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Health System Panel To Inform And Encourage Use Of Evidence Reports
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Book Synopsis Health System Panel to Inform and Encourage Use of Evidence Reports by : Kathryn Paez
Download or read book Health System Panel to Inform and Encourage Use of Evidence Reports written by Kathryn Paez and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: OBJECTIVES: The Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Center (EPC) Program wants learning health systems (LHSs) to use the evidence from its reports to improve patient care. In 2018, to improve uptake of EPC Program findings, the EPC Program developed a project to enhance LHSs' adoption of evidence to improve the quality and effectiveness of patient care. AHRQ contracted with the American Institutes for Research (AIR) and its partners to convene a panel of senior leaders from 11 LHSs to guide the development of tools to help health systems use findings from EPC evidence reports. The panel's contributions led to developing, implementing, and evaluating two electronic tools to make the EPC report findings more accessible. AIR evaluated the LHSs' use of the tools to understand (1) LHSs' experiences with and impressions of the tools, (2) how well the tools helped them access evidence, and (3) how well the tools addressed barriers to LHS use of the EPC reports and barriers to applying the evidence from the reports. DATA SOURCES: (1) Implementation meetings with 6 LHSs; (2) interviews with 27 health system leaders and clinical staff who used the tools; and (3) website utilization metrics. RESULTS: The tools were efficient and useful sources of summarized evidence to (1) inform systems change, (2) educate trainees and clinicians, (3) inform research, and (4) support shared decision making with patients and families. Clinical leaders appreciated the thoroughness and quality of the evidence reviews and view AHRQ as a trusted source of information. Participants found both tools to be valuable and complementary. Participants suggested optimizing the content for mobile device use to facilitate health system uptake of the tools. In addition, they felt it would be helpful to have training resources about tool navigation and interpreting the statistical content in the tools. CONCLUSIONS: The evaluation shows that LHSs find the tools to be useful resources for making the EPC Program reports more accessible to health system leaders. The tools have the potential to meet some, but not all, LHS evidence needs, while exposing health system leaders to AHRQ as a resource to help meet their information needs. The ability of the EPC reports to support LHSs in improving the quality of care is limited by the strength and robustness of the evidence, as well as the relevance of the report topics to patient care challenges faced by LHSs.
Book Synopsis Understanding Health-systems' Use of and Need for Evidence to Inform Decisionmaking by : Charles Michael White
Download or read book Understanding Health-systems' Use of and Need for Evidence to Inform Decisionmaking written by Charles Michael White and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: According to the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine, in order for health care systems to improve health quality, outcomes, cost, and equity there needs to be a process for transmitting new knowledge into everyday care. Systematic reviews are one potential source of knowledge. However, little is known about the types of evidence used by health-systems and how evidence reports produced by the Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Center (EPC) program could be used by learning health-systems. PURPOSE: To better understand how health-systems identify and use evidence and how EPC reports could help them with their decisionmaking in the future. METHODS: From February to September 2017, an AHRQ/EPC Methods Workgroup interviewed nine individuals with leadership roles in enhancing health-system quality, safety, and process improvement from academic, non-academic, and small community health-systems, as well as health-system collaborative organizations. Workgroup members reviewed interview notes and transcripts to identify key themes and exemplar quotations. The nine Key Informants (KI) reviewed the draft report for accuracy. RESULTS: Health-systems have various internal processes for getting and using evidence in their decisionmaking. All of the health-systems we spoke with have either centralized and standardized quality, safety, and process improvement functions within their health-system or have formed partnerships with other organizations to support these improvements. Health-systems recognize that evidence and improvement ideas can come from both the top down (from leadership to local level) as well as from the bottom up (local to leadership). One common process was to conduct searches themselves to obtain information and evidence from the literature. However, there was variation in how this information is obtained. Some of the larger health-systems have medical librarians and centralized committees to gather and disseminate this information. For smaller systems, it is more common that the local chief medical officers or