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https://www.readbyqxmd.com/read/28920651/acs-case-reviews-in-surgery-and-ahrq-safety-program-for-eras-new-acs-programs-enhance-quality-patient-care
#1
Whitney Greer, Stacey McSwine
No abstract text is available yet for this article.
April 2017: Bulletin of the American College of Surgeons
https://www.readbyqxmd.com/read/28857964/author-response-for-identifying-increased-risk-of-readmission-and-in-hospital-mortality-using-hospital-administrative-data-the-ahrq-elixhauser-comorbidity-index
#2
Brian J Moore, Anne Elixhauser
No abstract text is available yet for this article.
August 28, 2017: Medical Care
https://www.readbyqxmd.com/read/28825846/sleep-disturbance-in-smokers-with-preserved-pulmonary-function-and-chronic-obstructive-pulmonary-disease
#3
Lucas M Donovan, Peter J Rise, Shannon S Carson, Laura C Feemster, Matthew F Griffith, Vishesh K Kapur, Jerry A Krishnan, Peter K Lindenauer, Richard A Mularski, Edward T Naureckas, Brian N Palen, Elizabeth C Parsons, Laura J Spece, Michael V Vitiello, David H Au
RATIONALE: Sleep disturbance frequently affects patients with chronic obstructive pulmonary disease (COPD), and is associated with reduced quality of life and poorer outcomes. Recent data indicate that smokers with preserved pulmonary function have clinical symptoms similar to those meeting spirometric criteria for COPD, but little is known about the driving factors for sleep disturbance in this population of emerging interest. OBJECTIVES: To compare the magnitude and correlates of sleep disturbance between smokers with preserved pulmonary function and those with airflow obstruction...
August 21, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28818633/patient-and-caregiver-reported-assessment-tools-for-palliative-care-summary-of-the-2017-ahrq-technical-brief
#4
Rebecca Aslakson, Sydney M Dy, Renee F Wilson, Julie Waldfogel, Allen Zhang, Sarina R Isenberg, Alex Blair, Joshua Sixon, Karen A Robinson
CONTEXT: Assessment tools are data collection instruments that are completed by or with patients or caregivers and which collect data at the individual patient or caregiver level. OBJECTIVES: To (1) summarize palliative care assessment tools completed by or with patients or caregivers, and (2) identify needs for future tool development and evaluation. METHODS: We completed: (1) a systematic review of systematic reviews; (2) a supplemental search of previous reviews and websites, and/or (3) a targeted search for primary articles when no tools existed in a domain...
August 14, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28797562/surgical-technical-evidence-review-for-colorectal-surgery-conducted-for-the-ahrq-safety-program-for-improving-surgical-care-and-recovery
#5
REVIEW
Kristen A Ban, Melinda M Gibbons, Clifford Y Ko, Elizabeth C Wick
No abstract text is available yet for this article.
August 7, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28789734/new-paths-to-professional-nursing-using-encouragement-to-prepare-a-minority-workforce-to-enter-the-nursing-profession
#6
Elisheba Haqq-Stevens, Kathleen E Zavotsky, Sarah Kelly, Christopher Duffy, Claudia Pagani, Myrna Young, Lori Colineri
The current professional nursing workforce in the United States is predominantly White and female, even though minorities compose 33% of the national population (Travers, Smaldone, & Cohn, 2015). Minority patients are more effectively cared for when their particular cultural milieu is taken into consideration as part of their health care plan (Sullivan, 2004). According to the Agency for Healthcare Research and Quality (AHRQ), health care quality remains suboptimal for diverse populations in the United States because some individuals do not receive quality care or do not believe their values are honored or respected (AHRQ, 2016)...
August 1, 2017: Creative Nursing
https://www.readbyqxmd.com/read/28763112/systematic-literature-review-of-clinical-trials-evaluating-pharmacotherapy-for-overactive-bladder-in-elderly-patients-an-assessment-of-trial-quality
#7
REVIEW
Kristin D Kistler, Yingxin Xu, Kelly H Zou, Fady Ntanios, Douglass S Chapman, Xuemei Luo
AIMS: Overactive bladder (OAB) disproportionately affects older-aged adults, yet most randomized controlled trials (RCTs) underrepresent patients ≥65. This systematic literature review (SLR) identified RCTs evaluating β-3 adrenergic agonists or muscarinic antagonists in elderly patients with OAB, and compared study quality across trials. METHODS: MEDLINE(®) , Embase(®) , and Cochrane Collaboration Central Register of Clinical Trials databases were searched from inception through April 28, 2015 to identify published, peer-reviewed RCT reports evaluating β-3 adrenergic agonists or muscarinic antagonists in elderly OAB patients (either ≥65 years or study-described as "elderly")...
