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https://www.readbyqxmd.com/read/29333139/a-framework-for-an-alternatives-assessment-dashboard-for-evaluating-chemical-alternatives-applied-to-flame-retardants-for-electronic-applications
#1
Todd M Martin
The goal of alternatives assessment (AA) is to facilitate a comparison of alternatives to a chemical of concern, resulting in the identification of safer alternatives. A two stage methodology for comparing chemical alternatives was developed. In the first stage, alternatives are compared using a variety of human health effects, ecotoxicity, and physicochemical properties. Hazard profiles are completed using a variety of online sources and quantitative structure activity relationship models. In the second stage, alternatives are evaluated utilizing an exposure/risk assessment over the entire life cycle...
May 1, 2017: Clean Technologies and Environmental Policy
https://www.readbyqxmd.com/read/29325440/case-mix-adjustment-of-the-bereaved-family-survey
#2
Ann Kutney-Lee, Joan Carpenter, Dawn Smith, Joshua Thorpe, Alina Tudose, Mary Ersek
Surveys of bereaved family members are increasingly being used to evaluate end-of-life (EOL) care and to measure organizational performance in EOL care quality. The Bereaved Family Survey (BFS) is used to monitor EOL care quality and benchmark performance in the Veterans Affairs (VA) health-care system. The objective of this study was to develop a case-mix adjustment model for the BFS and to examine changes in facility-level scores following adjustment, in order to provide fair comparisons across facilities...
January 1, 2018: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29317464/using-report-cards-and-dashboards-to-drive-quality-improvement-lessons-learnt-and-lessons-still-to-learn
#3
Noah M Ivers, Jon Barrett
No abstract text is available yet for this article.
January 9, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29311200/remote-patient-management-in-automated-peritoneal-dialysis-a-promising-new-tool
#4
Valérie Jotterand Drepper, Pierre-Yves Martin, Catherine Stoermann Chopard, James A Sloand
Remote patient management (RPM) has the potential to help clinicians detect early issues, allowing intervention prior to development of more significant problems. A 23-year-old end-stage kidney disease patient required urgent start of renal replacement therapy. A newly available automated peritoneal dialysis (APD) RPM system with cloud-based connectivity was implemented in her care. Pre-defined RPM threshold parameters were set to identify clinically relevant issues. Red flag dashboard alerts heralded prolonged drain times leading to clinical evaluation with subsequent diagnosis of and surgical repositioning for catheter displacement, although it took several days for newly-RPM-exposed staff to recognize this issue...
January 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/29295811/stage-based-mobile-intervention-for-substance-use-disorders-in-primary-care-development-and-test-of-acceptability
#5
Deborah Levesque, Cindy Umanzor, Emma de Aguiar
BACKGROUND: In 2016, 21 million Americans aged 12 years and older needed treatment for a substance use disorder (SUD). However, only 10% to 11% of individuals requiring SUD treatment received it. Given their access to patients, primary care providers are in a unique position to perform universal Screening, Brief Intervention, and Referral to Treatment (SBIRT) to identify individuals at risk, fill gaps in services, and make referrals to specialty treatment when indicated. Major barriers to SBIRT include limited time among providers and low motivation to change among many patients...
January 2, 2018: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29273926/a-dutch-nationwide-bariatric-quality-registry-dato
#6
Youri Q M Poelemeijer, Ronald S L Liem, Simon W Nienhuijs
INTRODUCTION: In the Netherlands, the number of bariatric procedures increased exponentially in the 90s. To ensure and improve the quality of bariatric surgery, the nationwide Dutch Audit for Treatment of Obesity (DATO) was established in 2014. The audit was coordinated by the Dutch Institute for Clinical Auditing (DICA). This article provides a review of the aforementioned process in establishing a nationwide registry in the Netherlands. MATERIALS AND METHODS: In collaboration with the DATO's scientific committee and other stakeholders, an annual list of several external quality indicators was formulated...
December 22, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29261820/a-method-for-attributing-patient-level-metrics-to-rotating-providers-in-an-inpatient-setting
#7
Carrie A Herzke, Henry J Michtalik, Nowella Durkin, Joseph Finkelstein, Amy Deutschendorf, Jason Miller, Curtis Leung, Daniel J Brotman
BACKGROUND: Individual provider performance drives group metrics, and increasingly, individual providers are held accountable for these metrics. However, appropriate attribution can be challenging, particularly when multiple providers care for a single patient. OBJECTIVE: We sought to develop and operationalize individual provider scorecards that fairly attribute patient-level metrics, such as length of stay and patient satisfaction, to individual hospitalists involved in each patient's care...
