … script to extract and parse all timestamps and labels for 32 checklist items from the checklist logs as well … interactions with the digital checklist that was concurrently administered while clinical tasks were being … Sixteen percent of all true checks occurred as the corresponding tasks were being performed.

8969. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/vte-prophyalaxis_research-protocol.pdf
      March 01, 2011 - currently are available in the United States and either are FDA approved for VTE prophylaxis or are being … We will also evaluate the use of antiplatelet agents, such as aspirin and clopidogrel, as well as the … regard to accumulation risk, the relationship between their use and the incidence of bleeding is not well … The DistillerSR database will be used to maintain the data, as well as to create detailed evidence tables … Expert Panel (TEP) to assure that the questions are specific and explicit about what information is being

8970. Translation of a C. difficile Treatment Clinical Pathway Into Machine-Readable Clinical Decision Support Artifacts Prototyped for Electronic Health Record Implementation (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-translation-c-diff-treatment-clinical-pathway.pdf
      November 01, 2019 - reports and technology assessments will inform individual health plans, providers, and purchasers as well … In addition to being fully expressed using a computer-readable format, the information needed to effectively … To ensure CDS artifacts were being developed from the most recent evidence base, we conducted a targeted … This would result in all patients with a CDI diagnosis in the past 24 hours being included as recurrent … wording to represent the same action may introduce unnecessary confusion regarding what action is being

8971. White Paper_Machine Learning Tools To (Semi-)Automate Evidence Synthesis: A Rapid Review and Evidence Map (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/machine-learning-tools-white-paper.pdf
      December 01, 2024 - As the demand for timely and well-conducted SRs increases, and the volume of literature continues to … This might replicate a situation in which the tool is being used to automatically screen update searches … after being trained on the initial search labels. … Tools that automatically identify randomized controlled trials (RCTs) from a list of citations are being … Others, such as 23 those for searching and data extraction, are still being refined.

8972. Final Progress Report: A National Report of Nursing Home Quality Measures and Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
      January 01, 2024 - These interviews included key informants as well as focus groups to explicate the dimensions of the … If NH IT capabilities, such as a clinical decision support system, were being used, respondents rated … The two types of ownership not as well represented in the sample were county-owned government facilities … The differences that were significantly different from 0 (at the 0.01 level, based on 0 being included … We also looked at being part of a chain.

8973. Integrating Patient-Generated Health Data into Electronic Health Records in Ambulatory Care Settings: A Practical Guide (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/pghd-practical-guide.pdf
      December 01, 2021 - Idea: Take an inventory of ways PGHD are currently being used. … The following is an example of a clinical use case being transformed into an implementation plan using … Understanding cultural values can be very helpful as well. … ◦ Patient awareness about how their data are being used at the point of care. … ◦ How are those criteria are being using to screen for participation?

8974. Final Progress Report: Patient-Centric Risk Model for Medication Safety During Care Transitions (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
      January 01, 2024 - We thank professionals, patients, and their family members for participating in the project as well … Scope: The transition to home following hospital discharge is a high-risk period, with older adults being … three different points: First, patients were contacted in their hospital rooms and interviewed before being … Becky always used the same community pharmacy and knew the pharmacist well. … number of patients reported experiencing trouble with filling prescription after discharge (16%), being

8975. Screening for Cognitive Impairment in Older Adults: US Preventive Services Task Force Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/h5Tt4jScmQJeHeztmo93hu
      February 25, 2020 - The most well-studied screening instrument is the Mini- Mental State Examination (MMSE). … Evaluators assessed 19 common care needs for participants (71 items) and caregivers (15 items) as being … trials (often �6 months for pharmacologic agents and �1 year for nonpharmacologic inter- ventions), as well

8976. uterine-fibroids-protocol-160301 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/uterine-fibroids_research-protocol.pdf
      March 01, 2016 - of fibroids with larger and more numerous tumors.1-3,7,8 The etiology of uterine fibroids is not well … pelvic pressure or pain, urinary frequency, abnormal bowel function, and pain with intercourse, as well … In addition, the Key Questions address the potential harms associated with morcellation, as well as … PICOTS PICOTS   Criteria  and  Key  Question(s)   Population   •  Women  who  are  being  treated  for … Such approaches are generally well accepted in practice.

8977. The Effectiveness of an HIT-based Care Transition Information Transfer System to Improve Outpatient Post-Hospital Care for Medically Complex Patients - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017864-ciemins-final-report-2012.pdf
      January 01, 2012 - transfer process at hospital discharge through improved communication between patient and provider as well … Follow-up appointment and hospital readmission data were collected through EHR extraction, as well … study were not randomized, historical control groups were utilized, which can introduce temporal as well … Patients who were re-hospitalized at the time they were being called, would not be able to participate … Study findings indicate that when this measure improved, EHR medication reconciliation improved as well

8978. Draft Recommendation: Cervical Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/cervical-cancer-screening-adults-adolescents
      December 10, 2024 - This topic is being updated. … HPV types 16 and 18 account for approximately 70% of cervical cancers. 1 Assessment of Risk It is well … Accuracy of Screening Tests The accuracy of cytology and clinician-collected cervical HPV testing is well … Benefits of Early Detection The benefits of screening for cervical cancer are well established. … frequent followup testing and invasive diagnostic procedures (e.g., colposcopy and cervical biopsy), as well

8979. Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
      January 01, 2024 - types of problems addressed were recorded; and the extent to which patient concerns were addressed as well … Well and health maintenance visits represented an additional 9.7%. … The NASA task load index (NASA-TLX) performed well in the primary care clinical setting, taking about … Lower than Expected Workload ● straightforward problem ● adequate time ● clinician knows patient well … plan) ● patient not demanding Higher than Expected Workload ● unexpected problems and needs ● being

8980. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
      September 26, 2019 - predominantly transmitted through person-to- person contact in healthcare settings (the other route being … types of transmission-based precautions to control the spread of infectious diseases, the other two being … implementation of contact precautions differ by setting, risk of transmission, and the type of care being … .16 This is a cautionary tale of the importance of monitoring ongoing infection control practices as well … should encourage appropriate contact precautions by implementing monitoring and compliance audits as well