National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Adverse Drug Events (ADE) (6)
- Adverse Events (4)
- Ambulatory Care and Surgery (1)
- Care Coordination (1)
- Care Management (1)
- Clinical Decision Support (CDS) (2)
- Communication (1)
- Education: Continuing Medical Education (1)
- Elderly (3)
- Electronic Health Records (EHRs) (2)
- Falls (2)
- Healthcare Costs (1)
- (-) Health Information Technology (HIT) (15)
- Hospital Discharge (1)
- Inpatient Care (1)
- Intensive Care Unit (ICU) (1)
- Medical Errors (4)
- Medication (9)
- Medication: Safety (3)
- Patient Adherence/Compliance (1)
- (-) Patient Safety (15)
- Patient Self-Management (1)
- Practice Patterns (1)
- Prevention (1)
- Quality of Care (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 15 of 15 Research Studies DisplayedCollinsworth AW, Masica AL, Priest EL
Modifying the electronic health record to facilitate the implementation and evaluation of a bundled care program for intensive care unit delirium.
This case study describes how an integrated health care delivery system modified its inpatient electronic health record to accelerate the implementation and evaluation of ABCDE bundle deployment as a safety and quality initiative for the prevention of delirium in intensive care unit patients.
AHRQ-funded; HS021459
Citation: Collinsworth AW, Masica AL, Priest EL .
Modifying the electronic health record to facilitate the implementation and evaluation of a bundled care program for intensive care unit delirium.
eGEMS. 2014;2(1):1121. doi: 10.13063/2327-9214.1121..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Intensive Care Unit (ICU), Patient Safety, Quality of Care
Banerjee T, Enayati M, Keller JM
Monitoring patients in hospital beds using unobtrusive depth sensors.
The researchers presented an approach for patient activity recognition in hospital rooms using depth data collected using a Kinect sensor. They described a technique to reduce false alerts such as pillows falling off the bed or equipment movement. They tested their algorithm on 96 hours obtained in two hospital rooms from the University of Missouri Hospital.
AHRQ-funded; HS018477.
Citation: Banerjee T, Enayati M, Keller JM .
Monitoring patients in hospital beds using unobtrusive depth sensors.
Conf Proc IEEE Eng Med Biol Soc 2014;2014:5904-7. doi: 10.1109/embc.2014.6944972.
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Keywords: Care Management, Inpatient Care, Health Information Technology (HIT), Patient Safety
Checchi KD, Huybrechts KF, Avorn J
Electronic medication packaging devices and medication adherence: a systematic review.
The authors conducted a systematic review of studies testing the effectiveness of electronic medication packaging (EMP) devices. From the 37 studies included in the review, they determined that although many varieties of EMP devices exist, data supporting their use are limited, with variability in the quality of studies testing EMP devices.
AHRQ-funded; HS18465
Citation: Checchi KD, Huybrechts KF, Avorn J .
Electronic medication packaging devices and medication adherence: a systematic review.
JAMA. 2014 Sep 24;312(12):1237-47. doi: 10.1001/jama.2014.10059..
Keywords: Medication, Health Information Technology (HIT), Patient Safety, Patient Adherence/Compliance
Ranji SR, Rennke S, Wachter RM
Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review.
The authors searched AHRQ's Patient Safety Net to identify reviews of the effect of computerised provider order entry (CPOE) combined with clinical decision support systems (CDSS) on adverse drug event (ADE) rates in inpatient and outpatient settings. They found that CPOE+CDSS was consistently reported to reduce prescribing errors, but does not appear to prevent clinical ADEs in either the inpatient or outpatient setting. Implementation of CPOE+CDSS profoundly changes staff workflow, often leading to unintended consequences and new safety issues (such as alert fatigue) which limit the system's safety effects.
AHRQ-funded; 2902007100621.
Citation: Ranji SR, Rennke S, Wachter RM .
Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review.
BMJ Qual Saf 2014 Sep;23(9):773-80. doi: 10.1136/bmjqs-2013-002165.
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Keywords: Adverse Drug Events (ADE), Adverse Events, Medical Errors, Clinical Decision Support (CDS), Health Information Technology (HIT), Medication, Patient Safety
Wang SV, Schneeweiss S, Rassen JA
Optimal matching ratios in drug safety surveillance.
