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Download or read book Improving Access to and Usability of Systematic Review Data for Health Systems Guidelines Development written by and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Annette Marie Totten
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (11 download)
Download or read book Improving Access to and Usability of Systematic Review Data for Health Systems Guidelines Development written by Annette Marie Totten and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: OBJECTIVES: Evidence presented in systematic reviews informs the development of healthcare practice, guidelines, and policy. The inherent complexity and quantity of data in systemic reviews may impede understanding and use in decision processes, but little evidence exists on transforming large volumes of these data into accessible formats for end users. The objectives of this Evidence-based Practice Center (EPC) pilot project were (1) to identify the information needs of health systems guideline/protocol developers; (2) to assess existing, off-the-shelf software or Web platforms that would allow creation of interactive presentations of systematic review data in formats that would address the identified needs, and (3) to test the ability of selected software/platforms to make the large amount of data included in a recent systematic review of chronic pain management more accessible for decision makers at Oregon Health & Science University. METHODS: To develop and test alternative formats for dissemination, we assessed stakeholder needs through qualitative interviews with a department director and four health system content experts. We reviewed interview notes and identified the key themes in team discussion, and arrived at consensus. We then conducted a literature search regarding core functionalities desired in evidence summaries and systematic reviews, as described by the content experts. Next, we compared recommendations from the content experts and the literature search to several existing software tools in order to select two tools for the pilot test. We imported data from a recent systematic review on chronic pain into the selected tools to mock up example outputs. Finally, we solicited reactions from the department director and six health system content experts (four of whom were interviewed initially) on the mocked-up report examples in terms of accessibility and utility, and we based recommendations for next steps on these assessments and our experience. RESULTS: The key theme that emerged from the initial interviews with content experts was the need for two core functionalities: the ability to drill down from a general overview to specific more information and the ability to select subsets of evidence from a larger review. We identified two tools that provided these functions and that met our other criteria: MAGICapp is a platform for evidence summaries; Tableau is a data management and visualization tool. MAGICapp required less time and skill to mock up, as the data were entered manually into the Web-based platform, while Tableau required more time and a staff member with knowledge of informatics such as the ability to set up the relational databases for the dashboard. MAGICapp parameters required the data output to follow the structure of the pain review and allowed users to drill down to granular detail; Tableau allowed users to explore evidence without adhering to the organization of the review, but could not provide the granularity found in MAGICapp. Neither of the two tools we tested were able to fulfill both core functionalities, drilling down to specific study data and reviewing subsets of evidence outside the confines of the organization of the pain review. The second round of health system content expert interviews provided positive feedback on the products, aesthetically as well as for their potential functionality. Respondents perceived Tableau as ideal for content experts reviewing data, as the functionality allows users to query the data in multiple ways. Respondents perceived MAGICapp as the better choice for multidisciplinary groups or decision makers less familiar with the data, given the tool's organized structure and capacity for explanatory text. The two key themes from the second-round interviews and our evaluation were (1) the need for the learning health system administrators to consider the level of expertise of the end users, as those with more or less familiarity with a set of data may require the granularity of MAGICapp or the freedom of Tableau and (2) the need for EPCs to test one or both prototype in an actual review from the beginning in order to accurately estimate what additional staff time and expertise is needed to prepare, import, and manage data beyond the traditional EPC report formats. CONCLUSIONS: The results of this "proof-of-concept" prototype development demonstrate that existing tools could be used to make large systematic reviews more accessible and usable. However, an individual tool may not have the capacity to provide all desired functionalities, and each tool has differing requirements for time, data management, and staff expertise. To better understand the actual time required, the data storage needs, implications for EPCs and learning health systems, and issues related to Section 508 accessibility standards and government data rights, we recommend a follow-on pilot be conducted to allow systematic review teams to test these tools as integrated components of one or a small number of future reviews. This follow-on research would provide realistic data on the resources needed to generate systematic reviews in alternative formats and allow further assessment of whether these formats can increase uptake of EPC reports within learning health systems.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309164257
Total Pages : 267 pages
Book Rating : 4.3/5 (91 download)
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.
