Featured CERTs Research

A Patient-Centered Perspective on Medication Use: Self-Management Versus Adherence

In this series of three lectures, Dr. Bruce Lambert maintains that modern thinking about adherence—which is based on the assumption that people automatically follow their health care professional’s recommendations or that they do not do so because of forgetfulness or misunderstanding—is missing the mark. To understand adherence, he says, researchers should ask, "What would it be like if we took a patient-centered approach to this problem of adherence or self-regulation?"

CERT: Northwestern University

Improving HIT Prescribing Safety by Incorporating Indications Into Computerized Prescriber Order Entry

The Agency of Healthcare Research and Quality (AHRQ) has recently funded the Brigham and Women’s Hospital Center for Patient Safety Research and the Massachusetts College of Pharmacy to lead a multi-year project to improve HIT prescribing safety by redesigning computerized prescriber order entry to incorporate medication indication into the prescription order.

CERT: Brigham and Women's Hospital

Opportunities for Suicide Prevention in the Emergency Department

Successfully achieving a reduction in the annual suicide rate has become a major public health concern in the United States. Literature on the epidemiology of suicide indicates that the single strongest known risk factor for suicide is a recent suicide attempt. According to Mark Olfson, M.D., M.P.H., a researcher for the Rutgers CERT, one potential point-of-care opportunity to decrease this risk factor is the hospital emergency department.

CERT: Rutgers, The State University of New Jersey

Comorbidities as Predictors of Pain Outcomes After Primary and Revision Total Knee Arthroplasty

Total knee arthroplasty (TKA) is the most common joint arthroplasty performed in the United States. Studies have shown that medical comorbidities can have adverse effects on outcomes such as pain and function and are associated with perioperative complications and longer hospital stays. Learn what the UAB CERT recently found from their study to identify the medical and psychological comorbidities associated with poor pain outcomes after primary or revision TKA.

CERT: University of Alabama at Birmingham

Optimizing the Use of an Electronic Fall Prevention Toolkit To Prevent Falls in Hospitalized Patients

The Joint Commission requires that a fall risk assessment be conducted on every patient when admitted to a hospital and that a fall-prevention care plan be put in place. Despite these measures, fall rates have failed to significantly improve. Learn what the Brigham and Women's Hospital CERT is doing to reduce the gap in fall-prevention care.

CERT: Brigham and Women's Hospital

CERT Researcher Engages Nurses To Address Low Health Literacy

Extensive research shows that people who have low health literacy have poorer health outcomes and higher medical costs. Carolyn Dickens, a nurse practitioner at the University of Illinois-Chicago and a member of the Northwestern University CERT, is challenging nurses to help reverse this trend.

CERT: Northwestern University

Involving Primary Care Patients and Their Physicians in Pragmatic Clinical Trials: High-Tech Interactive Tools Aid Study Recruitment

In a study recently published in Patient Preference and Adherence the researchers at the University of Alabama at Birmingham Deep South Musculoskeletal Center for Education and Research on Therapeutics assessed the feasibility of using physician offices and novel, high-tech, interactive tools to screen patients with osteoporosis for a hypothetical pragmatic clinical trial. Their findings are now paving the way for future studies of these tools in the informed consent and randomization processes.

CERT: University of Alabama at Birmingham

Brigham and Women’s Hospital CERT: Solving the Problem of Alert Fatigue To Minimize Medication Errors

For the past decade, investigators at the Brigham and Women’s Hospital Center for Education and Research on Therapeutics have helped lead the national effort to incorporate computerized decision support tools into electronic health records to reduce medical errors. Their most recent research has focused on the automatic alerts that warn physicians if a medication they prescribe contraindicates a patient’s current drug regimen.

CERT: Brigham and Women's Hospital

Brigham and Women's Hospital CERT-Leveraged Project: Placing Genetic Information at Physicians' Fingertips

The field of genetic testing is evolving rapidly, making it difficult for health care providers to stay current about the many genetic variants of each inherited disease. Recently, members of the Brigham & Women's Hospital (BWH) Center for Education and Research on Therapeutics (CERT) collaborated on a study evaluating a breakthrough software tool that places a patient's genetic information directly at the physician's fingertips. Based on feedback from the physician-participants, the tool is helping to optimize the care of patients at risk of an inherited disease.

CERT: Brigham and Women's Hospital

The University of Alabama at Birmingham CERT Seeks To Reduce Disparities in Hip Fracture Trends and Rates

While overall osteoporosis-related fracture rates have steadily dropped among whites since 1995, the rates for African Americans, Hispanics, and Asian Americans have not dropped as sharply. This discrepancy was recently studied by epidemiologist Nicole Wright, Ph.D., a member of the University of Alabama Deep South Arthritis and Musculoskeletal Center for Education and Research on Therapeutics (UAB CERT).

CERT: University of Alabama at Birmingham

Use of Psychotropic Medications for Autism in Children Is Increasing

The use of psychotropic medications in the outpatient setting among U.S. children diagnosed with autism spectrum disorder (ASD) has increased, according to a report from the Rutgers CERT.

CERT: Brigham and Women's Hospital

Reducing Racial Disparities in Hospital Readmissions and Health Care

Duke CERT investigators discuss need for strategies that address the shortcomings of the U.S. health care system with respect to racial disparities in both hospital-readmission rates and the provision of health care.

CERT: Duke University Medical Center

Trends in U.S. Outpatient Depression Treatment, 1998-2007: An Overall Increase in Treatment, But a Decline in Psychotherapy

An analysis of U.S. outpatient depression treatment trends over the past decade show an overall increase in treatment, but a decline in the use of psychotherapy.

CERT: Rutgers, The State University of New Jersey

Persistent Use of Beta Blockers Associated With Heart Failure Survival

Researchers find that the use of beta blockers—a class of drugs used to manage high blood pressure and protect the heart following a heart attack—is associated with higher survival rates among patients with chronic heart failure.

CERT: Brigham and Women's Hospital

Many Stroke Patients Discontinue Medications Prescribed To Prevent Recurrence

An analysis of patients participating in the American Heart Association/American Stroke Association Get With The Guidelines-Stroke (GWTG-Stroke) program, showed that about one out of four acute stroke patients stopped taking one or more of the medications prescribed to them to prevent recurrent stroke during the period when their chance of having another stroke is highest.

CERT: Duke University Medical Center

Older Adults Think Their Medicines Cause Symptoms but Often Don't Tell Their Doctors

This research fact sheet (PDF) describes the key results of a survey among Medicare enrollees about the types of symptoms they experienced, how often they thought these were caused by their medicines, and whether they told their doctor about the symptoms.

View the abstract of the article that was the source of this fact sheet: Oladimeji O, Farris KB,Urmie JG,Doucette WR. Symptomatology, attribution to medicines, and symptom reporting among Medicare enrollees. Res Social Adm Pharm. 2009 Sep;5(3):225-33. Epub 2009 Jan 21. PMID: 19733823.

CERT: University of Iowa

Page last reviewed March 2017
Page originally created March 2017
Internet Citation: Featured CERTs Research. Content last reviewed March 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/chain/research-tools/featured-certs.html