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
AHRQ Research Studies Date
Topics
- Care Management (1)
- Children/Adolescents (1)
- Elderly (1)
- Evidence-Based Practice (1)
- Guidelines (1)
- Healthcare-Associated Infections (HAIs) (3)
- Healthcare Cost and Utilization Project (HCUP) (1)
- Healthcare Costs (2)
- Health Information Technology (HIT) (1)
- Hospitals (1)
- Injuries and Wounds (2)
- Newborns/Infants (1)
- Nursing Homes (1)
- Outcomes (1)
- Patient-Centered Outcomes Research (1)
- Patient Safety (3)
- (-) Pressure Ulcers (7)
- Prevention (2)
- Quality Improvement (1)
- Surgery (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 7 of 7 Research Studies DisplayedDavidson C, Loganathan S, Bishop L
AHRQ Author: Bergofsky L, Spector W
Scalability of an IT intervention to prevent pressure ulcers in nursing homes.
Researchers assessed the scalability of the On-Time Pressure Ulcer Prevention intervention strategy in nursing homes nationwide. They found that the overall decline in pressure ulcer rates for treatment relative to matched comparison homes was statistically insignificant.
AHRQ-authored; AHRQ-funded; 2332010500023I.
Citation: Davidson C, Loganathan S, Bishop L .
Scalability of an IT intervention to prevent pressure ulcers in nursing homes.
J Am Med Dir Assoc 2019 Jul;20(7):816-21.e2. doi: 10.1016/j.jamda.2019.02.008..
Keywords: Elderly, Health Information Technology (HIT), Nursing Homes, Patient-Centered Outcomes Research, Prevention, Pressure Ulcers
Santosa KB, Keller M, Olsen MA
Negative-pressure wound therapy in infants and children: a population-based study.
Although the safety and benefits of negative-pressure wound therapy (NPWT) have been clearly demonstrated in the adult population, studies evaluating the safety and describing the use of NPWT in the pediatric population have been limited. In this study, the investigators performed a literature review and analyzed the Truven Health Analytics MarketScan Commercial Claims Databases from 2006 to 2014 to identify infants and children treated with NPWT.
AHRQ-funded; HS019455.
Citation: Santosa KB, Keller M, Olsen MA .
Negative-pressure wound therapy in infants and children: a population-based study.
J Surg Res 2019 Mar;235:560-68. doi: 10.1016/j.jss.2018.10.043..
Keywords: Children/Adolescents, Newborns/Infants, Pressure Ulcers, Injuries and Wounds, Care Management, Patient Safety
Padula WV, Pronovost PJ, Makic MBF
Value of hospital resources for effective pressure injury prevention: a cost-effectiveness analysis.
The objective of this study was to analyze the cost-utility of repeated risk-assessments for pressure-injury prevention in all hospital patients or in high-risk groups. Hospitalized adults were classified by Braden Scale scores into five risk levels: very high risk, high risk, moderate risk, at-risk, and minimal risk. The costs of pressure-injury treatment and prevention, and quality-adjusted life years (QALYs) related to pressure injuries were weighted by transition probabilities to calculate the incremental cost-effectiveness ratio. The results of the study indicate that simulating prevention for all patients yielded greater QALYs at higher cost from societal and healthcare sector perspectives. Prevention for all patients was cost-effective in more than 99% of probabilistic simulations. The authors conclude that hospitals should invest in nursing compliance with international prevention guidelines.
AHRQ-funded; HS023710.
Citation: Padula WV, Pronovost PJ, Makic MBF .
Value of hospital resources for effective pressure injury prevention: a cost-effectiveness analysis.
BMJ Qual Saf 2019 Feb;28(2):132-41. doi: 10.1136/bmjqs-2017-007505..
Keywords: Healthcare Costs, Hospitals, Pressure Ulcers, Prevention
Krishnan S, Karg PE, Boninger ML
Early detection of pressure ulcer development following traumatic spinal cord injury using inflammatory mediators.
The authors aimed to identify changes in concentrations of inflammatory mediators in plasma and urine after traumatic spinal cord injury and before the occurrence of a first pressure ulcer. They found that an increase in concentration of the chemokine interferon-γ-induced protein in plasma and a decrease in concentration of the cytokine interferon-α in urine were observed before occurrence of a first pressure ulcer compared with matched controls. They concluded that inflammatory mediators should be explored as possible biomarkers for identifying individuals at risk for pressure ulcer formation.
AHRQ-funded; HS022134.
Citation: Krishnan S, Karg PE, Boninger ML .
Early detection of pressure ulcer development following traumatic spinal cord injury using inflammatory mediators.
Arch Phys Med Rehabil 2016 Oct;97(10):1656-62. doi: 10.1016/j.apmr.2016.01.003.
.
.
Keywords: Pressure Ulcers, Healthcare-Associated Infections (HAIs), Injuries and Wounds
Spector WD, Limcangco R, Owens PL
AHRQ Author: Spector WD, Limcangco R, Owens PL, Steiner CA
Marginal hospital cost of surgery-related hospital-acquired pressure ulcers.
The researchers estimated the hospital marginal cost of a hospital-acquired pressure ulcer (HAPU) for adults patients who were hospitalized for major surgeries, adjusted for patient characteristics, comorbidities, procedures, and hospital characteristics. They found that 3.5 percent of major surgical patients developed HAPUs and that the HAPUs added approximately $8,200 to the cost of a surgical stay after adjusting for comorbidities, patient characteristics, procedures, and hospital characteristics.
AHRQ-authored.
Citation: Spector WD, Limcangco R, Owens PL .
Marginal hospital cost of surgery-related hospital-acquired pressure ulcers.
Med Care 2016 Sep;54(9):845-51. doi: 10.1097/mlr.0000000000000558.
.
.
Keywords: Pressure Ulcers, Surgery, Healthcare Cost and Utilization Project (HCUP), Healthcare Costs, Patient Safety
Padula WV, Gibbons RD, Valuck RJ
Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers?
The objective of this study was to evaluate the longitudinal impact of CMS policy and quality improvement adoption on hospital-acquired pressure ulcers (HAPU) rates. It concluded that HAPU rates were significantly lower after changes in CMS reimbursement. Reductions are associated with hospital-wide implementation of evidence-based practices for HAPU prevention.
AHRQ-funded; HS023710.
Citation: Padula WV, Gibbons RD, Valuck RJ .
Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers?
Med Care 2016 May;54(5):512-8. doi: 10.1097/mlr.0000000000000516..
Keywords: Evidence-Based Practice, Healthcare-Associated Infections (HAIs), Pressure Ulcers, Quality Improvement
Creehan S, Cuddigan J, Gonzales D
The VCU pressure ulcer summit-developing centers of pressure ulcer prevention excellence: a framework for sustainability.
The purpose of this paper is to present a framework describing the proposed Magnet-designated Centers of Pressure Ulcer Prevention Excellence resulting from a national summit convened at the Virginia Commonwealth University Medical Center in March 2014. The authors discussed the structures, processes, and outcome measures necessary to become a proposed Center of Pressure Ulcer Prevention Excellence.
AHRQ-funded; HS023710.
Citation: Creehan S, Cuddigan J, Gonzales D .
The VCU pressure ulcer summit-developing centers of pressure ulcer prevention excellence: a framework for sustainability.
J Wound Ostomy Continence Nurs 2016 Mar-Apr;43(2):121-8. doi: 10.1097/won.0000000000000203.
.
.
Keywords: Guidelines, Healthcare-Associated Infections (HAIs), Outcomes, Patient Safety, Pressure Ulcers