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
101 to 125 of 1941 Research Studies DisplayedWysham NG, Hochman MJ, Wolf SP
Performance of consultative palliative care model in achieving quality metrics in the ICU.
The purpose of this paper was to assess adherence to proposed quality metrics of ICU-based palliative care by palliative care specialists. The authors found that palliative care consultations in an ICU setting are characterized by variable adherence to candidate ICU palliative care quality metrics. Although symptom management was the foremost reason for palliative care consultation, consultants infrequently documented symptom assessments. The consultants performed better in offering spiritual support and managing documented symptoms.
AHRQ-funded; HS023681.
Citation: Wysham NG, Hochman MJ, Wolf SP .
Performance of consultative palliative care model in achieving quality metrics in the ICU.
J Pain Symptom Manage 2016 Dec;52(6):873-77. doi: 10.1016/j.jpainsymman.2016.05.026.
.
.
Keywords: Critical Care, Intensive Care Unit (ICU), Palliative Care, Quality of Care, Quality Measures
Mukamel DB, Amin A, Weimer DL
Personalizing nursing home compare and the discharge from hospitals to nursing homes.
This study tested whether use of a personalized report card, Nursing Home Compare Plus (NHCPlus), embedded in a reengineered discharge process, can lead to better outcomes than the usual discharge process from hospitals to nursing homes. It found that about 85 percent of users indicated satisfaction with NHCPlus. Compared to controls, intervention patients were more satisfied with the choice process.
AHRQ-funded; R21 HS021844.
Citation: Mukamel DB, Amin A, Weimer DL .
Personalizing nursing home compare and the discharge from hospitals to nursing homes.
Health Serv Res 2016 Dec;51(6):2076-94. doi: 10.1111/1475-6773.12588.
.
.
Keywords: Hospital Discharge, Hospitals, Nursing Homes, Patient Experience, Quality Indicators (QIs)
Merlin JS, Bulls HW, Vucovich LA
Pharmacologic and non-pharmacologic treatments for chronic pain in individuals with HIV: a systematic review.
The authors conducted a systematic review to identify clinical trials and observational studies examining the impact of pharmacologic or non-pharmacologic interventions on pain and/or functional outcomes among HIV-infected individuals with chronic pain in high-development countries. They found that the only included controlled studies with positive results were of capsaicin and cannabis. Among the seven studies of pharmacologic interventions, the authors determined that five had substantial pharmaceutical industry sponsorship. Their findings highlight several important gaps in the HIV/chronic pain literature requiring further research.
AHRQ-funded; HS019465.
Citation: Merlin JS, Bulls HW, Vucovich LA .
Pharmacologic and non-pharmacologic treatments for chronic pain in individuals with HIV: a systematic review.
AIDS Care 2016 Dec;28(12):1506-15. doi: 10.1080/09540121.2016.1191612.
.
.
Keywords: Chronic Conditions, Comparative Effectiveness, Human Immunodeficiency Virus (HIV), Medication, Patient-Centered Outcomes Research
Bonafide CP, Brady PW, Daymont C
Physiologic monitor alarms for children: pushing the limits.
This editorial comments on an article by Goel, et al., (2017), published in the Journal of Hospital Medicine, entitled “Safety analysis of proposed data-driven physiologic alarm parameters for hospitalized children.”
AHRQ-funded; HS023827.
Citation: Bonafide CP, Brady PW, Daymont C .
Physiologic monitor alarms for children: pushing the limits.
J Hosp Med 2016 Dec;11(12):886-87. doi: 10.1002/jhm.2638..
Keywords: Children/Adolescents, Hospitalization, Patient Safety
Herrinton LJ, Harrold L, Salman C
Population variations in rheumatoid arthritis treatment and outcomes, Northern California, 1998-2009.
This study assessed variations in rheumatoid arthritis treatment and outcomes at the community level from 1998 through 2009. It found that disease-modifying anti-rheumatic drug use increased in the typical patient from 38 to 63 percent of the time, and oral prednisone use declined from 23 to 15 percent of the time, whereas opioid use initially rose but then fell to 23 percent of the time.
AHRQ-funded; HS019912; HS010391; HS021590; HS018517; HS017919.
Citation: Herrinton LJ, Harrold L, Salman C .
Population variations in rheumatoid arthritis treatment and outcomes, Northern California, 1998-2009.
Perm J 2016 Winter;20(1):4-12. doi: 10.7812/tpp/15-028.
.
.
