National Healthcare Quality and Disparities Report
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Search All Research Studies
AHRQ Research Studies Date
Topics
- Adverse Events (3)
- Care Management (1)
- Communication (3)
- Comprehensive Unit-based Safety Program (CUSP) (1)
- Education: Continuing Medical Education (2)
- Emergency Department (1)
- Evidence-Based Practice (1)
- Falls (1)
- Health Services Research (HSR) (1)
- Hospitals (3)
- Implementation (1)
- Injuries and Wounds (1)
- Labor and Delivery (2)
- Maternal Care (1)
- Newborns/Infants (2)
- Nursing (1)
- Outcomes (1)
- Patient Safety (3)
- Pregnancy (2)
- Quality Improvement (1)
- Quality of Care (2)
- Rural Health (1)
- Simulation (2)
- Surveys on Patient Safety Culture (2)
- Teams (5)
- (-) TeamSTEPPS (7)
- Tools & Toolkits (1)
- Training (3)
- Women (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 7 of 7 Research Studies DisplayedJones KJ, Crowe J, Allen JA
The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project.
The purpose of this study was to determine associations between conducting post-fall huddles and repeat fall rates and between post-fall huddle participation and perceptions of teamwork and safety culture. The investigators concluded that post-fall huddles may reduce the risk of repeat falls. Staff who participate in post-fall huddles were likely to have positive perceptions of teamwork support for fall-risk reduction and safety culture because huddles are a team-based approach to reporting, adapting, and learning.
AHRQ-funded; HS024630; HS021429.
Citation: Jones KJ, Crowe J, Allen JA .
The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project.
BMC Health Serv Res 2019 Sep 9;19(1):650. doi: 10.1186/s12913-019-4453-y..
Keywords: TeamSTEPPS, Falls, Adverse Events, Surveys on Patient Safety Culture, Patient Safety, Hospitals, Teams
Rosenman ED, Vrablik MC, Brolliar SM
Targeted simulation-based leadership training for trauma team leaders.
Effective team leadership is linked to better teamwork, which in turn is believed to improve patient care. Simulation-based training provides a mechanism to develop effective leadership behaviors. Traditionally, healthcare curricula have included leadership as a small component of broader teamwork training, with very few examples of leadership-focused curricula. The objective of this work was to describe a novel simulation-based team leadership curriculum that easily adapts to individual learners.
AHRQ-funded; HS022458.
Citation: Rosenman ED, Vrablik MC, Brolliar SM .
Targeted simulation-based leadership training for trauma team leaders.
West J Emerg Med 2019 May;20(3):520-26. doi: 10.5811/westjem.2019.2.41405..
Keywords: TeamSTEPPS, Teams, Simulation, Training, Emergency Department, Education: Continuing Medical Education, Quality Improvement, Quality of Care
Kahwati LC, Sorensen AV, Teixeira-Poit S
AHRQ Author: Mistry KB
Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care.
The purpose of this study was to describe the Safety Program for Perinatal Care (SPPC) implementation experience and evaluate the short-term impact on labor and delivery (L&D) unit patient safety culture, processes, and adverse events. SPPC implementation by L&D units were supported sing a program toolkit, trainings, and technical assistance. Researchers then evaluated the program using a pre-post, mixed-methods design. Changes in safety and quality were measured using the Modified Adverse Outcome Index (MAOI) and other perinatal care indicators. Findings showed that SPPC had a favorable impact on unit patient safety culture and processes, but mixed short-term impact on maternal and neonatal adverse events.
AHRQ-authored; AHRQ-funded; 2902010000241.
Citation: Kahwati LC, Sorensen AV, Teixeira-Poit S .
Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care.
Jt Comm J Qual Patient Saf 2019 Apr;45(4):231-40. doi: 10.1016/j.jcjq.2018.11.002..
Keywords: Adverse Events, Communication, Comprehensive Unit-based Safety Program (CUSP), Labor and Delivery, Maternal Care, Newborns/Infants, Outcomes, Patient Safety, Pregnancy, Simulation, Surveys on Patient Safety Culture, Teams, TeamSTEPPS, Training, Women
Lin W-T, Mayer C, Lee B-O
Validity and reliability of the Teamwork Evaluation of Non-Technical Skills tool.
This study evaluated the use of the assessment tool TENTS (Teamwork Evaluation of Non-Technical Skills) to measure effectiveness of different clinician teams. The tool measures communication, leadership, and crossmonitoring. Researchers used to tool to observe five different events: new admissions, transfers to and from other units, rapid response team events, morning rounds, and medical procedures.
AHRQ-funded; 290200600001I.
Citation: Lin W-T, Mayer C, Lee B-O .
Validity and reliability of the Teamwork Evaluation of Non-Technical Skills tool.
Aust J Adv Nurs 2019 Mar-May;36(3):29-38..
Keywords: Communication, Teams, TeamSTEPPS
Baloh J, Zhu X, Ward MM
Implementing team huddles in small rural hospitals: how does the Kotter model of change apply?
The purpose of this study was to examine how the process of change prescribed in Kotter's change model applies in implementing team huddles, and to assess the impact of the execution of early change phases on change success in later phases. The investigators found mixed support for the Kotter model.
AHRQ-funded; HS024112.
Citation: Baloh J, Zhu X, Ward MM .
Implementing team huddles in small rural hospitals: how does the Kotter model of change apply?
J Nurs Manag 2018 Jul;26(5):571-78. doi: 10.1111/jonm.12584..
Keywords: Hospitals, Rural Health, Teams, TeamSTEPPS
Baloh J, Zhu X, Ward MM
Types of internal facilitation activities in hospitals implementing evidence-based interventions.
The aim of the study was to examine internal facilitation activities at 10 critical access hospitals in rural Iowa during their implementation of TeamSTEPPS, a patient safety intervention, and to identify characteristics that distinguish different types of facilitation activities. The investigators concluded that there are four types of facilitation activities that hospitals engage in while implementing evidence-based practices, offering a parsimonious way to characterize facilitation activities.
AHRQ-funded; HS024112; HS018396.
Citation: Baloh J, Zhu X, Ward MM .
Types of internal facilitation activities in hospitals implementing evidence-based interventions.
Health Care Manage Rev 2018 Jul/Sep;43(3):229-37. doi: 10.1097/hmr.0000000000000145..
Keywords: TeamSTEPPS, Implementation, Hospitals, Evidence-Based Practice, Health Services Research (HSR)
McArdle J, Sorensen A, Fowler CI
Strategies to improve management of shoulder dystocia under the AHRQ Safety Program for Perinatal Care.
The purpose of this study using TeamSTEPPS was to assess the implementation of safety strategies to improve management of births complicated by shoulder dystocia in labor and delivery units. Results suggested that successful management of shoulder dystocia requires a rapid, standardized, and coordinated response. The Safety Program for Perinatal Care strategies to increase safety of shoulder dystocia management are scalable, replicable, and adaptable to unit needs and circumstances.
AHRQ-funded; 2902010000241.
Citation: McArdle J, Sorensen A, Fowler CI .
Strategies to improve management of shoulder dystocia under the AHRQ Safety Program for Perinatal Care.
J Obstet Gynecol Neonatal Nurs 2018 Mar;47(2):191-201. doi: 10.1016/j.jogn.2017.11.014.
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Keywords: Labor and Delivery, Newborns/Infants, Pregnancy, Adverse Events, TeamSTEPPS, Injuries and Wounds, Care Management, Education: Continuing Medical Education, Training, Tools & Toolkits, Patient Safety, Nursing, Communication, Quality of Care