The researchers used a simulation design to generate 48 scenarios varying in the baseline outcome rate, proportion of exposed, true effect size (without effect modification), and strength of unmeasured residual confounding. They found that except for the most extreme combination of rare outcome and exposure, in scenarios with no residual confounding, 1:1 matching removed 98% to 99% of the bias.
AHRQ-funded; HS022193.
Citation: Wang SV, Schneeweiss S, Rassen JA .
Optimal matching ratios in drug safety surveillance.
Epidemiology 2014 Sep;25(5):772-3. doi: 10.1097/ede.0000000000000148..
Keywords: Adverse Drug Events (ADE), Health Information Technology (HIT), Patient Safety, Medication
Wang F, Skubic M, Rantz M
Quantitative gait measurement with pulse-Doppler radar for passive in-home gait assessment.
The researchers proposed and validated a low-cost Doppler radar system for passive and continuous in-home gait assessment. Using signal processing techniques, they estimated human torso velocity and leg swing for step recognition. They found that the radar system has achieved a high accuracy on the step time estimation, while the walking speed estimation is systematically affected by the walking path direction.
AHRQ-funded; HS018477.
Citation: Wang F, Skubic M, Rantz M .
Quantitative gait measurement with pulse-Doppler radar for passive in-home gait assessment.
IEEE Trans Biomed Eng 2014 Sep;61(9):2434-43. doi: 10.1109/tbme.2014.2319333..
Keywords: Health Information Technology (HIT), Patient Safety, Falls, Elderly
Pohl JM, Tanner C, Hamilton A
Medication safety after implementation of a commercial electronic health record system in five safety-net practices: a mixed methods approach.
This study, conducted in five safety-net practices, examined the impact of implementing a commercial electronic health records system on medication safety. The authors found 130 "true" drug-drug interaction (DDI) pairs, representing 149,087 visits and 62 providers, with the largest DDI categories being related to antihypertensive medications, which are often prescribed together. They found no significant differences between physicians and nurse practitioners on the rate of DDI pairs.
AHRQ-funded; HS017191.
Citation: Pohl JM, Tanner C, Hamilton A .
Medication safety after implementation of a commercial electronic health record system in five safety-net practices: a mixed methods approach.
J Am Assoc Nurse Pract 2014 Aug;26(8):438-44. doi: 10.1002/2327-6924.12089.
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Keywords: Medication: Safety, Medication, Electronic Health Records (EHRs), Health Information Technology (HIT), Adverse Drug Events (ADE), Adverse Events, Medical Errors, Patient Safety
Galanter WL, Bryson ML, Falck S
Indication alerts intercept drug name confusion errors during computerized entry of medication orders.
The authors measured whether indication alerts at the time of computerized physician order entry (CPOE) can intercept drug name confusion errors. They found that indication alerts intercepted 1.4 drug name confusion errors per 1000 alerts and recommended that institutions with CPOE consider using indication prompts to intercept drug name confusion errors.
AHRQ-funded; HS021093.
Citation: Galanter WL, Bryson ML, Falck S .
Indication alerts intercept drug name confusion errors during computerized entry of medication orders.
PLoS One 2014 Jul 15;9(7):e101977. doi: 10.1371/journal.pone.0101977.
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Keywords: Clinical Decision Support (CDS), Adverse Drug Events (ADE), Adverse Events, Medical Errors, Health Information Technology (HIT), Medication, Patient Safety
Chrischilles EA, Hourcade JP, Doucette W
Personal health records: a randomized trial of effects on elder medication safety.
The purpose of this study was to compare patient-reported medication self-management behaviors and safety indicators among older adult participants invited to use an electronic personal health record (PHR). Among the 16.1 percent of participants who used the PHR frequently, there were significantly more changes in medication use, improved medication reconciliation behaviors, and more recognition of side effects.
AHRQ-funded; HS017034
Citation: Chrischilles EA, Hourcade JP, Doucette W .
Personal health records: a randomized trial of effects on elder medication safety.
J Am Med Inform Assoc. 2014 Jul-Aug;21(4):679-86. doi: 10.1136/amiajnl-2013-002284..
Keywords: Elderly, Medication, Medication: Safety, Health Information Technology (HIT), Patient Safety, Patient Self-Management
Gagne JJ, Wang SV, Rassen JA
A modular, prospective, semi-automated drug safety monitoring system for use in a distributed data environment.
