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\"Cover title.\", \"March 31, 2008.\", \"Funded by the Otto Bremer Foundation, connecting resources and knowledge to strengthen the health of people in rural communities.\"

", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/2018866/items/YDBNKUYV" }, "dateAdded": "2019-02-28T23:07:21Z", "dateModified": "2019-02-28T23:07:21Z" } }, { "key": "65NRF86E", "version": 287, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/65NRF86E", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/65NRF86E", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/336397/items/VKQCEDEF", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } } }, "data": { "key": "65NRF86E", "version": 287, "parentItem": "VKQCEDEF", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2015-05-20T21:55:56Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/15867121", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-05-20T21:55:56Z", "dateModified": "2015-05-20T21:55:56Z" } }, { "key": "VKQCEDEF", "version": 287, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/VKQCEDEF", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/VKQCEDEF", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } }, "creatorSummary": "Homer et al.", "parsedDate": "2005-05", "numChildren": 1 }, "data": { "key": "VKQCEDEF", "version": 287, "itemType": "journalArticle", "title": "Impact of a quality improvement program on care and outcomes for children with asthma", "creators": [ { "creatorType": "author", "firstName": "Charles J.", "lastName": "Homer" }, { "creatorType": "author", "firstName": "Peter", "lastName": "Forbes" }, { "creatorType": "author", "firstName": "Lisa", "lastName": "Horvitz" }, { "creatorType": "author", "firstName": "Laura E.", "lastName": "Peterson" }, { "creatorType": "author", "firstName": "David", "lastName": "Wypij" }, { "creatorType": "author", "firstName": "Patricia", "lastName": "Heinrich" } ], "abstractNote": "OBJECTIVE: To test a quality improvement intervention, a learning collaborative based on the Institute for Healthcare Improvement's Breakthrough Series methodology, specifically intended to improve care and outcomes for patients with childhood asthma.\nDESIGN: Randomized trial in primary care practices.\nSETTING: Practices in greater Boston, Mass, and greater Detroit, Mich.\nPARTICIPANTS: Forty-three practices, with 13 878 pediatric patients with asthma, randomized to intervention and control groups. Intervention Participation in a learning collaborative project based on the Breakthrough Series methodology of continuous quality improvement.\nMAIN OUTCOME MEASURES: Change from baseline in the proportion of children with persistent asthma who received appropriate medication therapy for asthma, and in the proportion of children whose parent received a written management plan for their child's asthma, as determined by telephone interviews with parents of 631 children.\nRESULTS: After adjusting for state, practice size, child age, sex, and within-practice clustering, no overall effect of the intervention was found.\nCONCLUSIONS: This methodologically rigorous assessment of a widely used quality improvement technique did not demonstrate a significant effect on processes or outcomes of care for children with asthma. Potential deficiencies in program implementation, project duration, sample selection, and data sources preclude making the general inference that this type of improvement program is ineffective. Additional rigorous studies should be undertaken under more optimal settings to assess the efficacy of this method for improving care.", "publicationTitle": "Archives of Pediatrics & Adolescent Medicine", "publisher": "", "place": "", "date": "May 2005", "volume": "159", "issue": "5", "section": "", "partNumber": "", "partTitle": "", "pages": "464-469", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Arch Pediatr Adolesc Med", "DOI": "10.1001/archpedi.159.5.464", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1072-4710", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 15867121", "tags": [ { "tag": "Adolescent", "type": 1 }, { "tag": "Asthma", "type": 1 }, { "tag": "Child", "type": 1 }, { "tag": "Child, Preschool", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Massachusetts", "type": 1 }, { "tag": "Michigan", "type": 1 }, { "tag": "Primary Health Care", "type": 1 }, { "tag": "Quality of Health Care", "type": 1 }, { "tag": "Treatment Outcome", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2015-05-20T21:55:56Z", "dateModified": "2015-05-20T21:55:56Z" } }, { "key": "TEH3XSTC", "version": 286, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/TEH3XSTC", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/TEH3XSTC", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } }, "creatorSummary": "Ebert