National Healthcare Quality and Disparities Report
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Search All Research Studies
Topics
- Adverse Events (2)
- Care Coordination (1)
- Children/Adolescents (1)
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- (-) Intensive Care Unit (ICU) (5)
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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 5 of 5 Research Studies DisplayedVakayil V, Ingraham NE, Robbins AJ
Epidemiological trends of surgical admissions to the intensive care unit in the United States.
Epidemiologic assessment of surgical admissions into intensive care units (ICUs) provides a framework to evaluate health care system efficiency and project future health care needs. The investigators performed a 9-year (2008-2016), retrospective, cohort analysis of all adult admissions to 88 surgical ICUs. They concluded that temporal analysis demonstrated a significant change in the type of surgical patients admitted to the ICU over the last decade, with decreasing mortality and LOS in selected cohorts, but an increasing rate of FS deterioration.
AHRQ-funded; HS026379.
Citation: Vakayil V, Ingraham NE, Robbins AJ .
Epidemiological trends of surgical admissions to the intensive care unit in the United States.
J Trauma Acute Care Surg 2020 Aug;89(2):279-88. doi: 10.1097/ta.0000000000002768..
Keywords: Intensive Care Unit (ICU), Surgery, Healthcare Delivery
Hoonakker PLT, Wooldridge AR, Hose BZ
Information flow during pediatric trauma care transitions: things falling through the cracks.
In order to investigate information flow during pediatric trauma care transitions, researchers interviewed 18 clinicians about communication and coordination between the emergency department, operating room, and pediatric intensive care unit, then surveyed the clinicians about patient safety during these transitions. They found that, despite the fact that the many services and units involved in pediatric trauma cooperate well together during trauma cases, important patient care information is often lost when transitioning patients between units. To manage the transition of this fragile and complex population better, they recommend finding ways to manage the information flow during these transitions better by, for instance, providing technological support to ensure shared mental models.
AHRQ-funded; HS023837.
Citation: Hoonakker PLT, Wooldridge AR, Hose BZ .
Information flow during pediatric trauma care transitions: things falling through the cracks.
Intern Emerg Med 2019 Aug;14(5):797-805. doi: 10.1007/s11739-019-02110-7..
Keywords: Children/Adolescents, Communication, Emergency Department, Healthcare Delivery, Intensive Care Unit (ICU), Patient Safety, Provider, Provider: Clinician, Surgery, Transitions of Care, Trauma
Khan SH, Kitsis M, Golovyan D
Effects of music intervention on inflammatory markers in critically ill and post-operative patients: a systematic review of the literature.
This systematic review was conducted to determine if music has a beneficial effect on inflammatory biomarkers in intensive care and post-operative patients. After screening, a total of 26 studies were identified for review and 14 were selected for inclusion. Only seven studies showed a significant decrease in cortisol levels. Three of the studies had a low risk of bias, but 11 studies had a high risk. None of the studies had a high level of evidence.
AHRQ-funded; HS024384.
Citation: Khan SH, Kitsis M, Golovyan D .
Effects of music intervention on inflammatory markers in critically ill and post-operative patients: a systematic review of the literature.
Heart Lung 2018 Sep - Oct;47(5):489-96. doi: 10.1016/j.hrtlng.2018.05.015..
Keywords: Complementary and Alternative Medicine, Intensive Care Unit (ICU), Surgery
McElroy LM, Macapagal KR, Collins KM
Clinician perceptions of operating room to intensive care unit handoffs and implications for patient safety: a qualitative study.
The goal of this study is to use qualitative research methods to describe clinician perceptions of OR-to-ICU handoffs, and to elucidate attributes of the handoff process associated with high quality, as well as those with poor quality that can lead to patient harm. The findings suggest that ambiguous roles and conflicting expectations of team members during the OR-to-ICU handoff can increase risk of patient harm.
AHRQ-funded; HS000078.
Citation: McElroy LM, Macapagal KR, Collins KM .
Clinician perceptions of operating room to intensive care unit handoffs and implications for patient safety: a qualitative study.
Am J Surg 2015 Oct;210(4):629-35. doi: 10.1016/j.amjsurg.2015.05.008..
Keywords: Patient Safety, Intensive Care Unit (ICU), Surgery, Adverse Events, Care Coordination
McElroy LM, Collins KM, Koller FL
Operating room to intensive care unit handoffs and the risks of patient harm.
The goal of this study was to assess systems and processes involved in the operating room(OR) to intensive care unit (ICU) handoff in an attempt to understand the criticality of specific steps of the handoff. In total, 81 process failures were identified, Process failures with the greatest risk of harm were lack of preliminary OR to ICU communication, team member absence during handoff communication, and transport equipment malfunction.
AHRQ-funded; HS000078.
Citation: McElroy LM, Collins KM, Koller FL .
Operating room to intensive care unit handoffs and the risks of patient harm.
Surgery 2015 Sep;158(3):588-94. doi: 10.1016/j.surg.2015.03.061..
Keywords: Intensive Care Unit (ICU), Patient Safety, Surgery, Communication, Adverse Events