National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Adverse Drug Events (ADE) (2)
- Antibiotics (1)
- Antimicrobial Stewardship (1)
- Arthritis (1)
- Communication (1)
- Education: Patient and Caregiver (1)
- (-) Electronic Health Records (EHRs) (10)
- Health Information Technology (HIT) (1)
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- Medication: Safety (3)
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- Patient Self-Management (1)
- Practice Patterns (1)
- Primary Care (2)
- Provider: Pharmacist (1)
- Quality Measures (1)
- Quality of Care (1)
- Racial and Ethnic Minorities (1)
- Respiratory Conditions (2)
- Surgery (1)
- Web-Based (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 10 of 10 Research Studies DisplayedYazdany J, Robbins M, Schmajuk G
Development of the American College of Rheumatology's rheumatoid arthritis electronic clinical quality measures.
The researchers sought to develop and test electronic clinical quality measures for rheumatoid arthritis. Disease activity assessment, functional status assessment, disease-modifying antirheumatic durg use, and tuberculosis screening measures have achieved national endorsement and are recommended for use in federal quality reporting programs.
AHRQ-funded; HS024412.
Citation: Yazdany J, Robbins M, Schmajuk G .
Development of the American College of Rheumatology's rheumatoid arthritis electronic clinical quality measures.
Arthritis Care Res 2016 Nov;68(11):1579-90. doi: 10.1002/acr.22984.
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Keywords: Electronic Health Records (EHRs), Medication, Quality Measures, Arthritis, Outcomes
Curtis LM, Mullen RJ, Russell A
An efficacy trial of an electronic health record-based strategy to inform patients on safe medication use: the role of written and spoken communication.
The researchers tested the feasibility and efficacy of an electronic health record (EHR) strategy that automated the delivery of print medication information at the time of prescribing. They found that written information and physician counseling were independently associated with patient understanding of risk information and that receiving both was most beneficial. They concluded that although an EHR can be a reliable means to deliver tangible, print medication education to patients, it cannot replace physician-patient communication, and that offering both written and spoken information resulted in a synergistic effect for informing patients.
AHRQ-funded; HS017220.
Citation: Curtis LM, Mullen RJ, Russell A .
An efficacy trial of an electronic health record-based strategy to inform patients on safe medication use: the role of written and spoken communication.
Patient Educ Couns 2016 Sep;99(9):1489-95. doi: 10.1016/j.pec.2016.07.004.
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Keywords: Electronic Health Records (EHRs), Communication, Education: Patient and Caregiver, Medication: Safety, Medication
Zhou L, Dhopeshwarkar N, Blumenthal KG
Drug allergies documented in electronic health records of a large healthcare system.
The authors studied the prevalence of common drug allergies and patient characteristics documented in electronic health records of two large tertiary care hospitals in Boston from 1990 to 2013. They found that drug allergies in general were most prevalent among females and white patients, but that allergies to NSAIDs, ACE inhibitors, and thiazide diuretics were more prevalent in black patients.
AHRQ-funded; HS022728.
Citation: Zhou L, Dhopeshwarkar N, Blumenthal KG .
Drug allergies documented in electronic health records of a large healthcare system.
Allergy 2016 Sep;71(9):1305-13. doi: 10.1111/all.12881.
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Keywords: Adverse Drug Events (ADE), Electronic Health Records (EHRs), Medication: Safety, Medication
Pevnick JM, Shane R, Schnipper JL
The problem with medication reconciliation.
The authors discussed medication reconciliation and the issue that benefits reaped by organizations focused on interventions have not generalized easily to other institutions. They specified that medication reconciliation interventions need to be carefully matched to organizational strengths, workflows, and goals based on institutional priorities, and that there are several broad recommendations that can be targeted to organizational leaders, clinicians and investigators.
AHRQ-funded; HS019598; HS023757.
Citation: Pevnick JM, Shane R, Schnipper JL .
The problem with medication reconciliation.
BMJ Qual Saf 2016 Sep;25(9):726-30. doi: 10.1136/bmjqs-2015-004734.
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Keywords: Electronic Health Records (EHRs), Medication, Patient Safety, Provider: Pharmacist
Rangachari P
Role of social knowledge networking technology in facilitating meaningful use of electronic health record medication reconciliation.
In this paper, Rangachari 1) conducted a narrative review of the literature on "technology use," to understand how technologies-in-practice may be transformed from limited use to meaningful use; 2) conducted a narrative review of the literature on "organizational change implementation," to understand how changes in technology use could be successfully implemented and sustained in a healthcare organizational context; and 3) applied lessons learned from the narrative literature reviews to identify strategies for the meaningful use and successful implementation of EHR Medication Reconciliation technology.
