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  1. Article ; Online: Update Alert 11: Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers.

    Chou, Roger / Dana, Tracy / Buckley, David I / Selph, Shelley / Fu, Rongwei / Totten, Annette M

    Annals of internal medicine

    2022  Volume 175, Issue 8, Page(s) W83–W84

    MeSH term(s) Coronavirus Infections/epidemiology ; Health Personnel ; Humans ; Risk Factors
    Language English
    Publishing date 2022-07-12
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/L22-0235
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Update Alert 10: Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers.

    Chou, Roger / Dana, Tracy / Buckley, David I / Selph, Shelley / Fu, Rongwei / Totten, Annette M

    Annals of internal medicine

    2021  Volume 175, Issue 1, Page(s) W8–W9

    Language English
    Publishing date 2021-11-16
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/M21-4294
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Update Alert 9: Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers.

    Chou, Roger / Dana, Tracy / Selph, Shelley / Totten, Annette M / Buckley, David I / Fu, Rongwei

    Annals of internal medicine

    2021  Volume 174, Issue 7, Page(s) W63–W64

    Language English
    Publishing date 2021-06-01
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/L21-0302
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Update Alert 8: Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers.

    Chou, Roger / Dana, Tracy / Buckley, David I / Selph, Shelley / Fu, Rongwei / Totten, Annette M

    Annals of internal medicine

    2021  Volume 174, Issue 5, Page(s) W48–W49

    MeSH term(s) Coronavirus Infections/epidemiology ; Health Personnel ; Humans ; Risk Factors
    Language English
    Publishing date 2021-03-30
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/L21-0143
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Update Alert 7: Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers.

    Chou, Roger / Dana, Tracy / Selph, Shelley / Totten, Annette M / Buckley, David I / Fu, Rongwei

    Annals of internal medicine

    2021  Volume 174, Issue 4, Page(s) W45–W46

    MeSH term(s) Coronavirus Infections/epidemiology ; Health Personnel ; Humans ; Risk Factors
    Language English
    Publishing date 2021-02-09
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/L21-0034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Emergency Department Implementation of the Brain Trauma Foundation's Pediatric Severe Brain Injury Guideline Recommendations.

    Lumba-Brown, Angela / Totten, Annette / Kochanek, Patrick M

    Pediatric emergency care

    2019  Volume 36, Issue 4, Page(s) e239–e241

    Abstract: The "Guidelines for the Management of Pediatric Severe Traumatic Brain Injury, Third Edition: Update of the Brain Trauma Foundation Guidelines" published in Pediatric Critical Care Medicine in 2019 provides new and updated recommendations applicable to ... ...

    Abstract The "Guidelines for the Management of Pediatric Severe Traumatic Brain Injury, Third Edition: Update of the Brain Trauma Foundation Guidelines" published in Pediatric Critical Care Medicine in 2019 provides new and updated recommendations applicable to the emergency department management of children with severe traumatic brain injury. Practice-changing takeaways include specific recommendations for administration of 3% hypertonic saline, administration of seizure prophylaxis, and avoiding hyperventilation.
    MeSH term(s) Brain Injuries, Traumatic/therapy ; Child ; Emergency Service, Hospital/standards ; Glasgow Coma Scale ; Health Plan Implementation ; Humans ; Pediatrics/standards ; Practice Guidelines as Topic ; Saline Solution, Hypertonic/therapeutic use
    Chemical Substances Saline Solution, Hypertonic
    Language English
    Publishing date 2019-12-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 632588-9
    ISSN 1535-1815 ; 0749-5161
    ISSN (online) 1535-1815
    ISSN 0749-5161
    DOI 10.1097/PEC.0000000000001903
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Book ; Online: Telehealth

    Totten, Annette M

    mapping the evidence for patient outcomes from systematic reviews

    (Technical brief ; number 26 ; AHRQ publication ; no. 16-EHC034-EF)

    2016  

    Abstract: BACKGROUND: Telehealth includes a wide range of technologies used to fulfill many functions in in health care for patients with a variety of clinical conditions. For this evidence map, telehealth is defined as the use of information and ... ...

