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
Topics
- Behavioral Health (1)
- Children/Adolescents (1)
- Chronic Conditions (1)
- Communication (1)
- Critical Care (1)
- Education: Continuing Medical Education (1)
- Electronic Health Records (EHRs) (1)
- (-) Emergency Department (9)
- Healthcare Costs (1)
- Healthcare Delivery (1)
- Healthcare Utilization (1)
- Health Information Technology (HIT) (3)
- Hospitals (1)
- Primary Care (1)
- Quality Improvement (1)
- Quality of Care (1)
- Rural Health (1)
- Shared Decision Making (1)
- Simulation (4)
- Substance Abuse (1)
- (-) Teams (9)
- TeamSTEPPS (1)
- Telehealth (2)
- Training (1)
- Trauma (1)
- Workflow (1)
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
1 to 9 of 9 Research Studies DisplayedAghaei P, Bayramzadeh S
Clinicians’ experience with technology within the physical environment of trauma rooms: a focus group study.
This study’s objective was to investigate how trauma team members perceive technological equipment and tools in the trauma room (TR) environment and to identify how the technological equipment could be optimized in relation to the TR’s space. The authors conducted a total of 21 focus group sessions with 69 trauma team members, all of whom worked in Level I TRs from six teaching hospitals in the USA. Findings were analyzed and categorized into three parent themes: imaging equipment, assistive devices, and room features. The results suggest that trauma team members place high importance on the availability and versatility of the technological equipment in the TR environment. CT-scanners were not usually optimized for easy access to the TR. Other suggestions included the implementation of cameras and screens to accommodate situation awareness, and the rapid sharing of data such as imaging results. This study will inform health-care designers with the knowledge they need to make informed decisions when designing TRs. It covers key considerations such as room layout, equipment selection, lighting and controls.
AHRQ-funded; HS027261.
Citation: Aghaei P, Bayramzadeh S .
Clinicians’ experience with technology within the physical environment of trauma rooms: a focus group study.
Facilities 2024 Mar 12. 2024/02/14..
Keywords: Workflow, Teams, Emergency Department, Trauma
Bui LN, Knox M, Miller-Rosales C
Hospital capabilities associated with behavioral health integration within emergency departments.
The objective of this study was to identify hospital capabilities associated with behavioral health processes in emergency departments. Responses to the National Survey of Healthcare Organizations and Systems were linked American Hospital Association Annual Survey data. Most hospitals reported screening for behavioral health conditions and provided direct referrals to community-based clinicians. Approximately half the hospitals used team approaches to behavioral health. Hospitals that reported more barriers to care delivery innovations also reported less screening and usage of a team approach. The authors concluded that research and interventions which focus on removing barriers or adding processes to disseminate best practices offer a path to accelerate behavioral health integration in emergency departments.
AHRQ-funded; HS024075.
Citation: Bui LN, Knox M, Miller-Rosales C .
Hospital capabilities associated with behavioral health integration within emergency departments.
Med Care 2024 Mar; 62(3):170-74. doi: 10.1097/mlr.0000000000001973.
Keywords: Behavioral Health, Emergency Department, Hospitals, Substance Abuse, Teams, Telehealth, Health Information Technology (HIT)
Sosa T, Sitterding M, Dewan M
Optimizing situation awareness to reduce emergency transfers in hospitalized children.
Interventions to improve care team situation awareness (SA) are associated with reduced rates of unrecognized clinical deterioration in hospitalized children. By addressing themes from recent safety events and emerging corruptors to SA in their system, the investigators aimed to decrease emergency transfers (ETs) to the ICU by 50% over 10 months. The investigators concluded that an innovative, proactive, and reliable process to predict, prevent, and respond to clinical deterioration was associated with a nearly 70% reduction in ETs.
AHRQ-funded; HS026975.
Citation: Sosa T, Sitterding M, Dewan M .
Optimizing situation awareness to reduce emergency transfers in hospitalized children.
Pediatrics 2021 Oct;148(4). doi: 10.1542/peds.2020-034603..
Keywords: Children/Adolescents, Emergency Department, 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
Bond WF, Barker LT, Cooley KL
A simple low-cost method to integrate telehealth interprofessional team members during in situ simulation.
This article describes the integration of remote telehealth electronic intensive care unit (eICU) personnel into in situ simulations with rural emergency department (ED) care teams and the technical challenges of creating shared awareness of the patient's condition and the care team's progress among the care team, the eICU, and those running the simulation. The purpose of the simulations was to introduce telehealth technology and new processes of engaging the eICU via telehealth during sepsis care in rural EDs; development of the scenarios included experts in sepsis, telehealth, and emergency medicine. A shared in situ simulation clinical actions observational checklist was created using an off-the-shelf survey software program. The checklist was completed during the simulations by an onsite observer, and shared with the eICU team via teleconferencing software to and cue eICU nurse engagement. Staff from the two EDs were engaged and an eICU nurse participated in debriefing via the telehealth video system.