clinical champions identify the information. Other processes for getting evidence include: using internal data to benchmark performance across the system and identify where improvements are needed; and forming subspecialty committees within the health-system to review information and make improvement recommendations within the subspecialty (e.g., cardiology, oncology, and orthopedics). Some of the challenges to the existing processes include: how to resolve conflicting information and whether the information applies to local needs; and how to know whether information is up-to-date. Health-systems feel the standard timeframe to generate systematic reviews is very long, which could hamper optimal utilization in decisionmaking. KIs generally feel that guidelines and systematic reviews are excellent sources of evidence and facilitate quality, safety, and process improvements. While some clinical experts in the health-systems prefer randomized clinical trials, most people in health-systems prefer the synthesized data in guidelines and systematic reviews. KIs generally prefer guidelines, especially those with treatment algorithms, because they are more actionable. KIs prefer evidence from systematic reviews to be summarized into short digestible summaries with the option to click on a link for the more detailed report. They also prefer systematic reviews from known entities and entities that do not have commercial bias. KIs suggest alerting people at multiple levels in a health-system when new evidence reports are available via email or listserv. Some KIs, especially those in small and rural health-systems, noted that they want to be able to obtain evidence in standard search engines, such as Google, rather than having to rely on literature databases. Some KIs felt that they could partner more closely with AHRQ to identify topics but felt that the prolonged turn-around time from topic generation until the report was available could be a barrier. The topics of greatest interest to health-systems varied, but some of the most common ones include: predictive analytics; high-value care; advance care planning, and care coordination. RECOMMENDATIONS AND CONCLUSIONS: Based on these interviews, we recommend the consideration of the following key actions to make EPC reports more useful to health-systems:1. Modify the dissemination emails that go out to health-systems to include not only the titles of the reports and hyperlinks to the full reports, but to include key messages (or hyperlinks to key messages) so that potential users can better assess the relevance of their report to their decisionmaking and better triage the findings internally within their system.2. Periodically construct an EPC newsletter -- perhaps building off the existing EHC listserv -- with a format similar to "The Medical Letter" or "Prescriber's Letter," which provides short three of four sentence summaries of report highlights with hyperlinks to reports.3. Ensure that EPC reports are searchable both within PubMed but also within common search engines such as Google, Bing, and Yahoo. This would include having medical librarians test search using these sites, strategize how to enhance the chances of finding reports for educational purposes, and to reach out to the common search engines and inquire about ways reports can be designed to enhance pick up in searches.4. Explore opportunities to deliver reports more quickly, perhaps through further limiting the scope of a project, writing more focused reports, or by dividing a larger topic into two or three subtopics so that more timely evidence can be available to health-system decision makers.5. EPC reports should not make clinical recommendations like guidelines. However, if the reports could more clearly identify what the current process of care is for a target disease or disorder and where the trials/studies being summarized or pooled will inform decisions that members of health-systems could make, it would make the results more actionable.6. Conduct broad outreach to health-systems to alert them of the topic nomination process so that these topics can be considered within the EPC program and discuss partnerships not unlike those AHRQ has with guideline groups and other Federal agencies. AHRQ and the EPCs can begin with the contacts made with health-systems from this project, contacts identified from the Spring 2017 EPC meeting, and contacts identified from the health-systems which have EPCs to form an advisory group and devise a strategy.7. Establish consistent and prominent branding of the EPC program and its products, ensure that the high-quality journal articles based on our reports are identified as part of the EPC program, and promote the EPC program as a source for timely and reliable reports to improve the quality, safety, and value of care.
Book Synopsis Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by : OECD
Download or read book Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Download or read book Making Health Care Safer written by and published by Department of Health and Human Services. This book was released on 2001 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This project aimed to collect and critically review the existing evidence on practices relevant to improving patient safety"--P. v.
