National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
Data
- Data Infographics
- Data Visualizations
- Data Tools
- Data Innovations
- All-Payer Claims Database
- Healthcare Cost and Utilization Project (HCUP)
- Medical Expenditure Panel Survey (MEPS)
- AHRQ Quality Indicator Tools for Data Analytics
- State Snapshots
- United States Health Information Knowledgebase (USHIK)
- Data Sources Available from AHRQ
Search All Research Studies
AHRQ Research Studies Date
Topics
- Access to Care (65)
- Adverse Drug Events (ADE) (56)
- Adverse Events (116)
- Alcohol Use (16)
- Ambulatory Care and Surgery (35)
- Antibiotics (21)
- Antimicrobial Stewardship (20)
- Anxiety (4)
- Arthritis (36)
- Asthma (17)
- Autism (2)
- Back Health and Pain (6)
- Behavioral Health (96)
- Blood Clots (14)
- Blood Pressure (22)
- Blood Thinners (7)
- Brain Injury (7)
- Breast Feeding (2)
- Burnout (2)
- Cancer (107)
- Cancer: Breast Cancer (31)
- Cancer: Cervical Cancer (1)
- Cancer: Colorectal Cancer (31)
- Cancer: Lung Cancer (14)
- Cancer: Ovarian Cancer (2)
- Cancer: Prostate Cancer (23)
- Cancer: Skin Cancer (3)
- Cardiovascular Conditions (94)
- Care Coordination (21)
- Caregiving (18)
- Care Management (41)
- Case Study (9)
- Catheter-Associated Urinary Tract Infection (CAUTI) (14)
- Centers for Education and Research on Therapeutics (CERTs) (5)
- Central Line-Associated Bloodstream Infections (CLABSI) (12)
- Children's Health Insurance Program (CHIP) (13)
- Children/Adolescents (220)
- Chronic Conditions (97)
- Clinical Decision Support (CDS) (30)
- Clinician-Patient Communication (59)
- Clostridium difficile Infections (8)
- Colonoscopy (7)
- Communication (73)
- Community-Acquired Infections (8)
- Community-Based Practice (31)
- Community Partnerships (1)
- Comparative Effectiveness (128)
- Complementary and Alternative Medicine (5)
- Comprehensive Unit-based Safety Program (CUSP) (3)
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) (15)
- Critical Care (38)
- Cultural Competence (10)
- Data (43)
- Dementia (6)
- Dental and Oral Health (12)
- Depression (38)
- Diabetes (75)
- Diagnostic Safety and Quality (75)
- Dialysis (4)
- Digestive Disease and Health (18)
- Disabilities (11)
- Disparities (78)
- Domestic Violence (1)
- Ear Infections (1)
- Education (7)
- Education: Academic (6)
- Education: Continuing Medical Education (27)
- Education: Curriculum (2)
- Education: Patient and Caregiver (53)
- Elderly (152)
- Electronic Health Records (EHRs) (113)
- Electronic Prescribing (E-Prescribing) (3)
- Emergency Department (59)
- Emergency Medical Services (EMS) (47)
- Emergency Preparedness (2)
- Evidence-Based Practice (98)
- Eye Disease and Health (4)
- Falls (10)
- Family Health and History (9)
- Genetics (23)
- Guidelines (50)
- Healthcare-Associated Infections (HAIs) (87)
- Healthcare Cost and Utilization Project (HCUP) (59)
- Healthcare Costs (127)
- Healthcare Delivery (80)
- Healthcare Utilization (69)
- Health Information Exchange (HIE) (11)
- Health Information Technology (HIT) (201)
- Health Insurance (78)
- Health Literacy (17)
- Health Promotion (18)
- Health Services Research (HSR) (51)
- Health Status (31)
- Health Systems (6)
- Heart Disease and Health (87)
- Hepatitis (8)
- Home Healthcare (17)
- Hospital Discharge (31)
- Hospitalization (98)
- Hospital Readmissions (64)
- Hospitals (78)
- Human Immunodeficiency Virus (HIV) (51)
- Imaging (42)
- Implementation (12)
- Infectious Diseases (16)
- Influenza (7)
- Injuries and Wounds (38)
- Inpatient Care (21)
- Intensive Care Unit (ICU) (40)
- Kidney Disease and Health (36)