December 20, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29236539/no-equity-no-triple-aim-strategic-proposals-to-advance-health-equity-in-a-volatile-policy-environment
#8
Geoffrey W Wilkinson, Alan Sager, Sara Selig, Richard Antonelli, Samantha Morton, Gail Hirsch, Celeste Reid Lee, Abigail Ortiz, Durrell Fox, Monica Valdes Lupi, Cecilia Acuff, Madeline Wachman
Health professionals, including social workers, community health workers, public health workers, and licensed health care providers, share common interests and responsibilities in promoting health equity and improving social determinants of health-the conditions in which people live, work, play, and learn. We summarize the underlying causes of health inequity and comparatively poor health outcomes in the United States. We describe barriers to realizing the hope embedded in the 2010 Patient Protection and Affordable Care Act, that moving away from fee-for-service payments will naturally drive care upstream as providers respond to greater financial risk by undertaking greater prevention efforts for the health of their patients...
December 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29229592/a-human-centered-platform-for-hiv-infection-reduction-in-new-york-development-and-usage-analysis-of-the-ending-the-epidemic-ete-dashboard
#9
Ashish Joshi, Chioma Amadi, Benjamin Katz, Sarah Kulkarni, Denis Nash
BACKGROUND: Dashboards have been increasingly used in clinic-based interventions, such as clinical performance improvement and monitoring risk of hospital readmissions, and are now gaining traction in population-based interventions, especially in disease assessment. OBJECTIVE: We describe the design, development, and usage analysis of a geovisualization dashboard, the Ending the Epidemic (ETE) Dashboard. The ETE dashboard is a tool developed to track New York's progress towards achieving the goal of its ETE Initiative, to reduce new HIV infections from 3000 per year to 750 per year by the end of 2020...
December 11, 2017: JMIR Public Health and Surveillance
https://www.readbyqxmd.com/read/29226448/better-measurement-for-performance-improvement-in-low-and-middle-income-countries-the-primary-health-care-performance-initiative-phcpi-experience-of-conceptual-framework-development-and-indicator-selection
#10
Jeremy Veillard, Krycia Cowling, Asaf Bitton, Hannah Ratcliffe, Meredith Kimball, Shannon Barkley, Laure Mercereau, Ethan Wong, Chelsea Taylor, Lisa R Hirschhorn, Hong Wang
Policy Points: Strengthening accountability through better measurement and reporting is vital to ensure progress in improving quality primary health care (PHC) systems and achieving universal health coverage (UHC). The Primary Health Care Performance Initiative (PHCPI) provides national decision makers and global stakeholders with opportunities to benchmark and accelerate performance improvement through better performance measurement. Results from the initial PHC performance assessments in low- and middle-income countries (LMICs) are helping guide PHC reforms and investments and improve the PHCPI's instruments and indicators...
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29220450/ctd2-dashboard-a-searchable-web-interface-to-connect-validated-results-from-the-cancer-target-discovery-and-development-network
#11
Bülent Arman Aksoy, Vlado Dancík, Kenneth Smith, Jessica N Mazerik, Zhou Ji, Benjamin Gross, Olga Nikolova, Nadia Jaber, Andrea Califano, Stuart L Schreiber, Daniela S Gerhard, Leandro C Hermida, Subhashini Jagu, Chris Sander, Aris Floratos, Paul A Clemons
https://ctd2-dashboard.nci.nih.gov/.
January 1, 2017: Database: the Journal of Biological Databases and Curation
https://www.readbyqxmd.com/read/29204228/evaluation-of-effective-dashboards-key-concepts-and-criteria
#12
Mahtab Karami, Mostafa Langarizadeh, Mansoor Fatehi
Objective: The aim of this study is to offer appropriate criteria to evaluate effective dashboards for healthcare organizations. Method: In a Delphi study, a team of information technology consultants were asked to determine a set of user interface requirements for evaluating, building or selecting the dashboard. In the first round, a list of main features or criteria to be used was determined based on the panel's rating,. Results: In this study, it was revealed that a set of key criteria for evaluating the dashboards can be used for all types of dashboards...
2017: Open Medical Informatics Journal
https://www.readbyqxmd.com/read/29185060/the-comptox-chemistry-dashboard-a-community-data-resource-for-environmental-chemistry
#13
Antony J Williams, Christopher M Grulke, Jeff Edwards, Andrew D McEachran, Kamel Mansouri, Nancy C Baker, Grace Patlewicz, Imran Shah, John F Wambaugh, Richard S Judson, Ann M Richard
Despite an abundance of online databases providing access to chemical data, there is increasing demand for high-quality, structure-curated, open data to meet the various needs of the environmental sciences and computational toxicology communities. The U.S. Environmental Protection Agency's (EPA) web-based CompTox Chemistry Dashboard is addressing these needs by integrating diverse types of relevant domain data through a cheminformatics layer, built upon a database of curated substances linked to chemical structures...