et al.", "parsedDate": "2012", "numChildren": 0 }, "data": { "key": "TEH3XSTC", "version": 286, "itemType": "journalArticle", "title": "Use of the Breakthrough Series Collaborative to Support Broad and Sustained Use of Evidence-Based Trauma Treatment for Children in Community Practice Settings", "creators": [ { "creatorType": "author", "firstName": "Lori", "lastName": "Ebert" }, { "creatorType": "author", "firstName": "Lisa", "lastName": "Amaya-Jackson" }, { "creatorType": "author", "firstName": "Jan M.", "lastName": "Markiewicz" }, { "creatorType": "author", "firstName": "Cassandra", "lastName": "Kisiel" }, { "creatorType": "author", "firstName": "John A.", "lastName": "Fairbank" } ], "abstractNote": "", "publicationTitle": "Administration and Policy in Mental Health and Mental Health Services Research", "publisher": "", "place": "", "date": "5/2012", "volume": "39", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "187-199", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1007/s10488-011-0347-y", "citationKey": "", "url": "http://link.springer.com/10.1007/s10488-011-0347-y", "accessDate": "2015-05-20T21:38:33Z", "PMID": "", "PMCID": "", "ISSN": "0894-587X, 1573-3289", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "en", "libraryCatalog": "CrossRef", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-05-20T21:38:33Z", "dateModified": "2015-05-20T21:38:33Z" } }, { "key": "DBSNM823", "version": 285, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/DBSNM823", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/DBSNM823", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } }, "creatorSummary": "IHI (Institute for Healthcare Improvement)", "parsedDate": "2003", "numChildren": 0 }, "data": { "key": "DBSNM823", "version": 285, "itemType": "report", "title": "The Breakthrough Series. IHI’s Collaborative Model for Achieving Breakthrough Improvement", "creators": [ { "creatorType": "author", "firstName": "", "lastName": "IHI (Institute for Healthcare Improvement)" } ], "abstractNote": "The Institute for Healthcare Improvement developed the Breakthrough Series to help health care\norganizations make “breakthrough” improvements in quality while reducing costs. The driving\nvision behind the Breakthrough Series is this: sound science exists on the basis of which the costs\nand outcomes of current health care practices can be greatly improved, but much of this science lies\nfallow and unused in daily work. There is a gap between what we know and what we do.\nThe Breakthrough Series is designed to help organizations close that gap by creating a structure in\nwhich interested organizations can easily learn from each other and from recognized experts in topic\nareas where they want to make improvements. A Breakthrough Series Collaborative is a short-term\n(6- to 15-month) learning system that brings together a large number of teams from hospitals or\nclinics to seek improvement in a focused topic area. Since 1995, IHI has sponsored over 50 such\nCollaborative projects on several dozen topics involving over 2,000 teams from 1,000 health care\norganizations. Collaboratives range in size from 12 to 160 teams. Each team typically sends three\nof its members to attend Learning Sessions (three face-to-face meetings over the course of the\nCollaborative), with additional members working on improvements in the local organization.\nTeams in such Collaboratives have achieved dramatic results, including reducing waiting times by\n50 percent, reducing worker absenteeism by 25 percent, reducing ICU costs by 25 percent, and\nreducing hospitalizations for patients with congestive heart failure by 50 percent. In addition, IHI\nhas trained over 650 people in the Breakthrough Series methodology, thus spawning hundreds of\nCollaborative initiatives throughout the health care world, sponsored by organizations other than IHI.\n© 2003", "reportNumber": "", "reportType": "", "institution": "Institute for Healthcare Improvement", "place": "Cambridge, MA", "date": "2003", "seriesTitle": "Innovation Series 2003", "seriesNumber": "", "pages": "", "DOI": "", "ISBN": "", "citationKey": "", "url": "http://www.ihi.org/resources/Pages/IHIWhitePapers/TheBreakthroughSeriesIHIsCollaborativeModelforAchievingBreakthroughImprovement.aspx", "accessDate": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": { "owl:sameAs": "http://zotero.org/groups/241225/items/K9BU448B" }, "dateAdded": "2015-05-08T17:04:44Z", "dateModified": "2015-05-08T17:04:44Z" } }, { "key": "5WBHMZMI", "version": 282, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/5WBHMZMI", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/5WBHMZMI", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } }, "creatorSummary": "Schouten