- Labor and Delivery (17)
- Lifestyle Changes (41)
- Long-Term Care (28)
- Low-Income (41)
- Maternal Care (16)
- Medicaid (70)
- Medical Devices (20)
- Medical Errors (34)
- Medical Expenditure Panel Survey (MEPS) (28)
- Medical Liability (14)
- Medicare (82)
- Medication (261)
- Medication: Safety (35)
- Men's Health (8)
- Methicillin-Resistant Staphylococcus aureus (MRSA) (14)
- Mortality (86)
- Neonatal Intensive Care Unit (NICU) (11)
- Neurological Disorders (20)
- Newborns/Infants (36)
- Nursing (15)
- Nursing Homes (40)
- Nutrition (21)
- Obesity (40)
- Obesity: Weight Management (15)
- Opioids (22)
- Organizational Change (17)
- Orthopedics (6)
- Osteoporosis (6)
- Outcomes (123)
- Pain (24)
- Palliative Care (27)
- Patient-Centered Healthcare (72)
- Patient-Centered Outcomes Research (183)
- Patient Adherence/Compliance (46)
- Patient and Family Engagement (58)
- Patient Experience (47)
- Patient Safety (218)
- Patient Self-Management (35)
- Payment (23)
- Pneumonia (12)
- Policy (73)
- Practice-Based Research Network (PBRN) (7)
- Practice Improvement (5)
- Practice Patterns (56)
- Pregnancy (44)
- Pressure Ulcers (6)
- Prevention (124)
- Primary Care (112)
- Primary Care: Models of Care (6)
- Provider (22)
- Provider: Clinician (2)
- Provider: Health Personnel (24)
- Provider: Nurse (3)
- Provider: Pharmacist (12)
- Provider: Physician (8)
- Provider Performance (30)
- Public Health (20)
- Public Reporting (18)
- Quality Improvement (75)
- Quality Indicators (QIs) (37)
- Quality Measures (58)
- Quality of Care (152)
- Quality of Life (38)
- Racial and Ethnic Minorities (137)
- Registries (33)
- Rehabilitation (6)
- Research Methodologies (66)
- Respiratory Conditions (38)
- Risk (127)
- Rural Health (11)
- Screening (65)
- Sepsis (11)
- Sex Factors (12)
- Sexual Health (14)
- Shared Decision Making (96)
- Sickle Cell Disease (7)
- Simulation (2)
- Skin Conditions (12)
- Sleep Problems (9)
- Social Determinants of Health (65)
- Social Media (12)
- Social Stigma (10)
- Stress (16)
- Stroke (25)
- Substance Abuse (43)
- Surgery (146)
- Surveys on Patient Safety Culture (1)
- Teams (24)
- TeamSTEPPS (3)
- Telehealth (30)
- Tobacco Use (16)
- Tools & Toolkits (12)
- Training (20)
- Transitions of Care (17)
- Transplantation (17)
- Trauma (10)
- Treatments (37)
- U.S. Preventive Services Task Force (USPSTF) (25)
- Uninsured (16)
- Urban Health (16)
- Urinary Tract Infection (UTI) (11)
- Vaccination (28)
- Vulnerable Populations (27)
- Web-Based (31)
- Women (51)
- Workflow (8)
- Workforce (5)
- Young Adults (15)
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
26 to 50 of 1941 Research Studies DisplayedWoodworth L
A leak in the lifeboat: the effect of Medicaid managed care on the vitality of safety-net hospitals.
Woodworth estimated the impact of Medicaid managed care on safety-net hospitals by exploiting a Florida pilot program that required Medicaid recipients in five counties to enroll in managed care. The results suggested that this mandate led to a small reduction in safety-net hospitals' average ratio of payment-to-cost and that the effect on safety-net hospitals was disproportionate.
AHRQ-funded; HS022236.
Citation: Woodworth L .
A leak in the lifeboat: the effect of Medicaid managed care on the vitality of safety-net hospitals.
J Regul Econ 2016 Dec;50(3):251-70. doi: 10.1007/s11149-016-9312-8.
.
.
Keywords: Hospitals, Medicaid, Health Insurance
Aschbrenner KA, Naslund JA, Bartels SJ
A mixed methods study of peer-to-peer support in a group-based lifestyle intervention for adults with serious mental illness.
