Clinicians & Providers

• Advancing Delivery System Research

Hospital & Health System Resources

• Advancing Delivery System Research
• System Design: AHRQ Resources

Full Research Reports

September 1 2012 20120901

System Design: AHRQ Resources

Other Research & Data

• Black physicians are less likely to have implicit preferences for blacks or whites
• Most Mexican patients prefer their rheumatologist to make treatment decisions for them

Other News & Events

• AHRQ report finds teamwork and followup as strengths of medical offices but work pressure and pace are problematic
• Accessible services in primary care practices promote preventive health screenings and care
• Although the patient-centered medical home is a promising model of care, more studies are needed to assess its effectiveness
• Beta blockers are underused in patients receiving implantable cardioverter defibrillators
• Black and Hispanic Medicare patients with hip fracture wait longer for surgery than white patients
• Black physicians are less likely to have implicit preferences for blacks or whites
• Children with a medical home more likely to receive health screenings and advice
• Contact isolation of new patients reduces adherence to process-of-care quality measures for pneumonia
• Doctors underprescribe warfarin to prevent strokes in patients with atrial fibrillation and heart failure
• Duplicate medication order errors increase after computerized provider order entry is implemented
• Emergency department treatment of asthma with systemic corticosteroids is not always timely
• Experts call for integrating mental health into primary care
• Failure to order and follow up medical tests are leading causes of diagnostic errors
• From the Director
• General hospitals are stepping up specialty services in response to competition from single specialty hospitals
• Guideline familiarity does not equal guideline adherence
• High performance on quality measures linked to financial benefits for nursing homes
• Higher nurse-patient ratios result in societal cost benefits for some hospital areas
• Higher scores as a patient-centered medical home linked to higher operating costs
• Home visits help pregnant, Medicaid-insured women alleviate depressive symptoms
• Hospitals with a teamwork culture have better patient safety climates
• Mandated increases in nurse staffing levels unevenly affect uncompensated care growth rates in California hospitals
• Many factors are likely to slow the adoption of pay for performance in dentistry
• Medicaid drug restrictions may lead to adverse events for psychiatric patients
• Medicare Advantage enrollees are admitted to hospitals with higher mortality rates than Medicare fee-for-service enrollees
• Minority-serving hospitals have problems with quality of care and patient satisfaction
• More than half of all hospital procedures are outpatient
• Most Mexican patients prefer their rheumatologist to make treatment decisions for them
• Most process-of-care events do not harm transplant patients, but they boost costs and lengthen hospital stays
• Moving adolescents with sickle cell disease from pediatric to adult care hampered by lack of knowledgeable adult hematologists
• Nearly one-third of emergency department visits involve nonideal care events
• New study finds e-prescribing is safe and efficient, but barriers remain
• Nurse-facilitated guided care for elders and their caregivers leads to improved perceptions of quality of care
• Nursing home physicians and nurses struggle with communication barriers
• Nursing homes using more agency staff have lower quality of care
• Organizational culture distinguishes top-performing hospitals in patient outcomes from heart attack
• Pain management in emergency departments has improved but can still be better
• Patient flow strategies may help to address emergency department crowding
• Patients admitted to the hospital on weekends wait for major procedures
• Patients who are treated with empathy during office visits get over colds faster
• Performance measures for gastroenterology can lead to improved accountability
• Personality factors play a role in responsiveness to disease self-management programs
• Physician-pharmacist teams can help lower blood pressure
• Physicians in practices focused on quality improvement are less likely to be dissatisfied and stressed
• Physicians' implicit racial attitudes influence prescribing of opioids for black children
• Planting seeds for change in primary care practice
• Practice setting, ownership, and specialty all affect volume of charity care provided by physicians
• Primary care coordination is more difficult for patients who see many specialists
• Primary care organizational characteristics are linked to the self-management behaviors of patients with diabetes
• Primary care patients who see physician assistants and nurse practitioners are as complex as those who see doctors
• Primary care physicians spend a fifth of their time in patient care activities outside of office visits
• Primary care physicians' performance ratings depend on the makeup of their patient population
• Provider's communication style boosts results for acupuncture on arthritic knees
• Regional health information exchanges must do more to attract small practices
• Review looks at outcomes of patients at different types of long-term care facilities
• Rural and urban residents have similar perceptions of health care quality, despite differences in care delivery
• Social media use is one of many innovations in care delivery transforming the frontlines of care
• Study recommends disclosure of medical mistakes that affect multiple patients
• Systems to detect adverse drug events need buy-in from leaders and staff to become part of hospital routine
• Team-based care of patients with hypertension improves control of blood pressure
• The stability of a usual source of care is important to the care of low-income children
• Trauma triage system tends to overestimate injury severity
• Two-thirds of State and local government workers get their health plans from their employers
• Use of electronic prescribing has expanded among Massachusetts physicians
• Various factors influence the adoption of ergonomics in health care organizations
• When health plans share physicians, they may have less incentive to improve care quality
• Women want clinicians to talk about the risk medications pose to an unborn child
• Youths initially diagnosed with ADHD receive an array of medications