et al.", "parsedDate": "2008-06-28", "numChildren": 0 }, "data": { "key": "5WBHMZMI", "version": 282, "itemType": "journalArticle", "title": "Evidence for the impact of quality improvement collaboratives: systematic review", "creators": [ { "creatorType": "author", "firstName": "L. M T", "lastName": "Schouten" }, { "creatorType": "author", "firstName": "M. E J L", "lastName": "Hulscher" }, { "creatorType": "author", "firstName": "J. J E v.", "lastName": "Everdingen" }, { "creatorType": "author", "firstName": "R.", "lastName": "Huijsman" }, { "creatorType": "author", "firstName": "R. P T M", "lastName": "Grol" } ], "abstractNote": "", "publicationTitle": "BMJ", "publisher": "", "place": "", "date": "2008-06-28", "volume": "336", "issue": "7659", "section": "", "partNumber": "", "partTitle": "", "pages": "1491-1494", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1136/bmj.39570.749884.BE", "citationKey": "", "url": "http://www.bmj.com/cgi/doi/10.1136/bmj.39570.749884.BE", "accessDate": "2015-05-07T20:15:23Z", "PMID": "", "PMCID": "", "ISSN": "0959-8138, 1468-5833", "archive": "", "archiveLocation": "", "shortTitle": "Evidence for the impact of quality improvement collaboratives", "language": "en", "libraryCatalog": "CrossRef", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-05-07T20:15:23Z", "dateModified": "2015-05-07T20:15:23Z" } }, { "key": "7DV9RUBW", "version": 281, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/7DV9RUBW", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/7DV9RUBW", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/336397/items/7SZ2VDE8", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } } }, "data": { "key": "7DV9RUBW", "version": 281, "parentItem": "7SZ2VDE8", "itemType": "attachment", "linkMode": "imported_url", "title": "Printable HTML", "accessDate": "2015-05-07T20:05:58Z", "url": "http://www.ncbi.nlm.nih.gov/books/NBK43724/?report=printable", "note": "", "contentType": "text/html", "charset": "utf-8", "filename": "NBK43724.html", "md5": null, "mtime": null, "tags": [], "relations": {}, "dateAdded": "2015-05-07T20:05:58Z", "dateModified": "2015-05-07T20:05:58Z" } }, { "key": "S9D4T7XG", "version": 281, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/S9D4T7XG", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/S9D4T7XG", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/336397/items/7SZ2VDE8", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } } }, "data": { "key": "S9D4T7XG", "version": 281, "parentItem": "7SZ2VDE8", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2015-05-07T20:05:55Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/21249908", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-05-07T20:05:55Z", "dateModified": "2015-05-07T20:05:55Z" } }, { "key": "7SZ2VDE8", "version": 281, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/7SZ2VDE8", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/7SZ2VDE8", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } }, "creatorSummary": "Stalhandske et al.", "parsedDate": "2008", "numChildren": 2 }, "data": { "key": "7SZ2VDE8", "version": 281, "itemType": "bookSection", "title": "VHA’s National Falls Collaborative and Prevention Programs", "creators": [ { "creatorType": "author", "firstName": "Erik", "lastName": "Stalhandske" }, { "creatorType": "author", "firstName": "Peter", "lastName": "Mills" }, { "creatorType": "author", "firstName": "Pat", "lastName": "Quigley" }, { "creatorType": "author", "firstName": "Julia", "lastName": "Neily" }, { "creatorType": "author", "firstName": "James P.", "lastName": "Bagian" }, { "creatorType": "editor", "firstName": "Kerm", "lastName": "Henriksen" }, { "creatorType": "editor", "firstName": "James B.", "lastName": "Battles" }, { "creatorType": "editor", "firstName": "Margaret A.", "lastName": "Keyes" }, { "creatorType": "editor", "firstName": "Mary L.", "lastName": "Grady" } ], "abstractNote": "Falls are a high-volume, high-cost problem in health care. This article presents three successful patient safety fall prevention projects completed within the Department of Veterans Affairs Healthcare Administration (VHA): the National Falls Collaborative Breakthrough Project, the development and deployment of the National Falls Toolkit, and the National Falls Data Collection Project. Each of the projects enrolled VHA medical centers from across the country. These three projects demonstrate VHA’s leadership in evidence-based practice, data and outcomes management, and reliability and sustainability of innovations. The National Fall Collaborative Breakthrough Project involved 40 participating facilities and