The authors explored peer-to-peer support among individuals participating in a group lifestyle intervention that included social media to enhance in-person weight management sessions. They found that participants described how shared learning and group problem-solving activities fostered friendships and provided essential support for health behavior change, while sharing information, personal successes and challenges, and "being in the same boat" as other group members were key features of peer-to-peer support.
AHRQ-funded; HS021695.
Citation: Aschbrenner KA, Naslund JA, Bartels SJ .
A mixed methods study of peer-to-peer support in a group-based lifestyle intervention for adults with serious mental illness.
Psychiatr Rehabil J 2016 Dec;39(4):328-34. doi: 10.1037/prj0000219.
.
.
Keywords: Lifestyle Changes, Lifestyle Changes, Behavioral Health, Obesity: Weight Management
Meisel ZF, Metlay JP, Sinnenberg L
A randomized trial testing the effect of narrative vignettes versus guideline summaries on provider response to a professional organization clinical policy for safe opioid prescribing.
The authors compared whether narrative vignettes embedded in the American College of Emergency Physicians (ACEP) daily e-newsletter improved dissemination of the clinical policy to ACEP members, and engagement of members with the clinical policy, compared with traditional summary text. They found that the vignettes outperformed traditional guideline text in promoting engagement with an evidence-based clinical guideline related to opioid prescriptions.
AHRQ-funded; HS021956.
Citation: Meisel ZF, Metlay JP, Sinnenberg L .
A randomized trial testing the effect of narrative vignettes versus guideline summaries on provider response to a professional organization clinical policy for safe opioid prescribing.
Ann Emerg Med 2016 Dec;68(6):719-28. doi: 10.1016/j.annemergmed.2016.03.007.
.
.
Keywords: Communication, Evidence-Based Practice, Guidelines, Opioids, Medication, Medication: Safety, Policy, Provider
Patel HD, Iyoha E, Pierorazio PM
A systematic review of research gaps in the evaluation and management of localized renal masses.
The authors conducted a systematic review to summarize research gaps for the evaluation of composite models for predicting malignancy; use of percutaneous renal sampling for diagnosis; and comparative effectiveness of surgery, thermal ablation, and active surveillance. They recommended incorporation of emerging biomarkers into validated composite models, standardization of biopsy protocols, standard reporting of clinical stage, and performance of prospective studies with objective selection criteria.
AHRQ-funded; 290201200007I.
Citation: Patel HD, Iyoha E, Pierorazio PM .
A systematic review of research gaps in the evaluation and management of localized renal masses.
Urology 2016 Dec;98:14-20. doi: 10.1016/j.urology.2016.08.013.
.
.
Keywords: Cancer, Evidence-Based Practice, Patient-Centered Outcomes Research, Quality Indicators (QIs), Research Methodologies
Wellbeloved-Stone CA, Weppner JL, Valdez RS
A systematic review of telerehabilitation and mhealth interventions for spinal cord injury.
This systematic review evaluated the previous decade of telerehabilitation and mHealth interventions for spinal cord injury. The heterogeneity of the included studies coupled with a lack of standardized reporting guidelines precluded the development of specific recommendations for future intervention development. Rather, recommendations from this review focus on the need for a wide of range of future research in this domain, with a stronger focus on mobile Health.
AHRQ-funded; HS023849.
Citation: Wellbeloved-Stone CA, Weppner JL, Valdez RS .
A systematic review of telerehabilitation and mhealth interventions for spinal cord injury.
Current Physical Medicine and Rehabilitation Reports 2016 Dec;4(4):295-311. doi: 10.1007/s40141-016-0138-1.
.
.
Keywords: Telehealth, Health Information Technology (HIT), Injuries and Wounds
Fontil V, McDermott K, Tieu L
Adaptation and feasibility study of a digital health program to prevent diabetes among low-income patients: results from a partnership between a digital health company and an academic research team.
Researchers collaborated with a digital health company to adapt a diabetes prevention program for low-income prediabetes patients at a large safety net clinic. They concluded that underserved prediabetic patients displayed high engagement and satisfaction with a digital diabetes prevention program despite lower digital literacy skills. The collaboration between researchers and a digital health company enabled iterative improvements in technology implementation to address challenges in low-income populations.