AHRQ-funded; HS024335.
Citation: Rangachari P .
Role of social knowledge networking technology in facilitating meaningful use of electronic health record medication reconciliation.
J Hosp Adm 2016 Jun;5(3):98-106. doi: 10.5430/jha.v5n3p98.
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Keywords: Health Systems, Medication, Hospitals, Organizational Change, Electronic Health Records (EHRs)
Topaz M, Seger DL, Slight SP
Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience.
The authors aimed to explore the common drug allergy alerts over the last 10 years and the reasons why providers tend to override these alerts. They found that alarmingly, alerts for immune mediated and life threatening reactions with definite allergen and prescribed medication matches were overridden 72.8 percent and 74.1 percent of the time, respectively.
AHRQ-funded; HS022728.
Citation: Topaz M, Seger DL, Slight SP .
Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience.
J Am Med Inform Assoc 2016 May;23(3):601-8. doi: 10.1093/jamia/ocv143.
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Keywords: Electronic Health Records (EHRs), Adverse Drug Events (ADE), Medication, Medication: Safety, Patient Safety
Gidengil CA, Linder JA, Beach S
Using clinical vignettes to assess quality of care for acute respiratory infections.
Overprescribing of antibiotics for acute respiratory infections (ARIs) is common. The objective of this study was to develop and validate a vignette-based method to estimate clinician ARI antibiotic prescribing. The researchers concluded that responses to 3 clinical vignettes can identify clinicians with relatively poor quality ARI antibiotic prescribing. Vignettes may be a mechanism to target clinicians for quality improvement efforts.
AHRQ-funded; HS018419.
Citation: Gidengil CA, Linder JA, Beach S .
Using clinical vignettes to assess quality of care for acute respiratory infections.
Inquiry 2016 Apr 20;53:pii: 0046958016636531. doi: 10.1177/0046958016636531..
Keywords: Antibiotics, Antimicrobial Stewardship, Electronic Health Records (EHRs), Health Information Technology (HIT), Health Services Research (HSR), Medication, Practice Patterns, Primary Care, Quality of Care, Respiratory Conditions
Lyles CR, Sarkar U, Schillinger D
Refilling medications through an online patient portal: consistent improvements in adherence across racial/ethnic groups.
The researchers evaluated longitudinal changes in statin adherence to determine whether racial/ethnic minorities initiating use of the online refill function in patient portals had similar changes over time compared with whites. Their examination of a retrospective cohort of diabetes patients who were existing patient portal users found that all racial/ethnic minority groups had poorer baseline statin adherence compared with whites.
AHRQ-funded; HS022408.
Citation: Lyles CR, Sarkar U, Schillinger D .
Refilling medications through an online patient portal: consistent improvements in adherence across racial/ethnic groups.
J Am Med Inform Assoc 2016 Apr;23(e1):e28-e33. doi: 10.1093/jamia/ocv126.
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Keywords: Medication, Web-Based, Patient Adherence/Compliance, Electronic Health Records (EHRs), Racial and Ethnic Minorities
Meeker D, Linder JA, Fox CR
Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial.
The purpose of this study was to assess effects of behavioral interventions and rates of inappropriate (not guideline-concordant) antibiotic prescribing during ambulatory visits for acute respiratory tract infections. It concluded that among primary care practices, the use of accountable justification and peer comparison as behavioral interventions resulted in lower rates of inappropriate antibiotic prescribing for acute respiratory tract infections.
AHRQ-funded; HS019913.
Citation: Meeker D, Linder JA, Fox CR .
Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial.
JAMA 2016 Feb 9;315(6):562-70. doi: 10.1001/jama.2016.0275..
Keywords: Primary Care, Medication, Respiratory Conditions, Electronic Health Records (EHRs)
Wilcox L, Woollen J, Prey J
Interactive tools for inpatient medication tracking: a multi-phase study with cardiothoracic surgery patients.
This study explored the design and usefulness of patient-facing tools supporting inpatient medication management and tracking. Patients reported that the medication-tracking tools were useful. Patients' interview responses and audit logs revealed that they made frequent use of the hospital medications feature and found electronic reporting of questions and comments useful.
AHRQ-funded; HS021816; HS021393.
Citation: Wilcox L, Woollen J, Prey J .
Interactive tools for inpatient medication tracking: a multi-phase study with cardiothoracic surgery patients.
J Am Med Inform Assoc 2016 Jan;23(1):144-58. doi: 10.1093/jamia/ocv160..
Keywords: Electronic Health Records (EHRs), Inpatient Care, Medication, Patient Self-Management, Surgery