achieved remarkable results (62 percent reduction from baseline for major injuries). The National Falls Toolkit is a compendium of useful references, resources, presentations, posters, and spreadsheets that were culled from existing research and the Falls Collaborative. The National Falls Data Collection Project occurred over a 2-year period and analyzed multiple indicators of a fall prevention and injury reduction program for 65 medical centers.", "bookTitle": "Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 2: Culture and Redesign)", "series": "Advances in Patient Safety", "seriesNumber": "", "volume": "", "numberOfVolumes": "", "edition": "", "date": "2008", "publisher": "Agency for Healthcare Research and Quality (US)", "place": "Rockville (MD)", "originalDate": "", "originalPublisher": "", "originalPlace": "", "format": "", "pages": "", "ISBN": "", "DOI": "", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/books/NBK43724/", "accessDate": "2015-05-07T20:05:55Z", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "NBK43724", "rights": "", "extra": "PMID: 21249908", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-05-07T20:05:55Z", "dateModified": "2015-05-07T20:05:55Z" } }, { "key": "KCX7Q9ME", "version": 280, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/KCX7Q9ME", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/KCX7Q9ME", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/336397/items/ZB4UMFXM", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } } }, "data": { "key": "KCX7Q9ME", "version": 280, "parentItem": "ZB4UMFXM", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2015-05-07T19:55:22Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/21724788", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-05-07T19:55:22Z", "dateModified": "2015-05-07T19:55:22Z" } }, { "key": "ZB4UMFXM", "version": 280, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/ZB4UMFXM", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/ZB4UMFXM", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } }, "creatorSummary": "Vannoy et al.", "parsedDate": "2011-07", "numChildren": 1 }, "data": { "key": "ZB4UMFXM", "version": 280, "itemType": "journalArticle", "title": "A learning collaborative of CMHCs and CHCs to support integration of behavioral health and general medical care", "creators": [ { "creatorType": "author", "firstName": "Steven D.", "lastName": "Vannoy" }, { "creatorType": "author", "firstName": "Barbara", "lastName": "Mauer" }, { "creatorType": "author", "firstName": "John", "lastName": "Kern" }, { "creatorType": "author", "firstName": "Kamaljeet", "lastName": "Girn" }, { "creatorType": "author", "firstName": "Charles", "lastName": "Ingoglia" }, { "creatorType": "author", "firstName": "Jeannie", "lastName": "Campbell" }, { "creatorType": "author", "firstName": "Laura", "lastName": "Galbreath" }, { "creatorType": "author", "firstName": "Jürgen", "lastName": "Unützer" } ], "abstractNote": "OBJECTIVE: Integration of general medical and mental health services is a growing priority for safety-net providers. The authors describe a project that established a one-year learning collaborative focused on integration of services between community health centers (CHCs) and community mental health centers (CMHCs). Specific targets were treatment for general medical and psychiatric symptoms related to depression, bipolar disorder, alcohol use disorders, and metabolic syndrome.\nMETHODS: This observational study used mixed methods. Quantitative measures included 15 patient-level health indicators, practice self-assessment of resources and support for chronic disease self-management, and participant satisfaction.\nRESULTS: Sixteen CHC-CMHC pairs were selected for the learning collaborative series. One pair dropped out because of personnel turnover. All teams increased capacity on one or more patient health indicators. CHCs scored higher than CMHCs on support for chronic disease self-management. Participation in the learning collaborative increased self-assessment scores for CHCs and CMHCs. Participant satisfaction was high. Observations by faculty indicate that quality improvement challenges included tracking patient-level outcomes, workforce issues, and cross-agency communication.