AHRQ-funded; HS022408.
Citation: Fontil V, McDermott K, Tieu L .
Adaptation and feasibility study of a digital health program to prevent diabetes among low-income patients: results from a partnership between a digital health company and an academic research team.
J Diabetes Res 2016;2016:8472391. doi: 10.1155/2016/8472391.
.
.
Keywords: Diabetes, Health Information Technology (HIT), Low-Income, Prevention, Health Promotion
Schiff GD, Reyes Nieva H, Griswold P
Addressing ambulatory safety and malpractice: the Massachusetts PROMISES Project.
The researchers assembled a coalition of safety, regulatory, malpractice, and academic groups and recruited 25 primary care practices of which 16 were selected to receive a multifaceted improvement intervention. They describe how they developed and fielded the intervention, delineating some of the lessons learned in the course of the project and implications for future efforts in this field.
AHRQ-funded; HS019508.
Citation: Schiff GD, Reyes Nieva H, Griswold P .
Addressing ambulatory safety and malpractice: the Massachusetts PROMISES Project.
Health Serv Res 2016 Dec;51 Suppl 3:2634-41. doi: 10.1111/1475-6773.12621.
.
.
Keywords: Patient Safety, Medical Liability, Primary Care
LeBlanc TW, Ritchie CS, Friedman F
Adherence to measuring what matters items when caring for patients with hematologic malignancies versus solid tumors.
The authors sought to assess adherence to Measuring What Matters (MWM) measures by palliative care clinicians caring for patients with hematologic malignancies, compared to those with solid tumors. They found that MWM adherence regarding symptom assessment and meeting emotional needs was lower for patients with hematologic malignancies compared to those with solid tumors. They concluded that this finding suggests two key areas for quality improvement initiatives in palliative care for patients with hematologic malignancies.
AHRQ-funded; HS023681; HS022763.
Citation: LeBlanc TW, Ritchie CS, Friedman F .
Adherence to measuring what matters items when caring for patients with hematologic malignancies versus solid tumors.
J Pain Symptom Manage 2016 Dec;52(6):775-82. doi: 10.1016/j.jpainsymman.2016.09.004.
.
.
Keywords: Cancer, Quality of Care, Palliative Care, Patient-Centered Outcomes Research, Quality Measures
Cha S, Masho SW, Mezuk B
Age of sexual debut and cannabis use in the United States.
The goals of this study were to assess the relationship between early sexual debut and cannabis use. It found that later age of sexual debut was associated with lower odds of cannabis use relative to the average age of debut. For every year that respondents delayed their sexual debut, the relative odds of lifetime cannabis use declined by 17 percent.
AHRQ-funded; HS021504.
Citation: Cha S, Masho SW, Mezuk B .
Age of sexual debut and cannabis use in the United States.
Subst Use Misuse 2016;51(4):439-48. doi: 10.3109/10826084.2015.1110177.
.
.
Keywords: Substance Abuse, Lifestyle Changes, Risk, Sexual Health, Lifestyle Changes
Martsolf GR, Gibson TB, Benevent R
AHRQ Author: Jiang HJ, Stocks C
An examination of hospital nurse staffing and patient experience with care: Differences between cross-sectional and longitudinal estimates.
The researchers studied the association between hospital nurse staffing and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores. After controlling for unobserved hospital characteristics, they found that the positive influences of increased nurse staffing levels and skill mix were relatively small in size and limited to a few measures of patients' inpatient experience.
AHRQ-authored.
Citation: Martsolf GR, Gibson TB, Benevent R .
An examination of hospital nurse staffing and patient experience with care: Differences between cross-sectional and longitudinal estimates.
Health Serv Res 2016 Dec;51(6):2221-41. doi: 10.1111/1475-6773.12462.
.
.
Keywords: Consumer Assessment of Healthcare Providers and Systems (CAHPS), Nursing, Patient Experience, Patient Experience, Healthcare Cost and Utilization Project (HCUP)
Nembhard IM, Tucker AL
Applying organizational learning research to Accountable Care Organizations.
In this article, the authors discuss seven lessons from the organizational learning literature that can help Accountable Care Organizations (ACOs) overcome the inherent challenges of learning how to work together in radically new ways. The article concludes by outlining opportunities for future research on organizational learning in ACOs.