Keywords: Arthritis, Medication, Comparative Effectiveness, Outcomes
Kasiske BL, Salkowski N, Wey A
Potential implications of recent and proposed changes in the regulatory oversight of solid organ transplantation in the United States.
The authors reviewed the details and implications of changes in transplant program oversight.
AHRQ-funded; HS024527.
Citation: Kasiske BL, Salkowski N, Wey A .
Potential implications of recent and proposed changes in the regulatory oversight of solid organ transplantation in the United States.
Am J Transplant 2016 Dec;16(12):3371-77. doi: 10.1111/ajt.13955.
.
.
Keywords: Health Services Research (HSR), Policy, Registries, Policy, Transplantation
Gounder PP, Seeman SM, Holman RC
AHRQ Author: Steiner CA
Potentially preventable hospitalizations for acute and chronic conditions in Alaska, 2010-2012.
The Healthy Alaska 2020 initiative (HA2020) targeted reducing potentially preventable hospitalizations (PPH) for acute and chronic conditions among its health indicators. This study found that among 127,371 total hospitalizations, 4,911 and 6,721 were for acute and chronic PPH conditions, respectively. The overall crude PPH rate was 7.3 (3.1 for acute and 4.2 for chronic conditions).
AHRQ-authored.
Citation: Gounder PP, Seeman SM, Holman RC .
Potentially preventable hospitalizations for acute and chronic conditions in Alaska, 2010-2012.
Prev Med Rep 2016 Dec;4:614-21. doi: 10.1016/j.pmedr.2016.03.017.
.
.
Keywords: Hospitalization, Healthcare Cost and Utilization Project (HCUP), Quality Indicators (QIs), Chronic Conditions, Quality of Care
Lipton BJ, Wherry LR, Miller S
AHRQ Author: Lipton BJ, Decker S
Previous Medicaid expansion may have had lasting positive effects on oral health of non-Hispanic black children.
The researchers estimated the relationship between adult oral health and the extent of state public health insurance eligibility for pregnant women, infants, and children throughout childhood separately for non-Hispanic whites, non-Hispanic blacks, and Hispanics. They found that expanded Medicaid coverage geared toward pregnant women and children during their first year of life was linked to better oral health in adulthood among non-Hispanic blacks.
AHRQ-authored.
Citation: Lipton BJ, Wherry LR, Miller S .
Previous Medicaid expansion may have had lasting positive effects on oral health of non-Hispanic black children.
Health Aff 2016 Dec;35(12):2249-58. doi: 10.1377/hlthaff.2016.0865.
.
.
Keywords: Medicaid, Dental and Oral Health, Children/Adolescents, Disparities, Racial and Ethnic Minorities
Ridgely MS, Greenberg MD, Pillen MB
Progress at the intersection of patient safety and medical liability: insights from the AHRQ Patient Safety and Medical Liability Demonstration Program.
This article identifies lessons learned from the experience of AHRQ’s Patient Safety and Medical Liability (PSML) Demonstration Program. The demonstration lends credence to the idea that targeted interventions that improve some aspect of patient safety or malpractice performance may also contribute more broadly to institutional culture and the alignment of all parties around reducing risk and preventing harm.
AHRQ-funded; 290200710073T.
Citation: Ridgely MS, Greenberg MD, Pillen MB .
Progress at the intersection of patient safety and medical liability: insights from the AHRQ Patient Safety and Medical Liability Demonstration Program.
Health Serv Res 2016 Dec;51 Suppl 3:2414-30. doi: 10.1111/1475-6773.12625.
.
.
Keywords: Patient Safety, Medical Liability, Adverse Events, Medical Errors
Komaromy M, Duhigg D, Metcalf A
Project ECHO (Extension for Community Healthcare Outcomes): a new model for educating primary care providers about treatment of substance use disorders.
ECHO is a distance education model that connects specialists with numerous PCPs via simultaneous video link for the purpose of facilitating case-based learning. This article describes a teleECHO clinic that is focused on treatment of substance use disorders (SUDs) and behavioral health disorders. It concluded that the ECHO model can promote expansion of access to treatment for opioid use disorder and other SUDs, particularly in underserved areas.
AHRQ-funded; HS016510.
Citation: Komaromy M, Duhigg D, Metcalf A .
Project ECHO (Extension for Community Healthcare Outcomes): a new model for educating primary care providers about treatment of substance use disorders.
Subst Abus 2016;37(1):20-4. doi: 10.1080/08897077.2015.1129388.
