National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- (-) Healthcare Delivery (7)
- Health Systems (1)
- Hospitals (1)
- Implementation (2)
- Organizational Change (1)
- Patient-Centered Healthcare (1)
- Patient-Centered Outcomes Research (1)
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- (-) Quality Improvement (7)
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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 7 of 7 Research Studies DisplayedBalbale SN, Locatelli SM, LaVela SL
Through their eyes: lessons learned using participatory methods in health care quality improvement projects.
The authors examined participatory methods to demonstrate how these methods can be adopted for quality improvement (QI) projects in health care. They concluded that using participatory methods is a valuable strategy to harness participant engagement and drive improvements that address individual needs.
AHRQ-funded; HS000084.
Citation: Balbale SN, Locatelli SM, LaVela SL .
Through their eyes: lessons learned using participatory methods in health care quality improvement projects.
Qual Health Res 2016 Aug;26(10):1382-92. doi: 10.1177/1049732315618386.
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Keywords: Healthcare Delivery, Quality of Care, Patient and Family Engagement, Quality Improvement
Hung D, Gray C, Martinez M
AHRQ Author: Harrison MI
Acceptance of Lean redesigns in primary care: a contextual analysis.
The aim of this study was to identify contextual factors most critical to implementing and scaling Lean redesigns across all primary care clinics in a large, ambulatory care delivery system. It found that acceptance was influenced by time and intensity of exposure to changes, "top-down" versus "bottom-up" implementation styles, and degrees of employee engagement in developing new workflows.
AHRQ-authored; AHRQ-funded; 2902010000221.
Citation: Hung D, Gray C, Martinez M .
Acceptance of Lean redesigns in primary care: a contextual analysis.
Health Care Manage Rev 2016 Jul/Sep;42(3):203-12. doi: 10.1097/hmr.0000000000000106.
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Keywords: Healthcare Delivery, Primary Care, Quality Improvement
Mazor KM, Smith KM, Fisher KA
Speak up! Addressing the paradox plaguing patient-centered care.
The authors discuss the patient-centered care paradox in which patients' perceptions of care rarely translate into improvements. Instead of placing the burden on patieents to voice their concerns, the authors recommended that health care systems and providers create an environment in which patients and family members feel safe raising concerns. The authors also addressed the issue that health care institutions cannot respond in real time even when patients do express a concern. They concluded by offering suggestions on how to improve this paradox.
AHRQ-funded; HS022757.
Citation: Mazor KM, Smith KM, Fisher KA .
Speak up! Addressing the paradox plaguing patient-centered care.
Ann Intern Med 2016 May 3;164(9):618-9. doi: 10.7326/m15-2416.
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Keywords: Healthcare Delivery, Patient and Family Engagement, Patient-Centered Healthcare, Quality Improvement
Harrison MI, Paez K, Carman KL
AHRQ Author: Harrison MI
Effects of organizational context on Lean implementation in five hospital systems.
In order to help reduce gaps in knowledge of effects of intraorganizational context, the authors researched Lean implementation initiatives in five organizations and examined 12 of their Lean rapid improvement projects. They identified intraorganizational characteristics including CEO commitment to Lean and active support for it, prior organizational capacity for quality improvement-based performance improvement, and alignment of the Lean initiative with the organizational mission.
AHRQ-authored.
Citation: Harrison MI, Paez K, Carman KL .
Effects of organizational context on Lean implementation in five hospital systems.
Health Care Manage Rev 2016 Apr-Jun;41(2):127-44. doi: 10.1097/hmr.0000000000000049..
Keywords: Organizational Change, Hospitals, Quality Improvement, Quality of Care, Healthcare Delivery, Implementation
Lavallee DC, Chenok KE, Love RM
Incorporating patient-reported outcomes into health care to engage patients and enhance care.
The authors examine the opportunities for using patient-reported outcomes to enhance care delivery and outcomes as health care information needs and technology platforms change. They highlight emerging practices in which patient-reported outcomes provide value to patients and clinicians and improve care delivery. Finally, they examine present and future challenges to maximizing the use of patient-reported outcomes in the clinic.
AHRQ-funded; HS022789.
Citation: Lavallee DC, Chenok KE, Love RM .
Incorporating patient-reported outcomes into health care to engage patients and enhance care.
Health Aff 2016 Apr;35(4):575-82. doi: 10.1377/hlthaff.2015.1362.
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Keywords: Healthcare Delivery, Shared Decision Making, Patient-Centered Outcomes Research, Patient and Family Engagement, Quality Improvement
Minami CA, Sheils CR, Bilimoria KY
Process improvement in surgery.
The authors reviewed aspects of process improvement-quality improvement that are relevant to the currently practicing surgeon. They discussed commonly used quality improvement data platforms, process improvement methodologies, examples of successful local quality improvement initiatives, the role of regional surgical improvement collaboratives, common barriers to quality improvement efforts, and potential solutions to overcome them.
AHRQ-funded; HS000078.
Citation: Minami CA, Sheils CR, Bilimoria KY .
Process improvement in surgery.
Curr Probl Surg 2016 Feb;53(2):62-96. doi: 10.1067/j.cpsurg.2015.11.001.
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Keywords: Healthcare Delivery, Quality of Care, Quality Improvement, Quality Measures, Surgery
Fisher ES, Shortell SM, Savitz LA
Implementation science: A potential catalyst for delivery system reform.
Understanding which of the multitude of technological, policy, and organizational changes under way are most effective at improving care is a critical challenge. This article describes 3 ideas that could be helpful: application of a well-grounded conceptual framework; distinguishing 3 distinct types of innovations that health systems are using to improve care; and a focus on building the information systems needed to accelerate timely learning.
AHRQ-funded; HS024075.
Citation: Fisher ES, Shortell SM, Savitz LA .
Implementation science: A potential catalyst for delivery system reform.
JAMA 2016 Jan 26;315(4):339-40. doi: 10.1001/jama.2015.17949..
Keywords: Healthcare Delivery, Implementation, Quality Improvement, Quality of Care, Health Systems