AHRQ-funded; HS018987.
Citation: Nembhard IM, Tucker AL .
Applying organizational learning research to Accountable Care Organizations.
Med Care Res Rev 2016 Dec;73(6):673-84. doi: 10.1177/1077558716640415..
Keywords: Quality of Care, Organizational Change, Health Insurance
Raval AD, Mattes MD, Madhavan S
Association between metformin use and cancer stage at diagnosis among elderly Medicare beneficiaries with preexisting Type 2 diabetes mellitus and incident prostate cancer.
The researchers examined the association between metformin use and cancer stage at diagnosis among elderly men with preexisting diabetes mellitus and incident prostate cancer. They found a significantly lower percentage of metformin users were diagnosed with advanced prostate cancer as compared to nonusers (4.7 percent versus 6.7 percent.
AHRQ-funded; HS018622.
Citation: Raval AD, Mattes MD, Madhavan S .
Association between metformin use and cancer stage at diagnosis among elderly Medicare beneficiaries with preexisting Type 2 diabetes mellitus and incident prostate cancer.
J Diabetes Res 2016;2016:2656814. doi: 10.1155/2016/2656814.
.
.
Keywords: Cancer: Prostate Cancer, Medication, Elderly, Diabetes, Medicare
Raval AD, Madhavan S, Mattes MD
Association between types of chronic conditions and cancer stage at diagnosis among elderly Medicare beneficiaries with prostate cancer.
The current retrospective observational study was conducted to examine the association between types of chronic conditions and cancer stage at diagnosis among elderly Medicare beneficiaries with prostate cancer. It found that those with none of the 3 types of chronic conditions (cardiometabolic, mental health, and respiratory) were 44 percent more likely to be diagnosed with advanced prostate cancer compared to men with all 3 types of chronic conditions.
AHRQ-funded; HS018622.
Citation: Raval AD, Madhavan S, Mattes MD .
Association between types of chronic conditions and cancer stage at diagnosis among elderly Medicare beneficiaries with prostate cancer.
Popul Health Manag 2016 Dec;19(6):445-53. doi: 10.1089/pop.2015.0141.
.
.
Keywords: Cancer, Cancer: Prostate Cancer, Elderly, Medicare
Kantor R, Kim A, Thyssen JP
Association of atopic dermatitis with smoking: a systematic review and meta-analysis.
The authors examined the association between atopic dermatitis (AD) and exposure to tobacco smoke. They found that a diagnosis of AD was associated with higher odds of active smoking and exposure to passive smoke but not to maternal smoking during pregnancy, and concluded that active and passive tobacco smoke exposure are associated with increased AD prevalence.
AHRQ-funded; HS023011.
Citation: Kantor R, Kim A, Thyssen JP .
Association of atopic dermatitis with smoking: a systematic review and meta-analysis.
J Am Acad Dermatol 2016 Dec;75(6):1119-25.e1. doi: 10.1016/j.jaad.2016.07.017.
.
.
Keywords: Skin Conditions, Tobacco Use, Risk, Evidence-Based Practice
McDonald ML, Huang A, Proudfoot JA
Association of obesity, BMI, and Hispanic ethnicity on ambulatory status in children with spinal dysraphism followed near the California-Mexico border.
This study evaluated the relationship between body mass index (BMI), overweight status (OW), or obesity (OB) and ambulatory status in a predominantly Hispanic population of children with spinal dysraphism (SD). It found that,despite no difference in ambulatory status, increasing BMI and OW / OB are associated with Hispanic ethnicity and increasing age.
AHRQ-funded; HS022404.
Citation: McDonald ML, Huang A, Proudfoot JA .
Association of obesity, BMI, and Hispanic ethnicity on ambulatory status in children with spinal dysraphism followed near the California-Mexico border.
J Health Care Poor Underserved 2016;27(4):1956-69. doi: 10.1353/hpu.2016.0173.
.
.
Keywords: Obesity, Racial and Ethnic Minorities, Racial and Ethnic Minorities, Children/Adolescents, Health Status
Press A, Khan S, McCullagh L
Avoiding alert fatigue in pulmonary embolism decision support: a new method to examine 'trigger rates.'