    Institution United States. / Agency for Healthcare Research and Quality,
    Oregon Health & Science University. / Pacific Northwest Evidence-based Practice Center,
    Effective Health Care Program (U.S.)
    Author's details investigators: Annette M. Totten, Dana M. Womack, Karen B. Eden, Marian S. McDonagh, Jessica C. Griffin, Sara Grusing, William R. Hersh
    Series title Technical brief ; number 26
    AHRQ publication ; no. 16-EHC034-EF
    Abstract BACKGROUND: Telehealth includes a wide range of technologies used to fulfill many functions in in health care for patients with a variety of clinical conditions. For this evidence map, telehealth is defined as the use of information and telecommunications technology in health care delivery for a specific patient involving a provider across distance or time. Various types of telehealth interventions have been evaluated in thousands of research studies and hundreds of systematic reviews. The vast size of the literature and the variations in how the literature has been collected, evaluated, and synthesized make it challenging to determine what is known about the effectiveness of telehealth for specific purposes and what questions remain unanswered. PURPOSE: The purpose of this brief is to provide an overview of the large and disparate body of evidence about telehealth for use by decisionmakers. The approach used was to create an evidence map of systematic reviews published to date that assess the impact of telehealth on clinical outcomes. This evidence map describes a limited number of key characteristics of the systematic reviews currently available in order to evaluate the bodies of evidence available to inform practice, policy, and research decisions about telehealth. METHODS: An evidence map is a specific type of rapid or abbreviated review. While the creation of the evidence map is based on systematic review methodology, its goal is to describe rather than synthesize available research and to use graphics when possible to represent selected characteristics of the evidence. We included systematic reviews that synthesized the impact of telehealth interventions on clinical outcomes, utilization, or cost. We created bubble plots to separately examine the distribution of the evidence from systematic reviews in terms of volume (number of reviews, number of patients in the included studies), conclusions about benefit by clinical focus area, and telehealth function. We also determined how much evidence is available about combinations of clinical areas and telehealth functions reported in existing systematic reviews. We supplemented this by summarizing the topics covered in excluded reviews and the results of exploratory searches for primary studies on selected topics in order to assess the need for future systematic reviews or primary studies in key telehealth domains. FINDINGS: We identified 1,494 citations about telehealth, from which 58 systematic reviews met our inclusion criteria. A large volume of research reported that telehealth interventions produce positive outcomes when used for remote patient monitoring, broadly defined, for several chronic conditions and for psychotherapy as part of behavioral health. The most consistent benefit has been reported when telehealth is used for communication and counseling or remote monitoring in chronic conditions such as cardiovascular and respiratory disease, with improvements in outcomes such as mortality, quality of life, and reductions in hospital admissions. Given sufficient evidence of effectiveness for these topics, the focus of future research should shift to implementation and practice-based research. Topics with an evidence base that could be the focus of future systematic reviews include telehealth for consultation, uses in intensive care units, and applications in maternal and child health. We also identified topics with a limited evidence base such as telehealth for triage in urgent/primary care, management of serious pediatric conditions, patient outcomes for teledermatology, and the integration of behavioral and physical health that may be best addressed by additional primary research. Finally, telehealth research should be integrated into evaluation of new models of care and payment so that the potential of telehealth can be assessed across the continuum of care in organizations that are implementing these reforms. Box 1 below summarizes the key messages of this report.
    MeSH term(s) Telemedicine ; Patient Outcome Assessment ; Comparative Effectiveness Research ; Decision Making
    Language English
    Size 1 online resource (1 PDF file (various pagings)) :, illustrations.
    Document type Book ; Online
    Database Catalogue of the US National Library of Medicine (NLM)

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  8. Book ; Online: Home-based primary care interventions

    Totten, Annette M

    (Comparative effectiveness review ; number 164 ; AHRQ publication ; No. 15(16)-EHC036-EF)

    2016  

    Abstract: OBJECTIVE: To assess the available evidence about home-based primary care (HBPC) interventions for adults with serious or disabling chronic conditions. DATA SOURCES: Articles from January 1998 through May 2015 were identified using Ovid MEDLINE(r), ... ...