Book Synopsis Crossing the Quality Chasm by : Institute of Medicine
Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-07-19 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Author :National Academy of Engineering Publisher :National Academies Press ISBN 13 :0309120640 Total Pages :340 pages Book Rating :4.3/5 (91 download)
Book Synopsis Engineering a Learning Healthcare System by : National Academy of Engineering
Download or read book Engineering a Learning Healthcare System written by National Academy of Engineering and published by National Academies Press. This book was released on 2011-07-14 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.
Book Synopsis Improving Health Systems' Access to High-quality Evidence by : Celia V. Fiordalisi
Download or read book Improving Health Systems' Access to High-quality Evidence written by Celia V. Fiordalisi and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: INTRODUCTION: Health systems want to use the best evidence available in their decision making, but they have limited time and resources to identify and evaluate evidence from systematic reviews. EPCs initiated a series of pilot projects in order to identify effective approaches to accelerate the uptake and implementation of evidence from systematic reviews. METHODS: EPCs developed, piloted, and evaluated nine products to facilitate dissemination or implementation of information from selected EPC systematic reviews in health systems. They conducted interviews with their health system partners to evaluate potential usability of their product. While the pilot projects were being evaluated, the EPCs met in person and used a nominal group technique to develop recommendations for the EPC Program, based on their lessons learned. After completion of reports and evaluations, the SRC conducted a content analysis of EPC pilot reports and of a semi-structured survey from all EPC projects. RESULTS: EPC products varied widely, ranging from dissemination products (e.g., short summaries of EPC reports) through interactive data visualization products (e.g., interactive maps) to implementation products (e.g., electronic health tools and decision aids). Most EPCs required additional expertise beyond the typical systematic review team and several needed to synthesize additional literature in order to develop their product. All required additional time to develop the products (range from 20 hours to 2,850 hours), which corresponded to the amount of additional information or expertise needed beyond the typical systematic review team. Dissemination products summarized results from systematic reviews and required on average 57 hours to develop. Interactive data visualizations used technology or software to enable an interactive interface with findings of reports and required on average 152 hours to develop. Implementation products helped health systems implement evidence into practice, and required on average 1,077 hours to develop. All but one health system reported the products would help them use evidence from systematic reviews in practice. Health systems found projects likely to improve dissemination and implementation of evidence reports by tailoring the information to suit health system needs. The only health system that reported the product would not help them implement evidence into practice was not currently facing a decisional dilemma related to the healthcare topic. CONCLUSIONS: Companion products may help health systems use findings from AHRQ evidence reviews. Dissemination products required the least time investment, while implementation products required the most. Alternative presentation formats may allow expert users and stakeholders to interact with evidence synthesis in a more meaningful and useful way. When planning a companion product, authors should work with health systems to understand the needs and decisional dilemmas, so that context-specific information can be gathered during the review and the report can be tailored to fit evidence needs. Companion products can augment reports to improve usefulness, but require additional time and resources. Different formats may be useful for different audiences and tailored content may be more useful than general summaries. Further research is needed to understand which formats are most effective in which contexts.
Book Synopsis The Quintessence of Basic and Clinical Research and Scientific Publishing by : Gowraganahalli Jagadeesh
Download or read book The Quintessence of Basic and Clinical Research and Scientific Publishing written by Gowraganahalli Jagadeesh and published by Springer Nature. This book was released on 2023-11-01 with total page 926 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book, intended for biomedical researchers, attempts to foster a comprehensive understanding of the elements that impact scientific research, such as clinical trial design, communication, and publication methods. It introduces the process of idea generation and creative/critical thinking, leading to the development of key concepts that coalesce into theoretical constructs and working hypotheses. The book systematically delineates research phases associated with a bench-to-bedside translational approach, providing the full depth and breadth of drug discovery and development: design, synthesis, and optimization of drug candidates interacting with targets linked to diseases, as well as clinical trial design to acquire substantial evidence of efficacy and safety for candidate drugs in the target patient population. New and evolving topics such as artificial intelligence, machine and deep learning, drug repurposing approaches, and bioinformatics, are incorporated into the text as these features are becoming integrated into drug research and development. Additionally, it covers publication strategies, including literature search, manuscript preparation, data presentation, relevant discussion, editorial processes, elements of peer review, and bibliometrics. Finally, the book addresses grantsmanship, key strategies for building effective networks, mentorships, maintaining research integrity, and forging career advancement opportunities, including entrepreneurship.
