Simulations Show Telemedicine’s Potential To Support Acute Care of Stroke Patients
May 12, 2021
Access more data on this topic in the associated statistical brief.
- Simulations Show Telemedicine’s Potential To Support Acute Care of Stroke Patients.
- AHRQ Views Blog: Seeking Diverse Expertise To Strengthen AHRQ’s Foundation of Peer Review.
- AHRQ Grantee Profile Highlights Work of Kimberly Gregory, M.D., M.P.H., To Improve Obstetrical Quality and Outcomes.
- AHRQ Signals Interest in Research Projects Aimed at Advancing Equity.
- AHRQ's Nursing Home Resource Catalogue Highlights COVID-19 Materials During National Skilled Nursing Care Week.
- Highlights From AHRQ’s Patient Safety Network.
- Registration Open for May 26 Healthcare Cost and Utilization Project Virtual Workshop.
- New Research and Evidence From AHRQ.
- AHRQ in the Professional Literature.
Simulations Show Telemedicine’s Potential To Support Acute Care of Stroke Patients
Neurologists, patients and paramedics were almost equally involved during simulations that tested telemedicine’s potential to support care for acute stroke events, according to an AHRQ-funded study. Researchers conducted 13 video-recorded simulations in ambulances involving patients and real nurses, paramedics and neurologists. They found that among all team communications, 82 percent were verbal, and that 48 percent of verbal interactions were initiated by neurologists. Disruptions occurred in 8 percent of the simulations, and 44 percent of errors were caused by communication-related issues such as confusion or lack of response. Researchers concluded that successful telemedicine-enabled stroke care involves supporting both verbal and nonverbal communication among all team members using video and audio systems. Access the abstract of the study published in Human Factors: The Journal of the Human Factors and Ergonomics Society.
AHRQ Views Blog: Seeking Diverse Expertise To Strengthen AHRQ’s Foundation of Peer Review
The agency’s commitment to staffing its study section panels with experts from diverse backgrounds is highlighted in a new AHRQ Views blog by Acting Director David Meyers, M.D., and Francis Chesley, M.D., director of the agency’s Office of Extramural Research, Education, and Priority Populations. AHRQ’s study sections, which provide fair and rigorous peer review of grant applications, are essential to the agency’s longstanding health services research enterprise. AHRQ’s invitation to potential new members is aimed at reflecting diversity and balance in several areas: scientific disciplines and healthcare specialties; experience related to research methods, clinical care delivery and health systems operations; gender, race and ethnicity; and in geography, including representation from rural areas. Access the blog post, including information about participating. To receive all blog posts, submit your email address and select “AHRQ Views Blog.”
AHRQ Grantee Profile Highlights Work of Kimberly Gregory, M.D., M.P.H., To Improve Obstetrical Quality and Outcomes
The work of Kimberly Gregory, M.D., M.P.H., whose health services research projects have focused on improving health outcomes for women, is the subject of the latest AHRQ grantee profile. Dr. Gregory, vice chair of women’s healthcare quality and performance improvement in the Department of Obstetrics and Gynecology at Cedars-Sinai Medical Center in Los Angeles, has led health services research projects aimed at improving the quality of maternity care and pregnancy outcomes. Access Dr. Gregory’s profile as well as additional AHRQ profiles.
AHRQ Signals Interest in Research Projects Aimed at Advancing Equity
A new Special Emphasis Notice issued by AHRQ has announced the agency’s interest in receiving health services research grant applications that propose evidence-based interventions to advance the nation’s goal of achieving equity in the delivery of healthcare services. Inequities are rooted in historic and present-day injustices that exist across all aspects of society, including healthcare delivery, and the disproportionate impact of COVID-19 on Black and other minority communities has made these inequities more apparent. AHRQ is seeking research projects aimed at reducing disparities in quality of care, patient safety, healthcare utilization and access, and ultimately, health outcomes. Access more information.
AHRQ's Nursing Home Resource Catalogue Highlights COVID-19 Materials During National Skilled Nursing Care Week
AHRQ joins the American Health Care Association in recognizing the essential role of skilled nursing care facilities and their staff during National Skilled Nursing Care Week, May 9 to 15. In recent months, AHRQ has led efforts to provide free training, mentorship and resources to nursing homes through the agency's Nursing Home COVID-19 Action Network. The Network supports the implementation of evidence-based prevention and safety practices to protect nursing home residents and staff from infection. A collection of resources, available via the Network’s COVID-19 Resources Catalog for Nursing Homes, includes items ranging from addressing social isolation for older adults to clinical questions and answers for healthcare providers.
Highlights From AHRQ’s Patient Safety Network
AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:
- Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1).
- Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review.
- Accuracy of practitioner estimates of probability of diagnosis before and after testing.
Healthcare Cost and Utilization Project Virtual Workshop
There was a virtual Healthcare Cost and Utilization Project (HCUP) Data Analytic Tools Workshop held May 26, 2021. This intermediate-level, six-hour workshop taught health services researchers and analysts how to use HCUP analytic tools to facilitate their research on administrative data. Participants learned how to categorize diagnosis and procedure codes into clinically meaningful categories, as well as identify comorbidities, chronic conditions and operating room procedures. Review the Online HCUP Overview Course and HCUP Software Tools Tutorial.
New Research and Evidence From AHRQ
- Systematic review (comment period ended for the draft report): Prehabilitation and Rehabilitation for Major Joint Replacement.
AHRQ in the Professional Literature
Factors associated with job satisfaction in medical oncology practices: results from a multisite survey. Friese CR, Mendelsohn-Victor K, Medvec BR, et al. J Nurs Adm 2021 Apr;51(4):200-5. Access the abstract on PubMed®.
Regional changes in patterns of stroke presentation during the COVID-19 pandemic. Etherton MR, Zachrison KS, Yan Z, et al. Stroke 2021 Apr;52(4):1398-1406. Epub 2021 Feb 16. Access the abstract on PubMed®.
Factors influencing treatment of veterans with advanced prostate cancer. Caram MEV, Burns J, Kumbier K, et al. Cancer 2021 Mar 25. [Epub ahead of print.] Access the abstract on PubMed®.
Technology integration in complex healthcare environments: a systematic literature review. Bayramzadeh S, Aghaei P. Appl Ergon 2021 Apr;92:103351. Epub 2021 Jan 4. Access the abstract on PubMed®.
Oral glucocorticoids and incident treatment of diabetes mellitus, hypertension, and venous thromboembolism in children. Horton DB, Xie F, Chen L, et al. Am J Epidemiol 2021 Feb;190(3):403-12. Access the abstract on PubMed®.
Translating evidence into practice: ACOs' use of care plans for patients with complex health needs. Fraze TK, Beidler LB, Briggs ADM, et al. J Gen Intern Med 2021 Jan;36(1):147-53. Epub 2020 Oct 1. Access the abstract on PubMed®.
Comparison of diabetes medications used by adults with commercial insurance vs Medicare Advantage, 2016 to 2019. McCoy RG, Van Houten HK, Deng Y, et al. JAMA Netw Open 2021 Feb;4(2):e2035792. Access the abstract on PubMed®.
A postdischarge venous thromboembolism risk calculator for inflammatory bowel disease surgery. Schlick CJR, Yuce TK, Yang AD, et al. Surgery 2021 Feb;169(2):240-7. Epub 2020 Oct 17. Access the abstract on PubMed®.