National Healthcare Quality and Disparities Report
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- Adverse Events (1)
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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 DisplayedAcharya C, Sehrawat TS, McGuire DB
Perspectives of inpatients with cirrhosis and caregivers on using health information technology: cross-sectional multicenter study.
Perspectives of inpatients with cirrhosis and caregivers on using health information technology: cross-sectional multicenter study.
J Med Internet Res 2021 Apr 9;23(4):e24639. doi: 10.2196/24639.
This cross-sectional multicenter study examined reasons why health IT interventions were refused among patient-caregiver dyads of inpatients with cirrhosis. A total of 349 patient-caregiver dyads at three Virginia hospitals were approached of which 87 (25%) agreed to participate. Patients with cirrhosis admitted with gastrointestinal bleeding without opioid use or hepatic encephalopathy were more likely to participate than those with opioid or alcohol-related etiologies. Privacy was not a major factor in refusal, but caregiver and study burden were.
J Med Internet Res 2021 Apr 9;23(4):e24639. doi: 10.2196/24639.
This cross-sectional multicenter study examined reasons why health IT interventions were refused among patient-caregiver dyads of inpatients with cirrhosis. A total of 349 patient-caregiver dyads at three Virginia hospitals were approached of which 87 (25%) agreed to participate. Patients with cirrhosis admitted with gastrointestinal bleeding without opioid use or hepatic encephalopathy were more likely to participate than those with opioid or alcohol-related etiologies. Privacy was not a major factor in refusal, but caregiver and study burden were.
AHRQ-funded; HS025412.
Citation: Acharya C, Sehrawat TS, McGuire DB .
Perspectives of inpatients with cirrhosis and caregivers on using health information technology: cross-sectional multicenter study.
J Med Internet Res 2021 Apr 9;23(4):e24639. doi: 10.2196/24639..
Keywords: Health Information Technology (HIT), Caregiving, Inpatient Care
Collins SA, Couture B, Smith AD
Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application.
This study evaluated the effectiveness of a real-time safety reporting tool by hospitalized patients and their care partners compared with other reporting mechanisms. The study used mixed methods including 20-month preimplementation and postimplementation trials evaluating MySafeCare, a web-based applications which allows real time reporting by hospitalized patients/care partners. Submission rates to MySafeCare in three hospital units (oncology acute care, vascular intermediate care, medical intensive care) were compared to submission rates to the Patient Family Relations (PFR) Department, a hospital service to address family/patient concerns. Thirty-two MySafeCare submissions were received during the study period with an average rate of 1.7 submissions per 1000 patient-days. MySafeCare submission rates were significantly higher than PFR submission rates during the postintervention period on the vascular unit. PFR submissions decreased after MySafeCare implementation for all units.
AHRQ-funded; HS023535.
Citation: Collins SA, Couture B, Smith AD .
Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application.
J Patient Saf 2020 Jun;16(2):e75-e81. doi: 10.1097/pts.0000000000000493..
Keywords: Patient Safety, Hospitalization, Inpatient Care, Health Information Technology (HIT), Caregiving
Khan A, Yin HS, Brach C
AHRQ Author: Brach C
Association between parent comfort with English and adverse events among hospitalized children.
The purpose of this study was to examine the association between parents’ limited comfort with English (LCE) and adverse events in a cohort of hospitalized children. Participants included Arabic-, Chinese-, English-, and Spanish-speaking parents of patients 17 years and younger in the pediatric units of seven North American hospitals. Findings showed that hospitalized children of parents expressing LCE were twice as likely to experience harms due to medical care. Targeted strategies are needed to improve communication and safety for this vulnerable group of children.
AHRQ-authored; AHRQ-funded; HS022986.
Citation: Khan A, Yin HS, Brach C .
Association between parent comfort with English and adverse events among hospitalized children.
JAMA Pediatr 2020 Dec;174(12):e203215. doi: 10.1001/jamapediatrics.2020.3215..
Keywords: Children/Adolescents, Caregiving, Cultural Competence, Clinician-Patient Communication, Communication, Adverse Events, Patient Safety, Inpatient Care, Hospitalization
Choe AY, Unaka NI, Schondelmeyer AC
Inpatient communication barriers and drivers when caring for limited english proficiency children.