August 1, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28720516/ahrq-series-on-complex-intervention-systematic-reviews-paper-6-prisma-ci-extension-statement-checklist
#8
Jeanne-Marie Guise, Mary E Butler, Christine Chang, Meera Viswanathan, Terri Pigott, Peter Tugwell
BACKGROUND: Complex interventions are widely used in health systems, public health, education, and communities and are increasingly the subject of systematic reviews. Oversimplification and inconsistencies in reporting about complex interventions can limit the usability of review findings. RATIONALE: While guidance exists to ensure that reports of individual studies and systematic reviews adhere to accepted scientific standards, their design-specific focus leaves important reporting gaps relative to complex interventions in health care...
June 28, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28720515/ahrq-series-on-complex-intervention-systematic-reviews-paper-4-selecting-analytic-approaches
#9
Meera Viswanathan, Melissa L McPheeters, M Hassan Murad, Mary E Butler, Emily E Beth Devine, Michele P Dyson, Jeanne-Marie Guise, Leila C Kahwati, Jeremy N V Miles, Sally C Morton
BACKGROUND: Systematic reviews of complex interventions can vary widely in purpose, data availability and heterogeneity, and stakeholder expectations. RATIONALE: This article addresses the uncertainty that systematic reviewers face in selecting methods for reviews of complex interventions. Specifically, it lays out parameters for systematic reviewers to consider when selecting analytic approaches that best answer the questions at hand and suggests analytic techniques that may be appropriate in different circumstances...
July 15, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28720514/ahrq-series-on-complex-intervention-systematic-reviews-paper-2-defining-complexity-formulating-scope-and-questions
#10
Michael P Kelly, Jane Noyes, Robert L Kane, Christine Chang, Stacey Uhl, Karen A Robinson, Stacey Springs, Mary E Butler, Jeanne-Marie Guise
BACKGROUND: The early stages of a systematic review set the scope and expectations. This can be particularly challenging for complex interventions given their multidimensional and dynamic nature. RATIONALE: This paper builds on concepts introduced in paper 1 of this series. It describes the methodological, practical, and philosophical challenges and potential approaches for formulating the questions and scope of systematic reviews of complex interventions. Furthermore, it discusses the use of theory to help organize reviews of complex interventions...
July 15, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28720513/ahrq-series-on-complex-intervention-systematic-reviews-paper-7-prisma-ci-elaboration-and-explanation
#11
Jeanne-Marie Guise, Mary Butler, Christine Chang, Meera Viswanathan, Terri Pigott, Peter Tugwell
BACKGROUND: Complex interventions are widely used in health care, public health, education, criminology, social work, business, and welfare. They have increasingly become the subject of systematic reviews and are challenging to effectively report. The Complex Interventions Methods Workgroup developed an extension to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Complex Interventions (PRISMA-CI). RATIONALE: Following the EQUATOR Network guidance for Preferred Reporting Items for Systematic Reviews and Meta-Analysis extensions, this Explanation and Elaboration (EE) document accompanies the PRISMA-CI checklist to promote consistency in reporting of systematic reviews of complex interventions...
July 15, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28720512/ahrq-series-on-complex-intervention-systematic-reviews-paper-5-advanced-analytic-methods
#12
Terri Pigott, Jane Noyes, Craig A Umscheid, Evan Myers, Sally C Morton, Rongwei Fu, Gillian D Sanders-Schmidler, Emily E Beth Devine, M Hassan Murad, Michael P Kelly, Chris Fonnesbeck, Mark Petticrew, Leila Kahwati, S Natasha Beretvas
BACKGROUND: Advanced analytic methods for synthesizing evidence about complex interventions continue to be developed. In this paper, we emphasize that the specific research question posed in the review should be used as a guide for choosing the appropriate analytic method. RATIONALE: We present advanced analytic approaches that address four common questions that guide reviews of complex interventions: 1) How effective is the intervention?; 2) For whom does the intervention work and in what contexts?; 3) What happens when the intervention is implemented?; and 4) What decisions are possible given the results of the synthesis? DISCUSSION: The analytic approaches presented in this paper are particularly useful when each primary study differs in components, mechanisms of action, context, implementation, timing, and many other domains...
June 27, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28720511/ahrq-series-on-complex-intervention-systematic-reviews-paper-1-an-introduction-to-a-series-of-papers-that-provide-guidance-and-tools-for-reviews-of-complex-interventions
#13
Jeanne-Marie Guise, Christine Chang, Mary E Butler, Meera Viswanathan, Peter Tugwell
No abstract text is available yet for this article.