Book Synopsis Health Professions Education by : Institute of Medicine
Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Book Synopsis The Learning Healthcare System by : Institute of Medicine
Download or read book The Learning Healthcare System written by Institute of Medicine and published by National Academies Press. This book was released on 2007-06-01 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence-from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement-and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.
Book Synopsis Clinical Practice Guidelines We Can Trust by : Institute of Medicine
Download or read book Clinical Practice Guidelines We Can Trust written by Institute of Medicine and published by National Academies Press. This book was released on 2011-06-16 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.
Book Synopsis Finding What Works in Health Care by : Institute of Medicine
Download or read book Finding What Works in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2011-07-20 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.
Book Synopsis Evidence-Based Medicine and the Changing Nature of Health Care by : Institute of Medicine
Download or read book Evidence-Based Medicine and the Changing Nature of Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2008-09-06 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Author :U.S. Department of Health and Human Services Publisher :Createspace Independent Publishing Platform ISBN 13 :9781495302459 Total Pages :522 pages Book Rating :4.3/5 (24 download)
Book Synopsis Communication and Dissemination Strategies to Facilitate the Use of Health-Related Evidence by : U.S. Department of Health and Human Services
Download or read book Communication and Dissemination Strategies to Facilitate the Use of Health-Related Evidence written by U.S. Department of Health and Human Services and published by Createspace Independent Publishing Platform. This book was released on 2014-01-23 with total page 522 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Agency for Healthcare Research and Quality (AHRQ) sponsors research to improve the quality, effectiveness, and safety of health care in the United States. Evidence reports and technology assessments generated through AHRQ's Effective Health Care Program provide science-based information about common, relevant health conditions and technologies to serve the needs of patients, clinicians, insurance payers, and other end users. Evidence reports typically target scientific researchers in related fields, rather than the patients or clinicians who ultimately make health-related decisions. For this review, we view the evidence as moving along a continuum beginning with its collection and systematic review, followed by communicating and translating it for audiences as needed, diffusing and disseminating it, adopting and implementing it, and sustaining and evaluating its impact, with adjustments as needed. We define evidence as data that have been assembled, reviewed, and presented by evidence developers and that have been used to make recommendations. Our review included only the second and third phases in the evidence continuum: communication and dissemination. Clear communication and active dissemination of evidence to all relevant audiences in easy-to-understand formats are critical to increasing awareness, consideration, adoption, and use of evidence, and to accomplishing AHRQ's mission. By evaluating the comparative effectiveness of communication techniques and dissemination strategies, this review informs efforts to make evidence reports summarizing current research both more easily accessible for evidence translators, health educators, patients, and clinicians and more likely to be used to influence individual decisions, change practice, and inform future research. Due to the complexities of our topic, we present separate results for the three separate systematic reviews—one for communication, one for dissemination, and a third for uncertainty—each addressing a separate but related Key Question (KQ). Combined, these three separate reviews provide information on how to best translate and disseminate research-based evidence reports. This systematic review has three related components; all focus on promoting informed decisions about health-related behaviors and decisions among patients and clinicians. First, it addresses the comparative effectiveness of communicating evidence in various contents and formats that increase the likelihood that target audiences will both understand and use the information. Second, it examines the comparative effectiveness of a variety of approaches for disseminating evidence from those who develop it to those who are expected to use it. Third, it examines the comparative effectiveness of various ways of communicating uncertainty associated with health-related evidence to different target audiences, including evidence translators, health educators, patients, and clinicians. Key Question 1: Communication Strategies To Promote the Use of Health Care Evidence KQ: a. What is the comparative effectiveness of communication strategies to promote the use of health and health care evidence by patients and clinicians? b. How does the comparative effectiveness of communication strategies vary by patients and clinicians? Key Question 2: Dissemination Strategies To Promote the Use of Health Care Evidence KQ 2: a. What is the comparative effectiveness of dissemination strategies to promote the use of health and health care evidence for patients and clinicians? b. How does the comparative effectiveness of dissemination strategies vary by patients and clinicians? Key Question 3: Explaining Uncertain Evidence KQ3: What is the comparative effectiveness of different ways of explaining uncertain health and health care evidence to patients and clinicians?