.
.
Keywords: Community-Based Practice, Primary Care, Substance Abuse, Training, Health Information Technology (HIT)
Flory JH, Mushlin AI, Goodman ZI
Proposals to conduct randomized controlled trials without informed consent: a narrative review.
The literature on various approaches to randomization without consent (RWOC) has never been systematically reviewed. The goal of the study was to provide a survey and narrative synthesis of published proposals for RWOC. Of all designs discussed, only cluster randomized designs and emergency research are routinely used, with the justification that informed consent is infeasible in those settings. Other designs have raised concerns that they do not appropriately respect patient autonomy.
AHRQ-funded; HS023898.
Citation: Flory JH, Mushlin AI, Goodman ZI .
Proposals to conduct randomized controlled trials without informed consent: a narrative review.
J Gen Intern Med 2016 Dec;31(12):1511-18. doi: 10.1007/s11606-016-3780-5.
.
.
Keywords: Patient-Centered Outcomes Research, Research Methodologies
Fiscella K, Sanders MR
Racial and ethnic disparities in the quality of health care.
The annual National Healthcare Quality and Disparities Reports document widespread and persistent racial and ethnic disparities. Recent data suggest slow progress in many areas but have documented a few notable successes in eliminating these disparities. To eliminate these disparities, continued progress will require a collective national will to ensure health care equity through expanded health insurance coverage, support for primary care, and public accountability.
AHRQ-funded; HS022440.
Citation: Fiscella K, Sanders MR .
Racial and ethnic disparities in the quality of health care.
Annu Rev Public Health 2016;37:375-94. doi: 10.1146/annurev-publhealth-032315-021439.
.
.
Keywords: Disparities, Quality of Care, Racial and Ethnic Minorities, Social Determinants of Health
Brown JR, Rezaee ME, Hisey WM
Reduced mortality associated with acute kidney injury requiring dialysis in the United States.
The researchers describe the epidemiology of dialysis-requiring acute kidney injury (AKI-D) as well as associated in-hospital mortality in the US. They found that the incidence rate of AKI-D has increased considerably in the US since 2001. However, in-hospital mortality associated with AKI-D hospital admissions has decreased significantly. AHRQ-funded; HS018443.
AHRQ-funded; HS018443.
Citation: Brown JR, Rezaee ME, Hisey WM .
Reduced mortality associated with acute kidney injury requiring dialysis in the United States.
Am J Nephrol 2016;43(4):261-70. doi: 10.1159/000445846.
.
.
Keywords: Healthcare Cost and Utilization Project (HCUP), Adverse Events, Mortality, Patient Safety, Kidney Disease and Health
Peterson LR, Boehm S, Beaumont JL
Reduction of methicillin-resistant Staphylococcus aureus infection in long-term care is possible while maintaining patient socialization: a prospective randomized clinical trial.
The researchers sought to demonstrate that a novel, minimally invasive program not interfering with activities of daily living or socialization could lower methicillin-resistant Staphylococcus aureus (MRSA) disease in long-term care facilities (LTCFs). They found that the MRSA infection rate decreased 65% between baseline and year 2, with a significant reduction observed at each of the three participating LTCFs. They concluded that on-site MRSA surveillance with targeted decolonization resulted in a significant decrease in clinical MRSA infection among LTCF residents.
AHRQ-funded; HS019968.
Citation: Peterson LR, Boehm S, Beaumont JL .
Reduction of methicillin-resistant Staphylococcus aureus infection in long-term care is possible while maintaining patient socialization: a prospective randomized clinical trial.
Am J Infect Control 2016 Dec;44(12):1622-27. doi: 10.1016/j.ajic.2016.04.251.
.
.
Keywords: Healthcare-Associated Infections (HAIs), Long-Term Care, Methicillin-Resistant Staphylococcus aureus (MRSA), Patient Safety, Prevention
Gaines TL, Caldwell JT, Ford CL
Relationship between a Centers for Disease Control and Prevention expanded HIV testing initiative and past-year testing by race/ethnicity: a multilevel analysis of the Behavioral Risk Factor Surveillance System.
The Centers for Disease Control and Prevention's (CDC) expanded testing initiative (ETI) aims to bolster HIV testing among populations disproportionately affected by the HIV epidemic by providing additional funding to health departments serving these communities. Controlling for individual- and state-level characteristics, ETI participation was independently and positively associated with past-year testing, but this association varied by race/ethnicity.
AHRQ-funded; HS022811.