November 28, 2017: Journal of Cheminformatics
https://www.readbyqxmd.com/read/29182974/suspect-screening-and-non-targeted-analysis-of-drinking-water-using-point-of-use-filters
#14
Seth R Newton, Rebecca L McMahen, Jon R Sobus, Kamel Mansouri, Antony J Williams, Andrew D McEachran, Mark J Strynar
Monitored contaminants in drinking water represent a small portion of the total compounds present, many of which may be relevant to human health. To understand the totality of human exposure to compounds in drinking water, broader monitoring methods are imperative. In an effort to more fully characterize the drinking water exposome, point-of-use water filtration devices (Brita® filters) were employed to collect time-integrated drinking water samples in a pilot study of nine North Carolina homes. A suspect screening analysis was performed by matching high resolution mass spectra of unknown features to molecular formulas from EPA's DSSTox database...
November 25, 2017: Environmental Pollution
https://www.readbyqxmd.com/read/29175856/effect-of-a-population-level-performance-dashboard-intervention-on-maternal-newborn-outcomes-an-interrupted-time-series-study
#15
Deborah Weiss, Sandra I Dunn, Ann E Sprague, Deshayne B Fell, Jeremy M Grimshaw, Elizabeth Darling, Ian D Graham, JoAnn Harrold, Graeme N Smith, Wendy E Peterson, Jessica Reszel, Andrea Lanes, Mark C Walker, Monica Taljaard
OBJECTIVES: To assess the effect of the Maternal Newborn Dashboard on six key clinical performance indicators in the province of Ontario, Canada. DESIGN: Interrupted time series using population-based data from the provincial birth registry covering a 3-year period before implementation of the Dashboard and 2.5 years after implementation (November 2009 through March 2015). SETTING: All hospitals in the province of Ontario providing maternal-newborn care (n=94)...
November 24, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29173787/therapeutic-drug-monitoring-in-inflammatory-bowel-disease-history-and-future-directions
#16
REVIEW
Elizabeth A Spencer, Marla C Dubinsky
Clinical trials for the most effective drugs in the armamentarium of medications for inflammatory bowel disease (IBD) have shown only a 50-60% response rate, and this drops to 30% in maintenance. However, therapeutic drug monitoring (TDM) to adjust dosing to account for patient-specific characteristics, which has been shown to improve outcomes, was not utilized in these trials. This review will detail the development of TDM within the IBD space as it evolved from thiopurines to biologics and continues to evolve with loftier treat-to-target goals and more sophisticated dashboard systems...
December 2017: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/29173289/user-centered-collaborative-design-and-development-of-an-inpatient-safety-dashboard
#17
Eli Mlaver, Jeffrey L Schnipper, Robert B Boxer, Dominic J Breuer, Esteban F Gershanik, Patricia C Dykes, Anthony F Massaro, James Benneyan, David W Bates, Lisa S Lehmann
Patient safety remains a key concern in hospital care. This article summarizes the iterative participatory development, features, functions, and preliminary evaluation of a patient safety dashboard for interdisciplinary rounding teams on inpatient medical services. This electronic health record (EHR)-embedded dashboard collects real-time data covering 13 safety domains through web services and applies logic to generate stratified alerts with an interactive check-box function. The technological infrastructure is adaptable to other EHR environments...
December 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29159719/effect-of-a-real-time-electronic-dashboard-on-a-rapid-response-system
#18
Grant S Fletcher, Barry A Aaronson, Andrew A White, Reena Julka
A rapid response system (RRS) may have limited effectiveness when inpatient providers fail to recognize signs of early patient decompensation. We evaluated the impact of an electronic medical record (EMR)-based alerting dashboard on outcomes associated with RRS activation. We used a repeated treatment study in which the dashboard display was successively turned on and off each week for ten 2-week cycles over a 20-week period on the inpatient acute care wards of an academic medical center. The Rapid Response Team (RRT) dashboard displayed all hospital patients in a single view ranked by severity score, updated in real time...
November 20, 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/29151719/reducing-social-distress-for-chronic-disease-patients-in-primary-care-an-intervention-for-latino-type-2-diabetes-patients-seen-at-community-health-centers
#19
Nancy A Allen, Sofija Zagarins, Garry Welch
Background: Social and behavioral factors have important direct and indirect effects on chronic disease onset and progression. The U.S. health care system is beginning to focus on assessment and management of social and behavioral problems through federal mandates related to meaningful use of electronic health records and improved patient outcomes. Methods: We examined the clinical adoption of a 20-item screening tool to measure social distress focusing on type 2 diabetes...
November 2017: Diabetes Spectrum: a Publication of the American Diabetes Association
https://www.readbyqxmd.com/read/29132696/development-and-validation-of-an-automated-ventilator-associated-event-electronic-surveillance-system-a-report-of-a-successful-implementation
#20
Courtney Hebert, Jennifer Flaherty, Justin Smyer, Jing Ding, Julie E Mangino
BACKGROUND: Surveillance is an important tool for infection control; however, this task can often be time-consuming and take away from infection prevention activities. With the increasing availability of comprehensive electronic health records, there is an opportunity to automate these surveillance activities. The objective of this article is to describe the implementation of an electronic algorithm for ventilator-associated events (VAEs) at a large academic medical center METHODS: This article reports on a 6-month manual validation of a dashboard for VAEs...
November 10, 2017: American Journal of Infection Control
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