Developing a Protocol for Observational Comparative Effectiveness Research: A User's Guide

Developing a Protocol for Observational Comparative Effectiveness Research: A User's Guide
Author: Agency for Health Care Research and Quality (U.S.)
Publisher: Government Printing Office
Total Pages: 236
Release: 2013-02-21
Genre: Medical
ISBN: 1587634236

This User’s Guide is a resource for investigators and stakeholders who develop and review observational comparative effectiveness research protocols. It explains how to (1) identify key considerations and best practices for research design; (2) build a protocol based on these standards and best practices; and (3) judge the adequacy and completeness of a protocol. Eleven chapters cover all aspects of research design, including: developing study objectives, defining and refining study questions, addressing the heterogeneity of treatment effect, characterizing exposure, selecting a comparator, defining and measuring outcomes, and identifying optimal data sources. Checklists of guidance and key considerations for protocols are provided at the end of each chapter. 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. More more information, please consult the Agency website: www.effectivehealthcare.ahrq.gov)

Patient-Reported Outcomes in Performance Measurement

Patient-Reported Outcomes in Performance Measurement
Author: David Cella
Publisher: RTI Press
Total Pages: 97
Release: 2015-09-17
Genre: Medical
ISBN: 193483114X

Patient-reported outcomes (PROs) are measures of how patients feel or what they are able to do in the context of their health status; PROs are reports, usually on questionnaires, about a patient's health conditions, health behaviors, or experiences with health care that individuals report directly, without modification of responses by clinicians or others; thus, they directly reflect the voice of the patient. PROs cover domains such as physical health, mental and emotional health, functioning, symptoms and symptom burden, and health behaviors. They are relevant for many activities: helping patients and their clinicians make informed decisions about health care, monitoring the progress of care, setting policies for coverage and reimbursement of health services, improving the quality of health care services, and tracking or reporting on the performance of health care delivery organizations. We address the major methodological issues related to choosing, administering, and using PROs for these purposes, particularly in clinical practice settings. We include a framework for best practices in selecting PROs, focusing on choosing appropriate methods and modes for administering PRO measures to accommodate patients with diverse linguistic, cultural, educational, and functional skills, understanding measures developed through both classic and modern test theory, and addressing complex issues relating to scoring and analyzing PRO data.

Outcome Assessment in Advanced Practice Nursing

Outcome Assessment in Advanced Practice Nursing
Author: Ruth M. Kleinpell
Publisher: Springer Publishing Company
Total Pages: 298
Release: 2004-01-15
Genre: Medical
ISBN: 9780826116291

This book provides up-to-date resources and examples of outcome measures, tools and methods that can be used by APNs in their quest to keep pace with new developments in the rapidly expanding field of outcome measurement. The chapter authors, recognized expert practitioners, offer invaluable insight into the process of conducting outcomes assessments in all APN practice, including the clinical nurse, nurse practitioner, certified registered nurse anesthetist and certified nurse midwife practice specialties. Detailed figures, tables, and examples of outcome studies from actual research in APN practice make this an essential resource for evaluating the true impact the advanced practice nurse has on the delivery and fulfillment of care.

The Clinical Application of Outcomes Assessment

The Clinical Application of Outcomes Assessment
Author: Steven G. Yeomans
Publisher: McGraw-Hill Professional Publishing
Total Pages: 728
Release: 2000
Genre: Medical
ISBN:

A much-needed, across-the-board overview of the use and application of outcome assessment (OA) and functional testing in chiropractic, including selection criteria, utility, scoring, interpretation, and validity. Features chapter outlines, clinical tips, clinical alerts, extensive tables, and case studies for easy access to information. Appendix features over 200 key tools and forms, including the "gold standards."