AHRQ-funded; HS024027.
Citation: Bond WF, Barker LT, Cooley KL .
A simple low-cost method to integrate telehealth interprofessional team members during in situ simulation.
Simul Healthc 2019 Apr;14(2):129-36. doi: 10.1097/sih.0000000000000357..
Keywords: Critical Care, Electronic Health Records (EHRs), Emergency Department, Health Information Technology (HIT), Rural Health, Simulation, Teams, Telehealth
Meyers DJ, Chien AT, Nguyen KH
Association of team-based primary care with health care utilization and costs among chronically ill patients.
This study analyzed the value of team-based care practice on the treatment of patients, especially those with multiple chronic conditions. A large study was conducted using data from 18 academically affiliated primary care practices in the Boston, Massachusetts, area between 2011 and 2015. The study included 83,953 patients total with 19% of patients being younger than 18 years and the rest from 19-64 years of age. For patients with multiple chronic conditions, there was a statistically significant reduction in hospitalizations and emergency department visits. Among patients with less than 2 comorbidities, there was an increase in outpatient visits, hospitalizations and ambulatory care hospitalizations.
AHRQ-funded; HS000011.
Citation: Meyers DJ, Chien AT, Nguyen KH .
Association of team-based primary care with health care utilization and costs among chronically ill patients.
JAMA Intern Med 2019 Jan;179(1):54-61. doi: 10.1001/jamainternmed.2018.5118..
Keywords: Chronic Conditions, Emergency Department, Healthcare Costs, Healthcare Utilization, Primary Care, Teams
Rosenman ED, Dixon AJ, Webb JM
A simulation-based approach to measuring team situational awareness in emergency medicine: a multicenter, observational study.
This study’s goal was to develop and evaluate a novel approach to the measurement of team situational awareness (TSA) in interprofessional emergency medicine (EM) teams. EM teams, consisting of resident physicians, nurses, and medical students, were recruited from the University of Washington and Wayne State University; each team completed a simulated emergency resuscitation scenario, then completed three measures: a TSA measure, a team perception of shared understanding measure, and a team leader effectiveness measure. The simulations were recorded and coded independently for team performance by using a previously validated measure. Relationships between the TSA measure and other variables were explored. The authors conclude that simulations can provide a platform for TSA research and that their study provides a feasible method for simulation-based assessment of TSA.
AHRQ-funded; HS020295; HS022458.
Citation: Rosenman ED, Dixon AJ, Webb JM .
A simulation-based approach to measuring team situational awareness in emergency medicine: a multicenter, observational study.
Acad Emerg Med 2018 Feb;25(2):196-204. doi: 10.1111/acem.13257..
Keywords: Shared Decision Making, Emergency Department, Simulation, Teams
Rosenman ED, Fernandez R, Wong AH
Changing systems through effective teams: a role for simulation.
The objectives of this research were to explore the antecedents and processes that support team effectiveness, to summarize the role of simulation in the development and understanding team effectiveness, and to identify research targets that further the improvement of team-based training and assessment; the ultimate goal was the improvement of healthcare systems. The authors explore the foundations of team effectiveness, with a focus on team affect and team cognition. They also discuss advanced team processes that build on these foundations. The role of simulation‐based training in targeting these constructs and identifying resources from the team science literature is highlighted. The collaboration between educators and researchers from emergency medicine and the team sciences is emphasized, as is the importance of using a translational science approach to evaluate simulation‐based team training and elucidate the relationship between training and systems‐level outcomes.
AHRQ-funded; HS024820.
Citation: Rosenman ED, Fernandez R, Wong AH .
Changing systems through effective teams: a role for simulation.
Acad Emerg Med 2018 Feb;25(2):128-43. doi: 10.1111/acem.13260.
.
.
Keywords: Emergency Department, Healthcare Delivery, Simulation, Teams
Nguyen V, Okafor N, Zhang J
Using TURF to understand the functions of interruptions.
TURF stands for Task, User, Representation, and Function (TURF) analyses. This paper explores interruptions as an emergent feature of communication in teams. The authors focus on emergency medicine as this complex environment requires team based concurrent management of multiple patients coping with limited resources in a life-critical and interruption-laden environment. They classify interruptions into those activities that support required work and those interruptions that create unnecessary breaks in workflow.
AHRQ-funded; HS021236; HS017586.
Citation: Nguyen V, Okafor N, Zhang J .
Using TURF to understand the functions of interruptions.
AMIA Annu Symp Proc 2014 Nov;2014:917-23..
Keywords: Communication, Emergency Department, Health Information Technology (HIT), Teams