Using the Agency for Healthcare Research and Quality patient safety indicators for targeting nursing quality improvement. Quick access to statistics from the NIH Data Book and annual reports produced by the NIH OER’s Division of Information Services. Benefits from drugs are small. Results: To sign up for updates or to access your subscriberpreferences, please enter your email address below. HSR and PCR conducted across HHS agencies is mostly complementary and not duplicative, with distinct missions and areas of focus, such as research organized around specific diseases, body systems, populations, or injuries, and research focusing on prevention and health promotion. 7������0�IY����w��Z�|,��qi`�y���k��00����$��ݿ��_��)� Methods: Data Sources: HHS should explore methods for funding both HSR and PCR that support more rapid, engaged approaches, such as learning health system models, and find new approaches to dissemination to improve healthcare for all Americans. USA.gov.  |  [1], 39.062254-77.112757Koordinaten: 39° 3′ 44,1″ N, 77° 6′ 45,9″ W, Ministerium für Gesundheitspflege und Soziale Dienste der Vereinigten Staaten, http://www.leitlinien.de/glossar/ahrq-agency-for-healthcare-research-and-quality, https://de.wikipedia.org/w/index.php?title=Agency_for_Healthcare_Research_and_Quality&oldid=185293540, Organisation (Montgomery County, Maryland), „Creative Commons Attribution/Share Alike“.  |  Women determine treatment satisfaction and success according to clinically important reductions in UI frequency as recorded in voiding diaries and with clinically important improvements on condition-specific quality-of-life scales. Discontinuation of treatment due to adverse effects occurred in one woman for every 33 treated with fesoterodine (NNT=33, 95 percent CI, 18 to 102), 16 with oxybutynin (NNT=16, 95 percent CI, 8 to 86), 56 with trospium (NNT=56, 95 percent CI, 30 to 228), and 78 with solifenacin (NNT=78, 95 percent CI, 39 to 823). We identified four types of interventions: hyperventilation reduction breathing techniques, yoga breathing techniques, inspiratory muscle training (IMT), and other nonhyperventilation reduction breathing techniques. Author information: (1)Oregon Evidence-based Practice Center, Kaiser Permanente Center for Health Research Benefits from pelvic floor muscle training, bladder training, and electrical stimulation are large, and adverse effects are uncommon. Internet Citation: Health Services and Primary Care Research Study. There are opportunities for new types of HSR that can improve HSR’s impact. AHRQ is excited to work with our Federal partners and stakeholders to analyze the potential of these recommendations to increase the impact in HSR and PCR across the Federal enterprise in order to achieve our goal of improving healthcare for all Americans. Ihr Sitz ist Rockville, Maryland. Evidence about long-term adherence to and safety of all available treatments is insufficient. To examine evidence for whether breathing exercises and retraining techniques lead to improvements in asthma symptoms, reductions in asthma medication use, improved quality of life, or improved pulmonary function in asthma sufferers. C AHRQ Comparative Effectiveness Reviews. Die Agency for Healthcare Research and Quality, oder kurz AHRQ, ist eine US-amerikanische Behörde, die dem Ministerium für Gesundheitspflege und Soziale Dienste der Vereinigten Staaten unterstellt ist. While the study builds upon the 2018 National Academies of Medicine “Future of HSR” report, the RAND study is the first attempt to categorize HSR projects funded by HHS agencies according to their audiences and topic areas. COVID-19 is an emerging, rapidly evolving situation. https://www.ahrq.gov/healthsystemsresearch/hspc-research-study/index.html. Њ HOME>CRS Home>Agency for Healthcare Research and Quality (AHRQ), Funding levels reported in the Fiscal Year 2012 Intra-Agency Collaborations Reporting System (CRS) may not be consistent with funding levels reported under the Estimates of Funding for Various Research, Condition, and Disease Categories (RCDC) at the NIH Office of Budget Website at, Intra-Agency Collaborations Reporting System (CRS), NIH Participating Institutes/Centers/ Office of the Director, U.S. Department of Health & Human Services, ACD Biomedical Workforce Working Group Data, Data Book: The NIH-Funded Research Workforce, Data Book: NIH Research Training Grants and Fellowships, Data Book: Research Career Development Awards, Data Book: National Statistics on Graduate Students, Data Book: National Statistics on Postdocs, Commission on Professionals in Science and Technology, FASEB Education and Employment Data Compilation, NIH Collaborations with Other HHS Agencies, The National Academies: NIH-Funded Reports, Department of Energy Office of Science and Technical Information, NSF National Center for Science and Engineering Statistics, Administration for Children and Families (ACF), Administration for Community Living (ACL), Agency for Healthcare Research and Quality (AHRQ), Agency for Toxic Substances and Disease Registry (ATSDR), Centers for Disease Control and Prevention (CDC), Centers for Medicare & Medicaid Services (CMS), Health Resources and Services Administration (HRSA), Substance Abuse and Mental Health Services Administration (SAMHSA), Registry of Patient Registries (RoPR) Project, Research to Improve Health and Longevity of People with Severe Mental Illness, Ruth L. Kirschstein National Research Service Award Program, https://report.nih.gov/categorical_spending.aspx, U.S. Department of Health and Human Services. Rockville, MD 20857 The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) represent quality measures that make use of a hospital's available administrative data to inform improvement. endstream endobj 2490 0 obj <>/Metadata 151 0 R/Outlines 356 0 R/PageLayout/OneColumn/Pages 2478 0 R/StructTreeRoot 397 0 R/Type/Catalog>> endobj 2491 0 obj <>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 2492 0 obj <>stream : 12-EHC092-EF. Prioritization and Coordination—improve processes across agencies in strategic planning; HHS data systems, especially for intramural work and contracts; proactive review for potential overlap; and funding to allow proactive coordination, cooperation, prioritization, and innovation. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error, Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness [Internet]. Final Report Early Evidence on the Patient-Centered Medical Home ... February 2012 . These impacts are often cumulative across agencies’ portfolios. Some of the findings applied to both areas: Following their thorough investigation of the Federal HSR and PCR research endeavors over the study period, the researchers from RAND fulfilled the congressional directive of proposing strategies for cross-enterprise coordination with recommendations in three areas that were overarching for both research topics: While the study authors reached similar conclusions and recommendations for both research topics, Section 7 of the full RAND report lists more detailed approaches to improve the impact of HSR and PCR. Please enable it to take advantage of the complete set of features! h�bbd```b``~"�I0Y "Y�H�3 ��D���� ��̮���"%���E r��d���-�8=A�@�T �3�p�` : Environmental scan and portfolio analysis. endstream endobj startxref �]xg���^���! 2489 0 obj <> endobj The agency is headquartered in North Bethesda, Maryland, a suburb of Washington, D.C. (with a Rockville mailing address). HSR has made a difference in patients’ lives and is vital for improving the quality, safety, and value of healthcare for all Americans. Improvement in UI and quality of life were examined using different definitions, which hampered the synthesis of evidence. 0 %%EOF Consolidates all information about NIH-supported extramural organizations in a single tool. h޴���8��K���i;~&�T! Behavioral approaches that include hyperventilation reduction techniques can improve asthma symptoms or reduce reliever medication use over 6 to 12 months in adults with poorly controlled asthma and have no known harmful effects. Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Author information: (1)Center for Healthcare Policy and Research, University of California-Davis, UC Davis Medical Center, 2103 Stockton Blvd., Sacramento, CA 95817, USA. Key findings from the RAND study are presented below; select for the summary and full report (PDF, 1.5 MB;). The AHRQ uses a system of quality indicators to determine the standards of quality health care and if a particular provider is meeting those standards. Februar 2019 um 19:57 Uhr bearbeitet. Impacts and challenges to assessing and achieving impacts.  |  Rockville (MD): Agency for Healthcare Research and Quality (US); 2012 Sep. Report No. Analytic framework, Key Questions, and review protocol were developed with input from Key Informants and technical experts. AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund. Limited evidence suggested yoga breathing may improve pulmonary function in adults in addition to reducing asthma symptoms, but medication use was rarely reported and applicability to the United States was very low. Ihr Sitz ist Rockville, Maryland.Sie wurde 1989 gegründet. With distinct missions and focus areas, HHS agencies play unique roles in PCR funding. Sie unterhält verschiedene Programme, um die Qualität im amerikanischen Gesundheitswesen zu verbessern. In 2018, Congress directed the Agency for Healthcare Research and Quality (AHRQ) to commission an independent assessment of federally funded health services research (HSR) and primary care research (PCR) since 2012 to identify research gaps and to propose strategies for better coordination across the Federal enterprise. Report No. Provides basic summary statistics on extramural grants and contract awards. We calculated pooled absolute risk differences to estimate the number needed to treat (NNT) to achieve continence or avoid harms with random effects models. Options for improving the outcomes, value, and impact of future research. Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Prevention/Care Management. ��!�>�5E��{�8FQ7�&&[��O8Ֆӈ�������yiՋv��k���ߥ�E��C�. ����I��IF��$aBFVR���[ T8)$\Z?��� rN""(�38%�G��}���-N�:��ϋy�B�M� endstream endobj 2493 0 obj <>stream The only harms of breathing retraining techniques identified were minor annoyances associated with mouth-taping. Clipboard, Search History, and several other advanced features are temporarily unavailable. Weight loss improved UI in obese women.  |  Die Agency for Healthcare Research and Quality, oder kurz AHRQ, ist eine US-amerikanische Behörde, die dem Ministerium für Gesundheitspflege und Soziale Dienste der Vereinigten Staaten unterstellt ist. �&�l�6����l~�iŧ�s�|���d��3 Sie wurde 1989 gegründet. AHRQ contracted with the RAND Corporation to conduct this independent analysis. H�*�2P0P034R0�4R(J� Continence was achieved in one woman with urgency UI for every eight women treated with fesoterodine (NNT 8, 95 percent CI [confidence interval], 5 to 17), 12 with tolterodine (NNT=12, 95 percent CI, 8 to 25), nine with oxybutynin (NNT=9, 95 percent CI, 6 to 16), nine with solifenacin (NNT=9, 95 percent CI, 6 to 17), and nine with trospium (NNT=9, 95 percent CI, 7 to 12).