Citation: Gaines TL, Caldwell JT, Ford CL .
Relationship between a Centers for Disease Control and Prevention expanded HIV testing initiative and past-year testing by race/ethnicity: a multilevel analysis of the Behavioral Risk Factor Surveillance System.
AIDS Care 2016;28(5):554-60. doi: 10.1080/09540121.2015.1131968.
.
.
Keywords: Human Immunodeficiency Virus (HIV), Screening, Prevention, Racial and Ethnic Minorities
Prey JE, Qian M, Restaino S
Reliability and validity of the patient activation measure in hospitalized patients.
The objectives of this article are to describe the internal consistency reliability and construct validity of the PAM-13 for hospitalized cardiology and oncology patients and to examine the predictors of low patient activation in the same population. The authors found that patients with unplanned admissions were more likely to have low activation than patients with planned admissions. They also found that PAM-13 was modestly correlated with each of the PROMIS Global Health components: global, physical and mental health. They concluded that this study demonstrates the PAM-13 is a reliable and valid measure for use in the inpatient hospital setting and that type of admission is an important predictor of patient activation.
AHRQ-funded; HS021816.
Citation: Prey JE, Qian M, Restaino S .
Reliability and validity of the patient activation measure in hospitalized patients.
Patient Educ Couns 2016 Dec;99(12):2026-33. doi: 10.1016/j.pec.2016.06.029.
.
.
Keywords: Cancer, Cardiovascular Conditions, Hospitalization, Inpatient Care, Patient and Family Engagement
Yazdany J, Bansback N, Clowse M
Rheumatology informatics system for effectiveness: a national informatics-enabled registry for quality improvement.
The authors reported on the Rheumatology Informatics System for Effectiveness (RISE) registry's architecture and initial data and demonstrated how RISE is being used to improve care quality. They concluded that RISE provides critical infrastructure for improving care quality in rheumatology and is a unique data source to generate new knowledge.
AHRQ-funded; HS024412.
Citation: Yazdany J, Bansback N, Clowse M .
Rheumatology informatics system for effectiveness: a national informatics-enabled registry for quality improvement.
Arthritis Care Res 2016 Dec;68(12):1866-73. doi: 10.1002/acr.23089.
.
.
Keywords: Quality of Care, Health Information Technology (HIT), Quality Improvement, Registries, Arthritis
Jarman MP, Castillo RC
Rural risk: geographic disparities in trauma mortality.
The authors sought to quantify differences in injury mortality comparing rural and nonrural residents with traumatic injuries. They concluded that rural residents are significantly more likely than nonrural residents to die after traumatic injury, a disparity that varies by trauma center designation, injury severity, and US Census region.
AHRQ-funded; HS000029.
Citation: Jarman MP, Castillo RC .
Rural risk: geographic disparities in trauma mortality.
Surgery 2016 Dec;160(6):1551-59. doi: 10.1016/j.surg.2016.06.020.
.
.
Keywords: Access to Care, Disparities, Emergency Medical Services (EMS), Healthcare Cost and Utilization Project (HCUP), Rural Health
Broecker M, Ponto K, Tredinnick R
SafeHOME: promoting safe transitions to the home.
This paper introduces the SafeHome Simulator system, a set of immersive Virtual Reality Training tools and display systems to train patients in safe discharge procedures in captured environments of their actual houses. The aim is to lower patient readmission by significantly improving discharge planning and training. The SafeHOME Simulator is a project currently under review.
AHRQ-funded; HS022548.
Citation: Broecker M, Ponto K, Tredinnick R .
SafeHOME: promoting safe transitions to the home.
Stud Health Technol Inform 2016;220:51-4.
.
.
Keywords: Transitions of Care, Health Information Technology (HIT), Patient Safety, Patient Self-Management, Hospital Discharge
Warnock DG, Powell TC, Siew ED
Serum creatinine trajectories for community- versus hospital-acquired acute kidney injury.
The researchers hypothesized that the timing and values of minimum and maximum serum creatinine (sCr) could be used to distinguish between transient hospital-associated AKI (THA-AKI) and hospital-acquired AKI (HA-AKI). They found that peak creatinine followed the minimum creatinine for HA-AKI, while the peak creatinine preceded the minimum creatinine for THA-AKI.
AHRQ-funded; HS013852.
Citation: Warnock DG, Powell TC, Siew ED .
Serum creatinine trajectories for community- versus hospital-acquired acute kidney injury.
