scholarly journals Attaining 95-95-95 through Implementation Science: 15 Years of Insights and Best Practices from the Walter Reed Army Institute of Research’s Implementation of the U.S. President’s Emergency Plan for AIDS Relief

2021 ◽  
Vol 104 (1) ◽  
pp. 12-25
Author(s):  
Elizabeth H. Lee ◽  
Kavitha Ganesan ◽  
Samoel A. Khamadi ◽  
Stanley C. Meribe ◽  
Dorothy Njeru ◽  
...  
2018 ◽  
Author(s):  
Srijesa Khasnabish ◽  
Zoe Burns ◽  
Madeline Couch ◽  
Mary Mullin ◽  
Randall Newmark ◽  
...  

BACKGROUND Data visualization experts have identified core principles to follow when creating visual displays of data that facilitate comprehension. Such principles can be applied to creating effective reports for clinicians that display compliance with quality improvement protocols. A basic tenet of implementation science is continuous monitoring and feedback. Applying best practices for data visualization to reports for clinicians can catalyze implementation and sustainment of new protocols. OBJECTIVE To apply best practices for data visualization to create reports that clinicians find clear and useful. METHODS First, we conducted a systematic literature review to identify best practices for data visualization. We applied these findings and feedback collected via a questionnaire to improve the Fall TIPS Monthly Report (FTMR), which shows compliance with an evidence-based fall prevention program, Fall TIPS (Tailoring Interventions for Patient Safety). This questionnaire was based on the requirements for effective data display suggested by expert Stephen Few. We then evaluated usability of the FTMR using a 15-item Health Information Technology Usability Evaluation Scale (Health-ITUES). Items were rated on a 5-point Likert scale from strongly disagree (1) to strongly agree (5). RESULTS The results of the systematic literature review emphasized that the ideal data display maximizes the information communicated while minimizing the cognitive efforts involved with data interpretation. Factors to consider include selecting the correct type of display (e.g. line vs bar graph) and creating simplistic reports. The qualitative and quantitative evaluations of the original and final FTMR revealed improved perceptions of the visual display of the reports and their usability. Themes that emerged from the staff interviews emphasized the value of simplified reports, meaningful data, and usefulness to clinicians. The mean (SD) rating on the Health-ITUES scale when evaluating the original FTMR was 3.86 (0.19) and increased to 4.29 (0.11) when evaluating the revised FTMR (Mann Whitney U Test, z=-12.25, P<0.001). CONCLUSIONS Best practices identified through a systematic review can be applied to create effective reports for clinician use. The lessons learned from evaluating FTMR perceptions and measuring usability can be applied to creating effective reports for clinician use in the context of other implementation science projects.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 930-930
Author(s):  
Tara Rose ◽  
Elyse Manzo ◽  
Katherine Erickson ◽  
Joshua Valenzuela

Abstract Music interventions and music therapy have become more common globally as nonpharmacological treatment options for memory loss, pain management, reduction of behavioral and psychological symptoms, and increased quality of life. Knowledge of multiethnic interventions is important when creating evidence-based programs within culturally diverse countries, such as the U.S. The purpose of this systematic review is to analyze music interventions for older adults across the globe to better understand emerging best practices. A review of all trials registered at clinicaltrials.gov and registries in the WHO Registry Network containing the key words “music therapy” were included, regardless of intervention type. Of the 627 studies generated, 449 met the eligibility criteria, with 11% enrolling only older adults and 89% enrolling older adults along with other age groups. Studies were conducted in 6 continents, 48 countries (23% in the U.S.), and in 23 languages. Music interventions for specific medical conditions (64%) or medical procedures (24%) were the primary foci in studies. While studies crossed multiple continents, less than 2% referenced ethnicity or culture in the study details. Detailed data on intervention types, demographics, measures, settings, and methodology will be presented. Results suggest that best practices in music therapy are being developed world-wide for the multitude of health challenges faced by older adults and demonstrate the diversity of music interventions in both medical and community settings. Information from this review can be used to improve the implementation of music intervention programs and may be particularly beneficial in countries with diverse multicultural populations.


2014 ◽  
Vol 12 (1) ◽  
pp. 41-53 ◽  
Author(s):  
D. Larry Crumbley ◽  
Christine C. Cheng

ABSTRACT Accounting experts, like other experts hired for litigation cases, are subject to Daubert challenges. While the use of Daubert challenges was primarily in jury trials, a recent U.S. Tax Court case, Boltar LLC v. Commissioner, used the Daubert standards to discredit an “absurd” appraisal. To avoid the potential detrimental reputational and potential financial consequences and adverse effects on the clients, accounting experts must be aware of Daubert challenges and the standards by which their testimony will be judged. In this article, we discuss the Daubert challenge and the standards by which a judge will evaluate an expert's testimony in considering the admissibility of, or weight placed on, the expert's testimony. We also discuss some best practices and discuss the potential growing application of Daubert challenges in bench trials, as well as the potential that similar challenges may exist outside of the U.S. jurisdictions.


Author(s):  
J. J. Sylvia IV ◽  
Kyle Moody

The issue of Russian interference in the 2016 U.S. Presidential election has been widely debated by scholars and journalists. However, these works have not fully analyzed the ads that have been released by Facebook and the U.S. Congress. This project uses a case study to analyze the ads posted by the Russian-affiliated Internet Research Agency, considering the quantities of ads targeted to particular geographic locations, the frequency of targeting for unique keywords, and the reach and impressions of each of the ads. Further, these results are compared to results from best practices in traditional social media campaigns as a way to better understand the goals and potential impacts of the IRA ads. In conclusion, the project, by analyzing the full set of IRA ads, sheds new light on the way false information narratives were leveraged by the Russian-linked IRA.


2009 ◽  
Vol 4 (3) ◽  
pp. 59-72 ◽  
Author(s):  
Valerie J. Smith

Scholarly studies of refugees and other vulnerable populations carry special ethical concerns. In this invited case study of Afghan refugees in Fremont, California, I provide illustrations and recommendations of ethical research methods with refugees. I also compare and contrast some ethical issues in the U.S. with issues in Thailand. The qualitative, ethnographic methods I report here demonstrate how to conduct culturally sensitive investigations by ethically approaching gatekeepers and other community members to preserve autonomy, ensure confidentiality, build trust, and improve the accuracy of interpretations and results. Six groups at risk for being marginalized in multiple ways within refugee populations are described. Ten best practices are recommended for ethically acquiring an in-depth understanding of the refugees, their community, and appropriate research methods.


2017 ◽  
Vol 2017 (1) ◽  
pp. 104-123
Author(s):  
Yvonne Najah Addassi ◽  
Julie Yamamoto ◽  
Thomas M. Cullen

ABSTRACT The Refugio Oil Spill occurred on May 19, 2015, due to the failure of an underground pipeline, owned and operated by a subsidiary of Plains All-American Pipeline near Highway 101 in Santa Barbara County. The Responsible Party initially estimated the amount of crude oil released at about 104,000 gallons, with 21,000 gallons reaching the ocean. A Unified Command (UC) was established consisting of Incident Commanders from the U.S. Coast Guard (USCG), California Department of Fish and Wildlife (CDFW) Office of Spill Prevention and Response (OSPR), Santa Barbara County, and Plains Pipeline with additional participation by the U.S. Environmental Protection Agency and California State Parks. Within hours, the CDFW closed fisheries and the following day Governor Brown declared a state of emergency for Santa Barbara County. The released oil caused heavy oiling of both on and offshore areas at Refugio State Beach and impacted other areas of Santa Barbara and Ventura. A number of factors created unique challenges for the management of this response. In addition to direct natural resource impacts, the closure of beaches and fisheries occurred days before the Memorial Day weekend resulting in losses for local businesses and lost opportunities for the public. The Santa Barbara community, with its history with oil spills and environmental activism, was extremely concerned and interested in involvement, including the use of volunteers on beaches. Also this area of the coast has significant tribal and archeologic resources that required sensitive handling and coordination. Finally, this area of California’s coast is a known natural seep area which created the need to distinguish spilled from ‘naturally occurring’ oil. Most emergency responses, including oil spills, follow a similar pattern of command establishment, response and cleanup phases, followed by non-response phase monitoring, cleanup and restoration. This paper will analyze the Refugio oil spill response in three primary focus areas: 1) identify the ways in which this spill response was unique and required innovative and novel solutions; 2) identify the ways in which this response benefited from the ‘lessons’ learned from both the Deepwater Horizon and Cosco Busan oil spills; and 3) provide a summary of OSPR’s response evaluation report for Refugio, with specific focus on how the lessons learned and best practices will inform future planning efforts within California.


10.2196/19676 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e19676
Author(s):  
Katy E Trinkley ◽  
Michael G Kahn ◽  
Tellen D Bennett ◽  
Russell E Glasgow ◽  
Heather Haugen ◽  
...  

Background Clinical decision support (CDS) design best practices are intended to provide a narrative representation of factors that influence the success of CDS tools. However, they provide incomplete direction on evidence-based implementation principles. Objective This study aims to describe an integrated approach toward applying an existing implementation science (IS) framework with CDS design best practices to improve the effectiveness, sustainability, and reproducibility of CDS implementations. Methods We selected the Practical Robust Implementation and Sustainability Model (PRISM) IS framework. We identified areas where PRISM and CDS design best practices complemented each other and defined methods to address each. Lessons learned from applying these methods were then used to further refine the integrated approach. Results Our integrated approach to applying PRISM with CDS design best practices consists of 5 key phases that iteratively interact and inform each other: multilevel stakeholder engagement, designing the CDS, design and usability testing, thoughtful deployment, and performance evaluation and maintenance. The approach is led by a dedicated implementation team that includes clinical informatics and analyst builder expertise. Conclusions Integrating PRISM with CDS design best practices extends user-centered design and accounts for the multilevel, interacting, and dynamic factors that influence CDS implementation in health care. Integrating PRISM with CDS design best practices synthesizes the many known contextual factors that can influence the success of CDS tools, thereby enhancing the reproducibility and sustainability of CDS implementations. Others can adapt this approach to their situation to maximize and sustain CDS implementation success.


2016 ◽  
Vol 6 (4) ◽  
pp. 1053-1061
Author(s):  
Elif Balin ◽  
Nicole M. Anderson ◽  
Satomi Y. Chudasama ◽  
Sutha K. Kanagasingam ◽  
Lily Zhang

The career development process is one of the most important aspects of the international student experience. Providing comprehensive and culturally competent services requires institutional efforts that utilize best practices developmentally throughout the college experience and beyond. This article is based on the work of the International Student Services Committee of the National Career Development Association, especially the surveys conducted with international students, career development professional and employers. The authors focus on three major themes from the surveys: knowledge about work authorization options, impact of cultural differences on job search, and specialized career services for international students. Discussing these major themes, the authors report on best practices and future implications for supporting international student career development in the U.S. and beyond.


Sign in / Sign up

Export Citation Format

Share Document