National Healthcare Quality and Disparities Report
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Search All Research Studies
Topics
- Central Line-Associated Bloodstream Infections (CLABSI) (1)
- Clinician-Patient Communication (1)
- (-) Communication (4)
- Diagnostic Safety and Quality (1)
- Education: Patient and Caregiver (1)
- (-) Electronic Health Records (EHRs) (4)
- Healthcare-Associated Infections (HAIs) (1)
- Health Information Technology (HIT) (3)
- Nursing (2)
- Patient Safety (1)
- (-) Shared Decision Making (4)
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 4 of 4 Research Studies DisplayedThate JA, Couture B, Schnock KO
Information needs and the use of documentation to support collaborative decision-making: implications for the reduction of central line-associated blood stream infections.
It is clear that interdisciplinary communication and collaboration have the potential to mitigate healthcare-associated harm, yet there is limited research on how communication through documentation in the patient record can support collaborative decision making. Understanding what information is needed to support collaborative decision making is necessary to design electronic health information systems that facilitate effective communication and, ultimately, safe care. To explore this issue, the investigators focused on information needs related to central venous catheter management and the prevention of central line-associated blood stream infections.
AHRQ-funded; HS0235335.
Citation: Thate JA, Couture B, Schnock KO .
Information needs and the use of documentation to support collaborative decision-making: implications for the reduction of central line-associated blood stream infections.
Comput Inform Nurs 2020 Nov 2;39(4):208-14. doi: 10.1097/cin.0000000000000683..
Keywords: Central Line-Associated Bloodstream Infections (CLABSI), Healthcare-Associated Infections (HAIs), Shared Decision Making, Communication, Electronic Health Records (EHRs), Health Information Technology (HIT), Nursing
Rogith D, Satterly T, Singh H
Application of human factors methods to understand missed follow-up of abnormal test results.
This study demonstrated application of human factors methods for understanding causes for lack of timely follow-up of abnormal test results ("missed results") in outpatient settings. The investigators identified 30 cases of missed test results by querying electronic health record data, developed a critical decision method based interview guide to understand decision-making processes, and interviewed physicians who ordered these tests. They analyzed transcribed responses, developed a CI-based flow model, and conducted a fault tree analysis to identify hierarchical relationships between factors that delayed action.
AHRQ-funded; HS022087; HS022901.
Citation: Rogith D, Satterly T, Singh H .
Application of human factors methods to understand missed follow-up of abnormal test results.
Appl Clin Inform 2020 Oct;11(5):692-98. doi: 10.1055/s-0040-1716537..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Shared Decision Making, Diagnostic Safety and Quality, Communication, Clinician-Patient Communication
Zikmund-Fisher BJ, Scherer AM, Witteman HO
Graphics help patients distinguish between urgent and non-urgent deviations in laboratory test results.
Most electronic health record systems provide laboratory test results to patients in table format. Researchers tested whether presenting such results in visual displays (number lines) could improve understanding. They found that visual displays reduced respondents' perceived urgency and desire to contact health care providers immediately for near-normal test results compared to tables but did not affect their perceptions of extreme values.
AHRQ-funded; HS021681.
Citation: Zikmund-Fisher BJ, Scherer AM, Witteman HO .
Graphics help patients distinguish between urgent and non-urgent deviations in laboratory test results.
J Am Med Inform Assoc 2017 May 1;24(3):520-28. doi: 10.1093/jamia/ocw169.
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Keywords: Communication, Education: Patient and Caregiver, Shared Decision Making, Electronic Health Records (EHRs), Health Information Technology (HIT)
Carrington JM, Gephart SM, Verran JA
Development of an instrument to measure the unintended consequences of EHRs.
The authors examined the creation and design of an instrument measuring unintended consequences of electronic health records. They suggested that other researchers will find their methods article informative for similar undertakings.
AHRQ-funded; HS022908.
Citation: Carrington JM, Gephart SM, Verran JA .
Development of an instrument to measure the unintended consequences of EHRs.
West J Nurs Res 2015 Jul;37(7):842-58. doi: 10.1177/0193945915576083.
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Keywords: Communication, Shared Decision Making, Electronic Health Records (EHRs), Nursing, Patient Safety