The authors developed a new and innovative usability process named 'sensitivity and specificity trigger analysis' (SSTA) as part of a larger project around a pulmonary embolism decision support tool. They explored a unique methodology, SSTA, used to limit inaccurate triggering of a clinical decision support tool prior to integration into the electronic health record. They concluded that their methodology can be applied to other studies aiming to decrease triggering rates and increase adoption rates of previously validated clinical decision support system tools.
AHRQ-funded; HS022061.
Citation: Press A, Khan S, McCullagh L .
Avoiding alert fatigue in pulmonary embolism decision support: a new method to examine 'trigger rates.'
Evid Based Med 2016 Dec;21(6):203-07. doi: 10.1136/ebmed-2016-110440.
.
.
Keywords: Clinical Decision Support (CDS), Respiratory Conditions, Electronic Health Records (EHRs), Provider: Health Personnel, Patient Safety
Salinas JL, Rentsch C, Marconi VC
Baseline, time-updated, and cumulative HIV care metrics for predicting acute myocardial infarction and all-cause mortality.
The researchers studied prediction rates of myocardial infarction in those with HIV. They found that the Veterans Aging Cohort Study (VACS) Index provided better acute myocardial infarction and mortality prediction than CD4 count and HIV-1 RNA, concluding that current health determines risk more accurately than prior history.
AHRQ-funded; HS018372.
Citation: Salinas JL, Rentsch C, Marconi VC .
Baseline, time-updated, and cumulative HIV care metrics for predicting acute myocardial infarction and all-cause mortality.
Clin Infect Dis 2016 Dec 1;63(11):1423-30. doi: 10.1093/cid/ciw564.
.
.
Keywords: Human Immunodeficiency Virus (HIV), Mortality, Heart Disease and Health, Risk
Roosan D, Samore M, Jones M
Big-data based decision-support systems to improve clinicians' cognition.
This study focused on answers from the experts on how clinical reasoning can be supported by population-based Big-Data. It found cognitive strategies such as trajectory tracking, perspective taking, and metacognition has the potential to improve clinicians' cognition to deal with complex problems. These cognitive strategies all have important implications for the design of Big-Data based decision-support tools that could be embedded in electronic health records.
AHRQ-funded; HS023349.
Citation: Roosan D, Samore M, Jones M .
Big-data based decision-support systems to improve clinicians' cognition.
IEEE Int Conf Healthc Inform 2016;2016:285-88. doi: 10.1109/ichi.2016.39.
.
.
Keywords: Clinical Decision Support (CDS), Shared Decision Making, Data, Electronic Health Records (EHRs)
Sherry M, Wolff JL, Ballreich J
Bridging the silos of service delivery for high-need, high-cost individuals.
This study examined 5 innovative community-oriented programs that are successfully coordinating medical and nonmedical services to identify factors that stimulate and sustain community-level collaboration and coordinated care across silos of health care, public health, and social services delivery. The authors constructed a conceptual framework depicting community health systems that highlights 4 foundational factors that facilitate community-oriented collaboration.
AHRQ-funded; HS000029.
Citation: Sherry M, Wolff JL, Ballreich J .
Bridging the silos of service delivery for high-need, high-cost individuals.
Popul Health Manag 2016 Dec;19(6):421-28. doi: 10.1089/pop.2015.0147.
.
.
Keywords: Community-Based Practice, Healthcare Costs, Healthcare Delivery, Care Coordination
Gaugler JE, Reese M, Tanler R
Care to Plan: an online tool that offers tailored support to dementia caregivers.
This study developed and tested the feasibility of "Care to Plan" (CtP), an online resource for dementia caregivers (e.g., relatives or unpaid nonrelatives) that generates tailored support recommendations. It concluded that, based on the integrated qualitative and quantitative data, CtP was simple and easy to understand. The streamlined visual layout facilitated utility and the individualized recommendations could meet the needs of users.
AHRQ-funded; HS20948; HS22445.
Citation: Gaugler JE, Reese M, Tanler R .
Care to Plan: an online tool that offers tailored support to dementia caregivers.
Gerontologist 2016 Dec;56(6):1161-74. doi: 10.1093/geront/gnv150.
.
.
Keywords: Caregiving, Dementia, Elderly, Web-Based, Tools & Toolkits
Mello MM, Greenberg Y, Senecal SK
Case outcomes in a communication-and-resolution program in New York hospitals.