\nCONCLUSIONS: Even though numerous systemic barriers were encountered, the findings support existing literature indicating that the learning collaborative is a viable quality improvement approach for enhancing integration of general medical and mental health services between CHCs and CMHCs. Real-world implementation of evidence-based guidelines presents challenges often absent in research. Technical resources and support, a stable workforce with adequate training, and adequate opportunities for collaborator communications are particular challenges for integrating behavioral and general medical services across CHCs and CMHCs.", "publicationTitle": "Psychiatric Services (Washington, D.C.)", "publisher": "", "place": "", "date": "Jul 2011", "volume": "62", "issue": "7", "section": "", "partNumber": "", "partTitle": "", "pages": "753-758", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Psychiatr Serv", "DOI": "10.1176/appi.ps.62.7.753", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1557-9700", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 21724788", "tags": [ { "tag": "Chronic Disease", "type": 1 }, { "tag": "Community Health Centers", "type": 1 }, { "tag": "Community Mental Health Services", "type": 1 }, { "tag": "Cooperative Behavior", "type": 1 }, { "tag": "Delivery of Health Care, Integrated", "type": 1 }, { "tag": "Health Status Indicators", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Learning", "type": 1 }, { "tag": "Program Development", "type": 1 }, { "tag": "Questionnaires", "type": 1 }, { "tag": "Self Care", "type": 1 }, { "tag": "United States", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2015-05-07T19:55:22Z", "dateModified": "2015-05-07T19:55:22Z" } }, { "key": "6AX366WI", "version": 279, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/6AX366WI", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/6AX366WI", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } }, "creatorSummary": "IOM (Institute of Medicine)", "parsedDate": "2015", "numChildren": 0 }, "data": { "key": "6AX366WI", "version": 279, "itemType": "report", "title": "Measuring the impact of interprofessional education on collaborative practice and patient outcomes", "creators": [ { "creatorType": "author", "firstName": "", "lastName": "IOM (Institute of Medicine)" } ], "abstractNote": "", "reportNumber": "", "reportType": "", "institution": "The National Academies Press", "place": "Washington, DC", "date": "2015", "seriesTitle": "", "seriesNumber": "", "pages": "", "DOI": "", "ISBN": "", "citationKey": "", "url": "", "accessDate": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-04-23T20:51:02Z", "dateModified": "2015-04-23T20:52:10Z" } }, { "key": "IBZZDCIS", "version": 276, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/IBZZDCIS", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/IBZZDCIS", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/336397/items/J76KSBDP", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } } }, "data": { "key": "IBZZDCIS", "version": 276, "parentItem": "J76KSBDP", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2015-04-22T19:06:51Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23543515", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-04-22T19:06:51Z", "dateModified": "2015-04-22T19:06:51Z" } }, { "key": "J76KSBDP", "version": 276, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/J76KSBDP", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/J76KSBDP", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } }, "creatorSummary": "Reeves et al.", "parsedDate": "2013", "numChildren": 1 }, "data": { "key": "J76KSBDP", "version": 276, "itemType": "journalArticle", "title": "Interprofessional education: effects on professional practice and healthcare outcomes (update)", "creators": [ { "creatorType": "author", "firstName": "Scott", "lastName": "Reeves" }, { "creatorType": "author", "firstName": "Laure", "lastName": "Perrier" }, { "creatorType": "author", "firstName": "Joanne", "lastName": "Goldman" }, { "creatorType": "author", "firstName": "Della", "lastName": "Freeth" }, { "creatorType": "author", "firstName": "Merrick", "lastName": "Zwarenstein" } ], "abstractNote": "BACKGROUND: The delivery of effective, high-quality patient care is a complex activity. It demands health and social care professionals collaborate in an effective manner. Research continues to suggest that collaboration between these professionals can be problematic. Interprofessional education (IPE) offers a possible way to improve interprofessional collaboration and patient care.\nOBJECTIVES: To assess the effectiveness of IPE interventions compared to separate, profession-specific education interventions; and to assess the effectiveness of IPE interventions compared to no education intervention.\nSEARCH METHODS: For this update we searched the Cochrane Effective Practice and Organisation of Care Group specialised register, MEDLINE and CINAHL, for the years 2006 to 2011. We also handsearched the Journal of Interprofessional Care (2006 to 2011), reference lists of all included studies, the proceedings of leading IPE conferences, and websites of IPE organisations.\nSELECTION CRITERIA: Randomised controlled trials (RCTs), controlled before and after (CBA) studies and interrupted time series (ITS) studies of IPE interventions that reported objectively measured or self reported (validated instrument) patient/client or healthcare process outcomes.\nDATA COLLECTION AND ANALYSIS: At least two review authors independently assessed the eligibility of potentially relevant studies. For included studies, at least two review authors extracted data and assessed study quality. A meta-analysis of study outcomes was not possible due to heterogeneity in study designs and outcome measures. Consequently, the results are presented in a narrative format.\nMAIN RESULTS: This update located nine new studies, which were added to the six studies from our last update in 2008. This review now includes 15 studies (eight RCTs, five CBA and two ITS studies). All of these studies measured the effectiveness of IPE interventions compared to no educational intervention. Seven studies indicated that IPE produced positive outcomes in the following areas: diabetes care, emergency department culture and patient satisfaction; collaborative team behaviour and reduction of clinical error rates for emergency department teams; collaborative team behaviour in operating rooms; management of care delivered in cases of domestic violence; and mental health practitioner competencies related to the delivery of patient care. In addition, four of the studies reported mixed outcomes (positive and neutral) and four studies reported that the IPE interventions had no impact on either professional practice or patient care.\nAUTHORS' CONCLUSIONS: This updated review reports on 15 studies that met the inclusion criteria (nine studies from this update and six studies from the 2008 update). Although these studies reported some positive outcomes, due to the small number of studies and the heterogeneity of interventions and outcome measures, it is not possible to draw generalisable inferences about the key elements of IPE and its effectiveness. To improve the quality of evidence relating to IPE and patient outcomes or healthcare process outcomes, the following three gaps will need to be filled: first, studies that assess the effectiveness of IPE interventions compared to separate, profession-specific interventions; second, RCT, CBA or ITS studies with qualitative strands examining processes relating to the IPE and practice changes; third, cost-benefit analyses.", "publicationTitle": "The Cochrane Database of Systematic Reviews", "publisher": "", "place": "", "date": "2013", "volume": "3", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "CD002213", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Cochrane Database Syst Rev", "DOI": "10.1002/14651858.CD002213.pub3", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1469-493X", "archive": "", "archiveLocation": "", "shortTitle": "Interprofessional education", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 23543515", "tags": [ { "tag": "Attitude of Health Personnel", "type": 1 }, { "tag": "Health Personnel", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Interprofessional Relations", "type": 1 }, { "tag": "Patient Care", "type": 1 }, { "tag": "Patient Care Team", "type": 1 }, { "tag": "Professional Practice", "type": 1 }, { "tag": "Randomized Controlled Trials as Topic", "type": 1 }, { "tag": "Treatment Outcome", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2015-04-22T19:06:51Z", "dateModified": "2015-04-22T19:06:51Z" } }, { "key": "E79DI4DJ", "version": 275, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/E79DI4DJ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/E79DI4DJ", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/336397/items/SCJSJNEU", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } } }, "data": { "key": "E79DI4DJ", "version": 275, "parentItem": "SCJSJNEU", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2015-04-22T19:05:10Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/18254002", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-04-22T19:05:10Z", "dateModified": "2015-04-22T19:05:10Z" } }, { "key": "SCJSJNEU", "version": 275, "library": { "type": "group", "id": 336397, "name": "IHI", "links": { "alternate": { "href": "https://www.zotero.org/groups/ihi", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/336397/items/SCJSJNEU", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/ihi/items/SCJSJNEU", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1096538, "username": "lynndirk", "name": "Lynn Dirk", "links": { "alternate": { "href": "https://www.zotero.org/lynndirk", "type": "text/html" } } }, "creatorSummary": "Reeves et al.", "parsedDate": "2008", "numChildren": 1 }, "data": { "key": "SCJSJNEU", "version": 275, "itemType": "journalArticle", "title": "Interprofessional education: effects on professional practice and health care outcomes", "creators": [ { "creatorType": "author", "firstName": "S.", "lastName": "Reeves" }, { "creatorType": "author", "firstName": "M.", "lastName": "Zwarenstein" }, { "creatorType": "author", "firstName": "J.", "lastName": "Goldman" }, { "creatorType": "author", "firstName": "H.", "lastName": "Barr" }, { "creatorType": "author", "firstName": "D.", "lastName": "Freeth" }, { "creatorType": "author", "firstName": "M.", "lastName": "Hammick" }, { "creatorType": "author", "firstName": "I.", "lastName": "Koppel" } ], "abstractNote": "BACKGROUND: Patient care is a complex activity which demands that health and social care professionals work together in an effective manner. The evidence suggests, however, that these professionals do not collaborate well together. Interprofessional education (IPE) offers a possible way to improve collaboration and patient care.\nOBJECTIVES: To assess the effectiveness of IPE interventions compared to education interventions in which the same health and social care professionals learn separately from one another; and to assess the effectiveness of IPE interventions compared to no education intervention.\nSEARCH STRATEGY: We searched the Cochrane Effective Practice and Organisation of Care Group specialised register, MEDLINE and CINAHL, for the years 1999 to 2006. We also handsearched the Journal of Interprofessional Care (1999 to 2006), reference lists of the six included studies and leading IPE books, IPE conference proceedings, and websites of IPE organisations.\nSELECTION CRITERIA: Randomised controlled trials (RCTs), controlled before and after (CBA) studies and interrupted time series (ITS) studies of IPE interventions that reported objectively measured or self reported (validated instrument) patient/client and/or healthcare process outcomes.\nDATA COLLECTION AND ANALYSIS: Two reviewers independently assessed the eligibility of potentially relevant studies, and extracted data from, and assessed study quality of, included studies. A meta-analysis of study outcomes was not possible given the small number of included studies and the heterogeneity in methodological designs and outcome measures. Consequently, the results are presented in a narrative format.\nMAIN RESULTS: We included six studies (four RCTs and two CBA studies). Four of these studies indicated that IPE produced positive outcomes in the following areas: emergency department culture and patient satisfaction; collaborative team behaviour and reduction of clinical error rates for emergency department teams; management of care delivered to domestic violence victims; and mental health practitioner competencies related to the delivery of patient care. In addition, two of the six studies reported mixed outcomes (positive and neutral) and two studies reported that the IPE interventions had no impact on either professional practice or patient care.\nAUTHORS' CONCLUSIONS: This updated review found six studies that met the inclusion criteria, in contrast to our first review that found no eligible studies. Although these studies reported some positive outcomes, due to the small number of studies, the heterogeneity of interventions, and the methodological limitations, it is not possible to draw generalisable inferences about the key elements of IPE and its effectiveness. More rigorous IPE studies (i.e. those employing RCTs, CBA or ITS designs with rigorous randomisation procedures, better allocation concealment, larger sample sizes, and more appropriate control groups) are needed to provide better evidence of the impact of IPE on professional practice and healthcare outcomes. 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The process was as follows: salting out by (NH4)2SO4, repeated chromatography on hydroxy apatite and gel filtration on Sepharose-6B. The purified enzyme was demonstrated to be homogeneous by disc electrophoresis. The enzyme was found to be active on arabinan and 1,5-arabinan, but inactive on phenyl alpha-L-arabinofuranoside, p-nitrophenyl beta-D-galactopyranoside, arabinoxylan, gum arabic. The enzyme released arabinose, arabinobiose, arabinotriose and higher oligosaccharides during the course of hydrolysis of 1,5-arabinan. The end products were found to be arabinose and arabinobiose after 144 h of hydrolysis.", "publicationTitle": "Biochimica Et Biophysica Acta", "publisher": "", "place": "", "date": "Dec 18, 1975", "volume": "410", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "354-360", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Biochim. Biophys. 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