Author : F. Lau
Publisher : IOS Press
ISBN 13 : 1614999511
Total Pages : 570 pages
Book Rating : 4.6/5 (149 download)
Download or read book Improving Usability, Safety and Patient Outcomes with Health Information Technology written by F. Lau and published by IOS Press. This book was released on 2019-03-26 with total page 570 pages. Available in PDF, EPUB and Kindle. Book excerpt: Information technology is revolutionizing healthcare, and the uptake of health information technologies is rising, but scientific research and industrial and governmental support will be needed if these technologies are to be implemented effectively to build capacity at regional, national and global levels. This book, "Improving Usability, Safety and Patient Outcomes with Health Information Technology", presents papers from the Information Technology and Communications in Health conference, ITCH 2019, held in Victoria, Canada from 14 to 17 February 2019. The conference takes a multi-perspective view of what is needed to move technology forward to sustained and widespread use by transitioning research findings and approaches into practice. Topics range from improvements in usability and training and the need for new and improved designs for information systems, user interfaces and interoperable solutions, to governmental policy, mandates, initiatives and the need for regulation. The knowledge and insights gained from the ITCH 2019 conference will surely stimulate fruitful discussions and collaboration to bridge research and practice and improve usability, safety and patient outcomes, and the book will be of interest to all those associated with the development, implementation and delivery of health IT solutions.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309216710
Total Pages : 267 pages
Book Rating : 4.3/5 (92 download)
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 2011-06-20 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.
Author : Heidi D. Nelson
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1469885468
Total Pages : 448 pages
Book Rating : 4.4/5 (698 download)
Download or read book Systematic Reviews to Answer Health Care Questions written by Heidi D. Nelson and published by Lippincott Williams & Wilkins. This book was released on 2014-05-29 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: Systematic Evidence Reviews to Answer Health Care Questions is your most effective, A-to-Z guide to conducting thorough, comprehensive systematic reviews. By breaking down topics and essential steps, this volume teaches you how to form key questions, select evidence, and perform illuminating review not just in predictable circumstances, but when basic rules don’t apply—honing your ability to think critically and solve problems. You’ll learn how to define a review’s purpose and scope, develop research questions, build a team, and even manage your project to maximize efficacy. If you’re looking to refine your approach to systematic reviews, don’t just catalog and collect; use this powerful text to evaluate, synthesize, and deliver results that will help shape the health care industry. FEATURES Presented in standard format throughout to allow for more practical, easy to read approach Provides useful instruction on how to conduct a high-quality systematic review that meets the recent standards of the Institute of Medicine Accessible, concise information about the state-of-the-art methods of systematic review, from key question formulation to assessing the quality of included studies and reporting results Illustrated throughout with real-world examples from systematic reviews that have been used to inform practice guidelines and health policy
Author : Matthias Egger
Publisher : John Wiley & Sons
ISBN 13 : 1405160500
Total Pages : 612 pages
Book Rating : 4.4/5 (51 download)
Download or read book Systematic Reviews in Health Research written by Matthias Egger and published by John Wiley & Sons. This book was released on 2022-06-21 with total page 612 pages. Available in PDF, EPUB and Kindle. Book excerpt: Systematic Reviews in Health Research Explore the cutting-edge of systematic reviews in healthcare In this Third Edition of the classic Systematic Reviews textbook, now titled Systematic Reviews in Health Research, a team of distinguished researchers deliver a comprehensive and authoritative guide to the rapidly evolving area of systematic reviews and meta-analysis. The book demonstrates why systematic reviews—when conducted properly—provide the highest quality evidence on clinical and public health interventions and shows how they contribute to inference in many other contexts. The new edition reflects the broad role of systematic reviews, including: Twelve new chapters, covering additional study designs, methods and software, for example, on genetic association studies, prediction models, prevalence studies, network and dose-response meta-analysis Thorough update of 15 chapters focusing on systematic reviews of interventions Access to a companion website offering supplementary materials and practical exercises (www.systematic-reviews3.org) A key text for health researchers, Systematic Reviews in Health Research is also an indispensable resource for practitioners, students, and instructors in the health sciences needing to understand research synthesis.