June 27, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28720510/ahrq-series-on-complex-intervention-systematic-reviews-paper-3-adapting-frameworks-to-develop-protocols
#14
Mary Butler, Richard A Epstein, Annette Totten, Evelyn P Whitlock, Mohammed T Ansari, Laura J Damschroder, Ethan Balk, Eric B Bass, Nancy D Berkman, Susanne Hempel, Suchitra Iyer, Karen Schoelles, Jeanne-Marie Guise
BACKGROUND: Once a proposed topic has been identified for a systematic review and has undergone a question formulation stage, a protocol must be developed that specifies the scope and research questions in detail and outlines the methodology for conducting the systematic review. RATIONALE: Framework modifications are often needed to accommodate increased complexity. We describe and give examples of adaptations and alternatives to traditional analytic frameworks...
July 15, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28699567/developing-a-similarity-searching-module-for-patient-safety-event-reporting-system-using-semantic-similarity-measures
#15
Hong Kang, Yang Gong
BACKGROUND: The most important knowledge in the field of patient safety is regarding the prevention and reduction of patient safety events (PSE) during treatment and care. The similarities and patterns among the events may otherwise go unnoticed if they are not properly reported and analyzed. There is an urgent need for developing a PSE reporting system that can dynamically measure the similarities of the events and thus promote event analysis and learning effect. METHODS: In this study, three prevailing algorithms of semantic similarity were implemented to measure the similarities of the 366 PSE annotated by the taxonomy of The Agency for Healthcare Research and Quality (AHRQ)...
July 5, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28671907/communication-training-adverse-events-and-quality-measures-2-retrospective-database-analyses-in-washington-state-hospitals
#16
Ian R Slade, Sara J Beck, C Bradley Kramer, Rebecca G Symons, Michael Cusumano, David R Flum, Thomas H Gallagher, Emily Beth Devine
OBJECTIVE: Washington State's HealthPact program was launched in 2011 as part of AHRQ's Patient Safety and Medical Liability Reform initiative. HealthPact delivered interdisciplinary communication training to health-care professionals with the goal of enhancing safety. We conducted 2 exploratory, retrospective database analyses to investigate training impact on the frequency of adverse events (AEs) and select quality measures across 3 time frames: pretraining (2009-2011), transition (2012), and posttraining (2013)...
June 30, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28658091/assessing-estimates-of-patient-safety-derived-from-coded-data
#17
Wazim Narain
The Agency for Healthcare Research and Quality (AHRQ) developed Patient Safety Indicators (PSI) with the goal of detecting and preventing adverse events using administrative data. Use of PSIs to measure safety and quality of care raises questions since they rely heavily on coded data. The goal of this paper is to review literature on AHRQ PSIs, specifically their accuracy in detecting adverse events, and how recent coding changes affect the accuracy of these estimates. The Healthcare Utilization Project (HCUP) National Inpatient Sample (NIS) contains data on more than seven million hospital stays yearly...
July 2017: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/28655476/quality-measures-in-orthopaedic-sports-medicine-a%C3%A2-systematic-review
#18
REVIEW
Geoffrey D Abrams, Daniel R Greenberg, Jason L Dragoo, Marc R Safran, Robin N Kamal
PURPOSE: To report the current quality measures that are applicable to orthopaedic sports medicine physicians. METHODS: Six databases were searched with a customized search term to identify quality measures relevant to orthopaedic sports medicine surgeons: MEDLINE/PubMed, EMBASE, the National Quality Forum (NQF) Quality Positioning System (QPS), the Agency for Healthcare Research and Quality (AHRQ) National Quality Measures Clearinghouse (NQMC), the Physician Quality Reporting System (PQRS) database, and the American Academy of Orthopaedic Surgeons (AAOS) website...
June 24, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28645569/impact-of-end-stage-kidney-disease-on-costs-and-outcomes-of-clostridium-difficile-infection
#19
Abhinav Goyal, Kshitij Chatterjee, Sujani Yadlapati, Janani Rangaswami
OBJECTIVES: To assess the impact of end stage kidney disease (ESKD) on the outcomes of Clostridium difficile infection (CDI), including complications of infection, length of hospital stay, overall mortality, and healthcare burden. METHODS: The National Inpatient Sample (NIS) database created by the Agency of Healthcare Research and Quality (AHRQ) was used, covering the years 2009 through 2013. Manufacturer-provided sampling weights were used to produce national estimates...
June 20, 2017: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/28566014/assessing-the-culture-of-safety-in-cardiovascular-perfusion-attitudes-and-perceptions
#20
Chad Lawson, Megan Predella, Allison Rowden, Jamie Goldstein, Joseph J Sistino, David C Fitzgerald
INTRODUCTION: The Hospital Survey on Patient Safety Culture was developed by the Agency for Healthcare Research and Quality (AHRQ) to assess the culture of safety in hospitals. The purpose of this study was to identify specific domains of perfusion that are indicators of a high quality culture of safety. METHODS: Perfusionists were recruited to participate in the survey through email invitation through Perflist, Perfmail and LinkedIn. The survey consisted of 37 questions across six safety domains...
May 1, 2017: Perfusion
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