    Institution United States. / Agency for Healthcare Research and Quality,
    Oregon Health & Science University. / Pacific Northwest Evidence-based Practice Center.
    Effective Health Care Program (U.S.)
    Author's details investigators: Annette M. Totten, E. Foy White-Chu, Ngoc Wasson, Emily Morgan, Devan Kansagara, Cynthia Davis-O'Reilly, Sarah Goodlin
    Series title Comparative effectiveness review ; number 164
    AHRQ publication ; No. 15(16)-EHC036-EF
    Abstract OBJECTIVE: To assess the available evidence about home-based primary care (HBPC) interventions for adults with serious or disabling chronic conditions. DATA SOURCES: Articles from January 1998 through May 2015 were identified using Ovid MEDLINE(r), CINAHL(r), ClinicalTrials.gov, Cochrane Database of Systematic Reviews, reference lists, and gray literature databases. REVIEW METHODS: We included randomized controlled trials (RCTs) and observational studies of HBPC, including home visits by a primary care provider, longitudinal management, and comprehensive care. Study quality was assessed, data extracted, and results summarized qualitatively. RESULTS: We identified 4,406 citations and reviewed 221 full-text articles; 19 studies were included. Two were RCTs, while 17 were observational studies. The strongest evidence (moderate) was that HBPC reduces hospitalizations and hospital days. Reductions in emergency and specialty visits and in costs were supported by less strong evidence, while no or unclear effects were identified on hospital readmissions and nursing home days. Evidence about clinical outcomes was limited to studies that reported no significant differences in function or mortality. HBPC had a positive impact on patient and caregiver experience, including satisfaction, quality of life, and caregiver needs, but the strength of evidence for these outcomes was low. In studies that reported on the impact of patient characteristics, moderate evidence indicated that frail or sicker patients are more likely than others to benefit from HBPC. No identified studies assessed the impact of organizational characteristics. No adverse events were reported. Only one study examined the potential for a negative impact; none was found. The services included in the HBPC interventions varied widely, and no identifiable combination was related to more positive outcomes. We identified four studies that evaluated the addition of specific services. Combining palliative care and primary care home visits increased the likelihood of death at home (2 studies; low strength of evidence), while studies on adding caregiver support (1 study) or transitional care (1 study) to HBPC were rated as having insufficient evidence. CONCLUSIONS: Current research evidence is generally positive, providing moderate-strength evidence that HBPC reduces use of inpatient care and providing low-strength evidence about its impact on use of other health services, costs, and patient and caregiver experience. Future research should focus on the content and organizational context of HBPC interventions so that experiences can be replicated or improved on by others. Additional research is also needed about which patients benefit most from HBPC and how HBPC can best be used in the continuum of care.
    MeSH term(s) Home Care Services ; Patient Outcome Assessment ; Comparative Effectiveness Research ; Chronic Disease ; Randomized Controlled Trials as Topic
    Language English
    Size 1 online resource (1 PDF file (various pagings)) :, illustrations.
    Document type Book ; Online
    Note At head of title: Effective Health Care Program.
    Database Catalogue of the US National Library of Medicine (NLM)

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  9. Article ; Online: Visual Evidence: Increasing Usability of Systematic Reviews in Health Systems Guidelines Development.

    Smith, Connor J / Jungbauer, Rebecca M / Totten, Annette M

    Applied clinical informatics

    2019  Volume 10, Issue 4, Page(s) 743–750

    Abstract: Background: Integration of evidence from systematic reviews is an essential step in the development of clinical guidelines. The current practice for reporting uses a static structure that does not allow for dynamic investigation. A need exists for an ... ...

    Abstract Background: Integration of evidence from systematic reviews is an essential step in the development of clinical guidelines. The current practice for reporting uses a static structure that does not allow for dynamic investigation. A need exists for an alternate reporting modality to facilitate dynamic visualization of results to match different end-users' queries.
    Objectives: We developed a dynamic visualization of data from a systematic review using the commercial product Tableau and assessed its potential to permit customized inquiries.
    Methods: Data were selected and extracted from a previously completed systematic review. The resulting dataset was then used to develop an interactive, web-based report designed for use by a guidelines development committee.
    Results: A novel example of combining existing reporting standards for systematic review data and modern reporting tools was developed to investigate potential benefits of a dynamic report. Demonstrations of the report to clinicians sitting on previous and future guideline committees received positive feedback for its potential benefit in guidelines development. The report received a runner-up award during the design challenge at the 2018 Workshop on Visual Analytics in Health Care.
    Conclusion: The use of interactive, accessible data may increase the use of systematic reviews and aid decision makers in developing evidence-based practice changes.
    MeSH term(s) Computer Graphics ; Evidence-Based Medicine/methods ; Guidelines as Topic ; Systematic Reviews as Topic
    Language English
    Publishing date 2019-10-02
    Publishing country Germany
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ISSN 1869-0327
    ISSN (online) 1869-0327
    DOI 10.1055/s-0039-1697595
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Update Alert 3: Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers.

    Chou, Roger / Dana, Tracy / Buckley, David I / Selph, Shelley / Fu, Rongwei / Totten, Annette M

    Annals of internal medicine

    2020  Volume 173, Issue 6, Page(s) W123–W124

    MeSH term(s) Coronavirus Infections ; Health Personnel ; Humans ; Risk Factors
    Keywords covid19
    Language English
    Publishing date 2020-08-03
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/L20-1005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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