Author : Celia V. Fiordalisi
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (114 download)
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.
Author : Jennifer Lin
Publisher :
ISBN 13 :
Total Pages : 18 pages
Book Rating : 4.:/5 (117 download)
Download or read book Integrating Health System Data with Systematic Reviews written by Jennifer Lin and published by . This book was released on 2020 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: Systematic reviews are an important and necessary source of information to improve healthcare delivery; however, reviews of the existing research are often insufficient to address the decision-making needs of health systems. Incorporating data from health systems into traditional systematic reviews may be one way to improve their utility. In this paper, we map out ways in which health system data can be used with systematic reviews, articulate the scenarios for when health system data may be most helpful to use alongside systematic reviews (i.e., to improve the strength of evidence, to improve the applicability of evidence, and to improve the implementation of evidence), and discuss the importance of framing the limitations and considerations when using unpublished health system data in reviews (i.e., critical appraisal to understand the study design biases as well as limitations in information and data quality). To develop this framework, we used examples identified through literature searches and affiliations with four health systems that have the ability to use both internal and external evidence to support their clinical operations. Finally, we also offer recommendations to systematic reviewers who choose to integrate health system data and possible next steps in developing processes and capacity to routinely conduct this type of work.
Author : National Academy of Engineering
Publisher : National Academies Press
ISBN 13 : 0309120640
Total Pages : 340 pages
Book Rating : 4.3/5 (91 download)
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.
Author : Laura Sampietro-Colom
Publisher : Springer
ISBN 13 : 3319392050
Total Pages : 384 pages
Book Rating : 4.3/5 (193 download)
Download or read book Hospital-Based Health Technology Assessment written by Laura Sampietro-Colom and published by Springer. This book was released on 2017-01-23 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: A timely work describing how localized hospital-based health technology assessment (HB-HTA) complements general, ‘arms-length’ HTA agency efforts, and what has been the collective global impact of HB-HTA across the globe. While HB-HTA has gained significant momentum over the past few years, expertise in the field, and information on the operation and organization of HB-HTA, has been scattered. This book serves to bring this information together to inform those who are currently working in the field of HTA at the hospital, regional, national or global level. In addition, this book is intended for decision-makers and policy-makers with a stake in determining the uptake and decommissioning of new and established technologies in the hospital setting. HTA has traditionally been performed at the National/Regional level by HTA Agencies, typically linked to governments. Yet hospitals are the main entry door for most health technologies (HTs). Hospital decision-makers must undertake multiple high stakes investment and disinvestment decisions annually for innovative HTs, usually without adequate information. Despite the existence of arms-length HTA Agencies, inadequate information is available to hospital decision-makers either because relevant HTA reports are not yet released at the time of entry of new technologies to the field, or because even when the report exists, the information contained is insufficient to clarify the contextualized informational needs of hospital decision makers. Therefore, there has recently been a rising trend toward hospital-based HTA units and programs. These units/programs complement the work of National/Regional HTA Agencies by providing the key and relevant evidence needed by hospital decision makers in their specific hospital context, and within required decision-making timelines. The emergence of HB-HTA is creating a comprehensive HTA ecosystem across health care levels, which creates better bridges for knowledge translation through relevance and timeliness.
Author : Edward Purssell
Publisher : Springer Nature
ISBN 13 : 3030496724
Total Pages : 188 pages
Book Rating : 4.0/5 (34 download)
Download or read book How to Perform a Systematic Literature Review written by Edward Purssell and published by Springer Nature. This book was released on 2020-08-04 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: The systematic review is a rigorous method of collating and synthesizing evidence from multiple studies, producing a whole greater than the sum of parts. This textbook is an authoritative and accessible guide to an activity that is often found overwhelming. The authors steer readers on a logical, sequential path through the process, taking account of the different needs of researchers, students and practitioners. Practical guidance is provided on the fundamentals of systematic reviewing and also on advanced techniques such as meta-analysis. Examples are given in each chapter, with a succinct glossary to support the text. This up-to-date, accessible textbook will satisfy the needs of students, practitioners and educators in the sphere of healthcare, and contribute to improving the quality of evidence-based practice. The authors will advise some freely available or inexpensive open source/access resources (such as PubMed, R and Zotero) to help students how to perform a systemic review, in particular those with limited resources.
Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 030949690X
Total Pages : 223 pages
Book Rating : 4.3/5 (94 download)
Download or read book Framing Opioid Prescribing Guidelines for Acute Pain written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-02-20 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain indications. The recommendations of this study will assist professional societies, health care organizations, and local, state, and national agencies to develop clinical practice guidelines for opioid prescribing for acute pain. Such a framework could inform the development of opioid prescribing guidelines and ensure systematic and standardized methods for evaluating evidence, translating knowledge, and formulating recommendations for practice.
Author : Charles Michael White
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (13 download)
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.
Author : U. S. Department of Veterans Affairs
Publisher : Createspace Independent Pub
ISBN 13 : 9781489591647
Total Pages : 66 pages
Book Rating : 4.5/5 (916 download)
Download or read book Systematic Review: Secure Messaging Between Providers and Patients, and Patients' Access to Their Own Medical Record written by U. S. Department of Veterans Affairs and published by Createspace Independent Pub. This book was released on 2013-05-28 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: As internet access and the use of mobile devices becomes more widely available, and as it is increasingly used by patients to access health information, many healthcare systems are capitalizing on this trend by offering patients electronic methods to communicate with providers and to learn about their health and medical problems. Some organizations or practices have developed stand-alone systems that allow for secure messaging between patients and their providers. Others, particularly those with existing electronic health record systems (EHRs), are developing companion applications specifically designed for patients that give patients access to email communication, access to their medical records and to test reports, and access to educational information on preventive care or disease-specific care. Much of this development is based on a perception that this is something that patients desire; and, that these systems will enhance patient satisfaction, improve care or make it more efficient. As the Veterans Health Administration (VHA) expands the capabilities of its personal health record system, My HealtheVet (MHV), and places greater emphasis on encouraging its use, it is interested in understanding how best to prioritize different functionalities and which of them will provide the greatest benefits to Veterans. This systematic review was designed to evaluate the literature surrounding secure messaging systems and electronic applications that give patients access to their own medical records, specifically investigating the evidence that these systems improve health outcomes, patient satisfaction, healthcare utilization and efficiency, and adherence. Additionally, the review examined studies that evaluated attitudes, particularly regarding patients having online access to their own medical information; and specific patient characteristics associated with use of personal health record systems. The review distinguished between electronic systems that were “tethered” or tied to existing healthcare institution systems similar to how MHV is tethered to VHA's EHR, versus those that were “stand-alone.” The key questions were: Key Question #1. What is the association between secure messaging and health outcomes, patient satisfaction, adherence, efficiency or utilization, or automated email? Key Question #2. What is the association between patient access to their own medical record and health outcomes, patient satisfaction, adherence, efficiency or utilization, and attitudes about access?
Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 030949687X
Total Pages : 223 pages
Book Rating : 4.3/5 (94 download)
Download or read book Framing Opioid Prescribing Guidelines for Acute Pain written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-03-20 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain indications. The recommendations of this study will assist professional societies, health care organizations, and local, state, and national agencies to develop clinical practice guidelines for opioid prescribing for acute pain. Such a framework could inform the development of opioid prescribing guidelines and ensure systematic and standardized methods for evaluating evidence, translating knowledge, and formulating recommendations for practice.
Author :
Publisher :
ISBN 13 : 9781900640473
Total Pages : 281 pages
Book Rating : 4.6/5 (44 download)
Download or read book Systematic Reviews written by and published by . This book was released on 2009 with total page 281 pages. Available in PDF, EPUB and Kindle. Book excerpt: For adults. There is a pressing need for methodologically sound RCTs to confirm whether such interventions are helpful and, if so, for whom.