The researchers sought to determine case outcomes in a communication-and-resolution program (CRP) implemented to respond to adverse events in general surgery. They concluded that the bulk of CRPs' work is in investigating and communicating about events not caused by substandard care. These CRPs were quite successful in handling such events, but less consistent in offering compensation in cases involving substandard care.
AHRQ-funded; R18 HS019505.
Citation: Mello MM, Greenberg Y, Senecal SK .
Case outcomes in a communication-and-resolution program in New York hospitals.
Health Serv Res 2016 Dec;51 Suppl 3:2583-99. doi: 10.1111/1475-6773.12594.
.
.
Keywords: Adverse Events, Communication, Medical Errors, Medical Liability, Surgery
Russo E, Sittig DF, Murphy DR
Challenges in patient safety improvement research in the era of electronic health records.
The researchers used a case study involving a project on missed or delayed follow-up of test results to discuss real-world challenges in using electronic health records data for patient safety research. They suggested that many current data access and security policies and procedures must be rewritten and standardized across health care organization sin order to advance progress toward safer health care.
AHRQ-funded; HS022901.
Citation: Russo E, Sittig DF, Murphy DR .
Challenges in patient safety improvement research in the era of electronic health records.
Healthc 2016 Dec;4(4):285-90. doi: 10.1016/j.hjdsi.2016.06.005.
.
.
Keywords: Electronic Health Records (EHRs), Health Services Research (HSR), Health Information Technology (HIT), Patient Safety, Quality Improvement
Mello MM, Armstrong SJ, Greenberg Y
Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate.
The researchers sought to implement a communication-and-resolution program (CRP) in a setting in which liability insurers and health care facilities must collaborate to resolve incidents involving a facility and separately insured clinicians. They found that sites experienced small victories in resolving particular cases and streamlining some working relationships, but they were unable to successfully implement a collaborative CRP.
AHRQ-funded; HS019531.
Citation: Mello MM, Armstrong SJ, Greenberg Y .
Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate.
Health Serv Res 2016 Dec;51 Suppl 3:2550-68. doi: 10.1111/1475-6773.12580.
.
.
Keywords: Communication, Medical Errors, Medical Liability, Patient Safety
Helmchen LA, Lambert BL, McDonald TB
Changes in physician practice patterns after implementation of a communication-and-resolution program.
The researchers tested if a 2006 communication-and-resolution program to address unexpected adverse outcomes was associated with changes in cost and use trajectories. They found that the intervention hospital recorded an increase in the number of patients with a principal diagnosis of chest pain. Among admitted patients, quarterly growth rates of clinical laboratory and radiology charges at the intervention hospital declined by 3.8 and 6.9 percentage points.
AHRQ-funded; HS019565.
Citation: Helmchen LA, Lambert BL, McDonald TB .
Changes in physician practice patterns after implementation of a communication-and-resolution program.
Health Serv Res 2016 Dec;51 Suppl 3:2516-36. doi: 10.1111/1475-6773.12610.
.
.
Keywords: Adverse Events, Communication, Medical Errors, Medical Liability, Practice Patterns
Burstein PD, Zalenski DM, Edwards JL
Changing labor and delivery practice: focus on achieving practice and documentation standardization with the goal of improving neonatal outcomes.
The researchers established a multifactorial shoulder dystocia response and management protocol to promote sustainable practice change. In the first year, there was a threefold increase in shoulder dystocia reporting, which continued in years 2 and 3. In the first year, 96 percent of clinicians completed all training elements. Overall teams reached a 99 percent adoption rate of the shoulder dystocia protocol.
AHRQ-funded; HS019608.
Citation: Burstein PD, Zalenski DM, Edwards JL .
Changing labor and delivery practice: focus on achieving practice and documentation standardization with the goal of improving neonatal outcomes.
Health Serv Res 2016 Dec;51 Suppl 3:2472-86. doi: 10.1111/1475-6773.12589.
.
.
Keywords: Labor and Delivery, Newborns/Infants, Adverse Events, Quality Improvement, Quality of Care, Patient Safety, Patient-Centered Outcomes Research, Outcomes, Guidelines, Evidence-Based Practice, Pregnancy, Teams