Author :United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health Publisher : ISBN 13 : Total Pages :200 pages Book Rating :4.0/5 ( download)
Book Synopsis Legislative Proposals to Promote Electronic Health Records and a Smarter Information System by : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health
Download or read book Legislative Proposals to Promote Electronic Health Records and a Smarter Information System written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and published by . This book was released on 2006 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :Agency for Healthcare Research and Quality/AHRQ Publisher :Government Printing Office ISBN 13 :1587634333 Total Pages :385 pages Book Rating :4.5/5 (876 download)
Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ
Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Book Synopsis Web Interactive Presentation of EPC Reports by : Thomas A. Trikalinos
Download or read book Web Interactive Presentation of EPC Reports written by Thomas A. Trikalinos and published by . This book was released on 2019 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Systematic reviews are consumed by different types of users to address an ever-expanding set of questions and needs. It is unlikely that a single static report will efficiently satisfy the diverse needs of diverse users. It might be practical and satisfactory to give users the ability to generate their own report from the information produced by the systematic review. METHODS: We developed an open-source web-based interactive report presentation (IRP) of a systematic review on 14 nonsurgical treatments for Urinary Incontinence (UI) in women. We used data from a systematic review we conducted through the Agency for Healthcare Research and Quality Evidence-based Practice Center Program for the Patient Centered Outcomes Research Institute. We presented wireframes (mockups) of the IRP to a panel of three Duke Health System stakeholders in teleconferences, and incorporated their feedback in the final IR, which includes a visual representation of the evidence base, and allows users to access generic or detailed descriptive and analytic information through a point-and-click interface. Subsequently, the stakeholders piloted the IRP and evaluated its ease of use by answering open ended questions. We proposed a roadmap for scalable IRPs of systematic reviews starting from a thematic analysis of these suggestions. FINDINGS: The final tool (accessible at https://to1.infalliblekitty.com/#index) allows users to obtain descriptive and analytic results for a network of 14 treatment categories, various outcomes (cure, improvement, satisfaction, quality of life) and several subgroups (all women, older women, or those with stress or urge UI). Users can access descriptions overall or for specific sets of studies. The stakeholders were satisfied with the functionality of the tool, and commented on its ease of use. They proposed numerous augmentations, which we organized in themes of presentation (e.g., present information on numbers of trials on figures), analytic (e.g., allow on-the-fly subgroup analyses, explore tradeoffs between several outcomes) and information sharing (e.g., ability to import/export data from/to other software). A roadmap to satisfying these augmentations involves the following: (i) integrating analytic capabilities in the tool, (ii) incorporating ways to assess the tradeoffs between several distinct benefits and harms of interventions with minimal assumptions, (iii) defining an information technology standard for evidence synthesis objects (i.e., what information, in in what format, completely describes an evidence-base and its synthesis), and (iv) developing a rigorous representation of evidence synthesis objects as mathematical graphs that can be analyzed. CONCLUSIONS: In sum, we described a foray into an alternative view of a systematic review that complements a static systematic review report. Health system representatives found it useful and practical, and requested analytical, expository, and information sharing augmentations to the tool.