The purpose of this study was to develop and test a semi-automated process for conducting routine active safety monitoring for new drugs in a network of electronic health care databases. The system identified serious risks due to some drugs, which were eventually removed from the market years later.
AHRQ-funded; HS018088; HS022193
Citation: Gagne JJ, Wang SV, Rassen JA .
A modular, prospective, semi-automated drug safety monitoring system for use in a distributed data environment.
Pharmacoepidemiol Drug Saf. 2014 Jun;23(6):619-27. doi: 10.1002/pds.3616..
Keywords: Medication: Safety, Health Information Technology (HIT), Patient Safety, Medication
Forrester SH, Hepp Z, Roth JA
Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care.
The study objective was to estimate the cost-effectiveness of computerized provider order entry versus traditional paper-based prescribing in reducing medications errors and adverse drug events in the ambulatory setting of mid-sized medical group. Using a decision-analytic model, the researchers found that the adoption of CPOE in the ambulatory setting provides excellent value for the investment.
AHRQ-funded; HS014739
Citation: Forrester SH, Hepp Z, Roth JA .
Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care.
Value Health. 2014 Jun;17(4):340-9. doi: 10.1016/j.jval.2014.01.009..
Keywords: Health Information Technology (HIT), Adverse Drug Events (ADE), Adverse Events, Medical Errors, Medication, Patient Safety, Healthcare Costs, Ambulatory Care and Surgery, Prevention
Liao JM, Roy CL, Eibensteiner K
Lost in transition: discrepancies in how physicians perceive the actionability of the results of tests pending at discharge.
Effective communication of pending hospital test results between inpatient and primary care physicians is sometimes challenging or nonexistent. This communication is essential for safe, quality transactions at discharge. Health information technology (such as email and fax) is an effective strategy for improving and reporting test-result management.
AHRQ-funded; HS018229
Citation: Liao JM, Roy CL, Eibensteiner K .
Lost in transition: discrepancies in how physicians perceive the actionability of the results of tests pending at discharge.
J Hospital Med. 2014 Jun;9(6):407-9. doi: 10.1002/jhm.2177..
Keywords: Communication, Care Coordination, Health Information Technology (HIT), Hospital Discharge, Patient Safety
Stahl JE, Balasubramanian HJ, Gao X
Balancing clinical experience in outpatient residency training.
In order to balance the range of clinical experiences to which medical residents are exposed during their training, the authors set out to develop a framework for systematically optimizing patient reassignment at the beginning of the academic year. Their approach was based on a computer algorithm that they designed to sort patient panels by weighting factors of interest such as age, gender, and complexity.
AHRQ-funded; HS018795.
Citation: Stahl JE, Balasubramanian HJ, Gao X .
Balancing clinical experience in outpatient residency training.
Med Decis Making. 2014 May;34(4):464-72. doi: 10.1177/0272989X14524304..
Keywords: Education: Continuing Medical Education, Health Information Technology (HIT), Patient Safety
Armstrong EP, Wang SM, Hines LE
Prescriber perceptions of a near real-time fax alert program for potential drug-drug interactions.
The purpose of this study was to determine whether prescribers thought that near real-time fax alerts for potential drug-drug interactions (PDDIs) were a good way to communicate with them. The researchers found that physician perceptions of the value of the fax alerts were dependent on which combination of drugs was involved.
AHRQ-funded; HS017001
Citation: Armstrong EP, Wang SM, Hines LE .
Prescriber perceptions of a near real-time fax alert program for potential drug-drug interactions.
J Manag Care Spec Pharm. 2014 May;20(5):494-500a..
Keywords: Adverse Drug Events (ADE), Health Information Technology (HIT), Medication, Patient Safety, Practice Patterns
Stone EE, Skubic M, Back J
Automated health alerts from Kinect-based in-home gait measurements.
This paper details initial investigation of a method for automatically generating alerts to clinicians in response to changes in in-home gait parameters. The three case studies discussed illustrate the potential of automated alerts based on in-home gait data for notifying caregivers of changes in an individual's gait that may be indicative of changes in health status.
AHRQ-funded; HS018477.
Citation: Stone EE, Skubic M, Back J .
Automated health alerts from Kinect-based in-home gait measurements.
Conf Proc IEEE Eng Med Biol Soc 2014;2014:2961-4. doi: 10.1109/embc.2014.6944244..
Keywords: Patient Safety, Health Information Technology (HIT), Elderly, Falls