Outcome Assessment in Advanced Practice Nursing, Second Edition

Outcome Assessment in Advanced Practice Nursing, Second Edition
Author: Ruth M. Kleinpell, PhD, ACNP-BC, FAAN, FAANP, FCCM
Publisher: Springer Publishing Company
Total Pages: 326
Release: 2009-02-26
Genre: Medical
ISBN: 0826125832

Winner of an AJN Book of the Year Award for 2009! Designated a Doody's Core Title! "This is an excellent and timely tool for advanced practice nurses." Score: 100, 5 stars --Doody's "This book serves as an ideal tool for assisting APNs in gaining an understanding of the process of outcomes assessment....[A] useful resource for APN students, researchers, educators, and administrators...." --Gail L. Ingersoll, EdD, RN, FAAN Director, Center for Outcomes Measurement and Practice Innovation Loretta Ford Professor of Nursing University of Rochester Medical Center (From the Foreword) Measuring patient outcomes is arguably the most important job of the advanced practice nurse (APN)-yet conducting outcome assessment and selecting the appropriate instruments for measuring outcome continue to be a challenge, even to the best in the field. This newly revised edition provides APNs with up-to-date resources and examples of outcome measures, tools, and methods that can be used to expand the APN's understanding of outcome assessment. The chapters outline numerous examples of practice-based outcome assessments, with detailed descriptions of how an assessment is conducted, as well as guidelines for identifying the proper instruments for measuring outcome. New to this edition: An extensively updated literature review on outcome measurement A new chapter on outcomes assessment in primary care and ambulatory settings Guidelines for locating instruments and measures for assessment Information on an ongoing international initiative focusing on the development of an APN research data collection toolkit Written for nurse practitioners, clinical nurse specialists, certified nurse midwives, certified registered nurse anesthetists, and graduate level APNs, this newly updated edition serves as an invaluable resource for APNs, regardless of specialty area of practice or practice setting.

Registries for Evaluating Patient Outcomes

Registries for Evaluating Patient Outcomes
Author: Agency for Healthcare Research and Quality/AHRQ
Publisher: Government Printing Office
Total Pages: 385
Release: 2014-04-01
Genre: Medical
ISBN: 1587634333

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.

Outcome Assessment in Advanced Practice Nursing

Outcome Assessment in Advanced Practice Nursing
Author: Ruth M. Kleinpell, PhD, ACNP-BC, FAAN, FAANP, FCCM
Publisher: Springer Publishing Company
Total Pages: 369
Release: 2013-04-22
Genre: Medical
ISBN: 0826110487

Awarded first place in the 2013 AJN Book of the Year Awards in the Advanced Practice Nursing category Named a Doody's Core Title "This is an excellent and timely tool for advanced practice nurses." Score: 100, 5 stars -Doody's Medical Reviews Measuring the results of APN care has become increasingly important as a way to demonstrate the significant impact of APN nurses on practice outcomes. The third edition of this award-winning volume has been updated to provide the most current knowledge, perspectives, and research on assessing outcomes of APN care. It addresses not only the health outcomes of APN practice but the economic impact of APN care as well. Chapters discuss outcome measurement in all areas of advance practice nursing, including identifying outcomes in specialty areas and in community and ambulatory settings. The text provides detailed descriptions of how to conduct outcomes assessments, how to locate the most current instruments and measures for APN assessment, and perspectives on international initiatives in APN assessment. Examples of outcomes studies at the DNP level are culled from the most current published projects. Written by expert practitioners, educators, and researchers in APN outcomes assessment, this book will provide the essential information to help all APNs-regardless of specialty area or practice setting-to increase their skill level in designing outcomes-focused clinical research, selecting instruments, and analyzing outcomes data as critical components of their professional practice role. The third edition is completely updated and expanded to include: A new chapter on assessing outcomes at the DNP level through data gained from the most current research An expanded literature review on outcomes measurement research Guidelines for selecting assessment instruments Perspectives on an international initiative for the development of an APN research data collection toolkit New chapter objectives and critical discussion questions Updated web links

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies
Author: OECD
Publisher: OECD Publishing
Total Pages: 447
Release: 2019-10-17
Genre:
ISBN: 9264805907

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.