The authors identified barriers to and drivers of effective interpreter service use when caring for hospitalized limited English proficiency (LEP) children from the perspectives of pediatric medical providers and interpreters. Using Group Level Assessment, they found that participants identified unique barriers and drivers that impact communication with LEP patients and their families during hospitalization. They suggested that future directions include exploring the perspective of LEP families and utilizing team-based and family-centered communication strategies to standardize and improve communication practices.
AHRQ-funded; HS025138.
Citation: Choe AY, Unaka NI, Schondelmeyer AC .
Inpatient communication barriers and drivers when caring for limited english proficiency children.
J Hosp Med 2019 Oct;14(10):607-13. doi: 10.12788/jhm.3240..
Keywords: Clinician-Patient Communication, Communication, Cultural Competence, Children/Adolescents, Inpatient Care, Patient and Family Engagement, Caregiving
Beck J, Wignall J, Jacob-Files E
Parent attitudes and preferences for discussing health care costs in the inpatient setting.
This study examined parent attitudes towards discussing their child’s health care costs in an inpatient setting with health care providers and others. Semistructured interviews were conducted with 42 parents of children who received care at a tertiary academic children’s hospital with and without chronic disease. Two domains for discussion were identified: factors that influence the parent’s desire to discuss health care costs in the inpatient setting and parent preference regarding the execution of cost discussions. Most parents highlighted concerns regarding physician involvement and felt that it was better explored with a financial counselor or social worker. They also felt that the discussions should be optional.
AHRQ-funded; HS024299.
Citation: Beck J, Wignall J, Jacob-Files E .
Parent attitudes and preferences for discussing health care costs in the inpatient setting.
Pediatrics 2019 Aug;144(2). doi: 10.1542/peds.2018-4029..
Keywords: Caregiving, Children/Adolescents, Healthcare Costs, Inpatient Care, Hospitalization, Hospitals
Parast L, Bardach NS, Burkhart Q
Development of new quality measures for hospital-based care of suicidal youth.
This study researched the value of 4 new quality measures developed to assess hospital-based care for suicidal youth. The four quality measures focused on counseling caregivers about restricting access to lethal means of self-harm, and the benefits and risks of antidepressant medications. They were divided into measures for the emergency department (ED) and inpatient measures. Survey field tests were conducted with caregivers of youth who were admitted to the ED or inpatient care for suicidality at 1 of 2 children’s hospitals between July 2013 and June 2014. Most caregivers did receive counseling about restricting their child’s access to lethal means of self-harm and also reported higher rates of counseling of benefits on antidepressants both in the ED and in the inpatient setting than the risks.
AHRQ-funded; HS020506.
Citation: Parast L, Bardach NS, Burkhart Q .
Development of new quality measures for hospital-based care of suicidal youth.
Acad Pediatr 2018 Apr;18(3):248-55. doi: 10.1016/j.acap.2017.09.017..
Keywords: Caregiving, Children/Adolescents, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Education: Patient and Caregiver, Emergency Department, Hospitalization, Hospitals, Inpatient Care, Behavioral Health, Prevention, Quality of Care, Quality Measures
Miller AD, Mishra SR, Kendall L
Partners in care: Design considerations for caregivers and patients during a hospital stay.
The researchers described how caregivers and patients coordinate and collaborate to manage patients' care and wellbeing during a hospital stay. They defined and described five roles caregivers adopt: companion, assistant, representative, navigator, and planner, and show how patients and caregivers negotiate these roles and responsibilities throughout a hospital stay. Finally, they identified key design considerations for technology to support patients and caregivers during a hospital stay.
AHRQ-funded; HS022894.
Citation: Miller AD, Mishra SR, Kendall L .
Partners in care: Design considerations for caregivers and patients during a hospital stay.
Cscw 2016 Feb-Mar;2016:756-69. doi: 10.1145/2818048.2819983..
Keywords: Care Coordination, Caregiving, Hospitalization, Inpatient Care, Patient and Family Engagement