Nephron 2016;134(3):177-82. doi: 10.1159/000447757.
.
.
Keywords: Healthcare-Associated Infections (HAIs), Healthcare-Associated Infections (HAIs)
Lee KC, Ngo-Metzger Q, Wolff T
AHRQ Author: Lee KC, Ngo-Metzger Q, Wolff T, Chowdhury J, Meyers DS
Sexually transmitted infections: recommendations from the U.S. Preventive Services Task Force.
The USPSTF recommends intensive behavioral counseling for all sexually active adolescents and for adults whose history indicates an increased risk of STIs. These interventions can reduce STI acquisition and risky sexual behaviors, and increase condom use and other protective behaviors. The USPSTF also recommends screening for chlamydia and gonorrhea in all sexually active women 24 years and younger, and in older women at increased risk.
AHRQ-authored.
Citation: Lee KC, Ngo-Metzger Q, Wolff T .
Sexually transmitted infections: recommendations from the U.S. Preventive Services Task Force.
Am Fam Physician 2016 Dec 1;94(11):907-15.
.
.
Keywords: U.S. Preventive Services Task Force (USPSTF), Sexual Health, Guidelines, Screening
Castaneda-Guarderas A, Glassbereg J, Grudzen CR
Shared decision making with vulnerable populations in the emergency department.
The authors introduce a research agenda that includes community-engaged approaches, mixed-methods studies, and cost-effectiveness analyses to address questions of shared decision making (SDM) among vulnerable groups at a disadvantage in the healthcare system, as well as changes that are needed, and how to cultivate and teach these competencies.
AHRQ-funded; HS024172.
Citation: Castaneda-Guarderas A, Glassbereg J, Grudzen CR .
Shared decision making with vulnerable populations in the emergency department.
Acad Emerg Med 2016 Dec;23(12):1410-16. doi: 10.1111/acem.13134.
.
.
Keywords: Cultural Competence, Shared Decision Making, Emergency Department, Patient and Family Engagement, Vulnerable Populations
Henke L, Kashani R, Yang D
Simulated online adaptive magnetic resonance-guided stereotactic body radiation therapy for the treatment of oligometastatic disease of the abdomen and central thorax: characterization of potential advantages.
This study characterized potential advantages of online-adaptive magnetic resonance (MR)-guided stereotactic body radiation therapy (SBRT) to treat oligometastatic disease of the non-liver abdomen and central thorax. It concluded that online-adaptive MRI-guided SBRT may allow planning target volume dose escalation and/or simultaneous tumor/organ at risk sparing compared with nonadaptive SBRT.
AHRQ-funded; HS022888.
Citation: Henke L, Kashani R, Yang D .
Simulated online adaptive magnetic resonance-guided stereotactic body radiation therapy for the treatment of oligometastatic disease of the abdomen and central thorax: characterization of potential advantages.
Int J Radiat Oncol Biol Phys 2016 Dec 1;96(5):1078-86. doi: 10.1016/j.ijrobp.2016.08.036.
.
.
Keywords: Cancer, Imaging
Thomas GW, Rojas-Murillo S, Hanley JM
Skill assessment in the interpretation of 3D fracture patterns from radiographs.
The researchers determined if 3D radiographic image interpretation can be reliably assessed, and whether this assessment varies by level of training. They concluded that the interpretation of radiographs to discern 3D information is a promising and a relatively unexplored area for surgical skill education and assessment.
AHRQ-funded; HS022077.
Citation: Thomas GW, Rojas-Murillo S, Hanley JM .
Skill assessment in the interpretation of 3D fracture patterns from radiographs.
Iowa Orthop J 2016;36:1-6.
.
.
Keywords: Diagnostic Safety and Quality, Education: Continuing Medical Education, Injuries and Wounds, Imaging, Training
Topaz M, Seger DL, Goss F
Standard information models for representing adverse sensitivity information in clinical documents.
This study aimed to identify and compare the existing common adverse sensitivity information models. Overall, the models had many similarities in the central attributes which covered between 75% and 95% of adverse sensitivity information contained within the notes. However, representations of some attributes (especially the value-sets) were not well aligned between the models, which is likely to present an obstacle for achieving data interoperability.
AHRQ-funded; HS022728.
Citation: Topaz M, Seger DL, Goss F .
Standard information models for representing adverse sensitivity information in clinical documents.
Methods Inf Med 2016;55(2):151-7. doi: 10.3414/me15-01-0081.
.
.
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT)