National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Adverse Events (2)
- Burnout (1)
- Communication (2)
- Data (1)
- Diabetes (1)
- Electronic Health Records (EHRs) (1)
- Healthcare-Associated Infections (HAIs) (1)
- Healthcare Delivery (2)
- Health Information Technology (HIT) (2)
- Hospitals (3)
- Implementation (2)
- Inpatient Care (3)
- Learning Health Systems (1)
- Maternal Care (1)
- Medical Errors (1)
- Organizational Change (1)
- Outcomes (1)
- Patient-Centered Healthcare (2)
- Patient and Family Engagement (2)
- Patient Safety (5)
- Practice-Based Research Network (PBRN) (1)
- Prevention (1)
- Primary Care (3)
- Primary Care: Models of Care (1)
- Provider: Health Personnel (1)
- Provider: Physician (1)
- Quality Improvement (3)
- Quality of Care (7)
- Research Methodologies (1)
- (-) Teams (18)
- TeamSTEPPS (2)
- Tools & Toolkits (1)
- Training (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 18 of 18 Research Studies DisplayedO'Leary KJ, Johnson JK, Williams MV
Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial.
The objective of this pragmatic controlled trial was to evaluate the effect of interventions to redesign hospital care delivery on teamwork and patient outcomes. Survey participants were healthcare professionals and hospitalized medical patients in medical units at four U.S. hospitals. The results showed that the median teamwork climate score was higher after the intervention among nurses, but that interventions to redesign care for hospitalized patients were not associated with improved patient outcomes.
AHRQ-funded; HS02564.
Citation: O'Leary KJ, Johnson JK, Williams MV .
Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial.
Ann Intern Med 2023 Nov; 176(11):1456-64. doi: 10.7326/m23-0953..
Keywords: Teams, Inpatient Care, Hospitals, Quality of Care, Outcomes
Hose BZ, Carayon P, Hoonakker PLT
Work system barriers and facilitators of a team health information technology.
This study’s objective was to identify work design barriers and facilitators to the use of a team health IT that supports care transitions for pediatric trauma patients. The authors conducted an analysis on 36 interviews - representing 12 roles - collected from a scenario-based evaluation of T(3). They identified eight dimensions with both barriers and facilitators in all five work system elements: person (experience), task (task performance, workload/efficiency), technology (usability, specific features of T(3)), environment (space, location), and organization (communication/coordination). They concluded that designing technology that meets every role's needs is challenging; in particular, when trade-offs need to be managed, e.g., additional workload for one role or divergent perspectives regarding specific features.
AHRQ-funded; HS023837
Citation: Hose BZ, Carayon P, Hoonakker PLT .
Work system barriers and facilitators of a team health information technology.
Appl Ergon 2023 Nov; 113:104105. doi: 10.1016/j.apergo.2023.104105..
Keywords: Health Information Technology (HIT), Teams
Stierman EK, O'Brien BT, Stagg J
AHRQ Author: Fabiyi CA, Chew E, Harding B, Mistry KB
Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas.
The objective of this study was to describe perinatal quality improvement activities, specifically the implementation of Alliance for Innovation on Maternal Health (AIM) patient safety bundles and use of teamwork and communication tools in obstetric units. Researchers conducted a survey of AIM-enrolled hospitals in Oklahoma and Texas and gathered data on obstetric unit organization and QI processes. Their findings showed that adoption of QI processes varied and also highlighted the need to reinforce support for rural obstetric units, which often face greater barriers to implementing patient safety and QI processes than urban units. The researchers concluded that this has implications for implementing future perinatal QI initiatives.
AHRQ-authored; AHRQ-funded; 233201500020I.
Citation: Stierman EK, O'Brien BT, Stagg J .
Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas.
Qual Manag Health Care 2023 Jul-Sep; 32(3):177-88. doi: 10.1097/qmh.0000000000000407..
Keywords: Quality Improvement, Teams, Communication, Maternal Care, Quality of Care
Casalino LP, Jung HY, Bodenheimer T
The association of teamlets and teams with physician burnout and patient outcomes.
This cross-sectional observational study’s goal was to determine the prevalence and performance of primary care teamlets and teams. Survey participants included 688 general internists and family physicians. Physicians were assigned to one of four teamlet/team categories (e.g., teamlet/no team) and, in secondary analyses, to one of eight teamlet/team categories that classified teamlets into high, medium, and low collaboration as perceived by the physician (e.g., teamlet perceived-high collaboration/no team) based on their responses. The majority of physicians (77.4%) practiced in teamlets; 36.7% in teams. The four categories were divided as follows: 49.1% practiced in the teamlet/no team category; 28.3% in the teamlet/team category; 8.4% in no teamlet/team; 14.1% in no teamlet/no team. Results showed that 15.7%, 47.4%, and 14.4% of physicians practiced in perceived high-, medium-, and low-collaboration teamlets. Physicians who did not practice in a teamlet or team had significantly lower rate of burnout compared to the three teamlet/team categories. There were no significant differences in outcomes or Medicare spending by teamlet/team or teamlet perceived-collaboration/team categories compared to no teamlet/no team, for Medicare beneficiaries in general, or for dual-eligible beneficiaries.
AHRQ-funded; HS025716.
Citation: Casalino LP, Jung HY, Bodenheimer T .
The association of teamlets and teams with physician burnout and patient outcomes.
J Gen Intern Med 2023 May; 38(6):1384-92. doi: 10.1007/s11606-022-07894-7..
Keywords: Teams, Burnout, Primary Care, Provider: Physician
Gregory ME, MacEwan SR, Sova LN
A qualitative examination of interprofessional teamwork for infection prevention: development of a model and solutions.
The objective of this study was to investigate the role of interprofessional teamwork in the prevention of health care-associated infections (HAIs), focusing on central line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) prevention. The authors interviewed participating physicians, nurses, and other staff from 18 hospitals about interprofessional collaboration, and proposed an Input-Mediator-Output-Input (IMOI) model as well as strategies to support teamwork for the prevention of HAIs.
AHRQ-funded; HS024958.
Citation: Gregory ME, MacEwan SR, Sova LN .
A qualitative examination of interprofessional teamwork for infection prevention: development of a model and solutions.
Med Care Res Rev 2023 Feb;80(1):30-42. doi: 10.1177/10775587221103973..
Keywords: Teams, Prevention, Healthcare-Associated Infections (HAIs)
Hose BZ, Carayon P, Hoonakker PLT
Managing multiple perspectives in the collaborative design process of a team health information technology.
The creation of technology that supports healthcare teams is crucial, and the development of such solutions should encompass various clinical roles. However, our understanding of the actual collaborative process in designing team-based care technologies is limited. The purpose of this study was to delve into the management of diverse perspectives during the development of a health IT solution geared towards meeting the informational needs of clinicians during pediatric trauma care transitions. The researcher’s analysis concentrated on four co-design sessions, which included multiple healthcare professionals involved in pediatric trauma patient care. Employing content analysis and process coding, the researchers analyzed the transcripts of the design sessions, drawing inspiration from Détienne's (2006) co-design framework. By expanding on Détienne's (2006) three collaborative activities, the researchers identified distinct themes and processes that characterized collaboration among care team members during the design process. The study found that the themes and processes showcase the collaborative nature of a team health IT design procedure, ultimately resulting in a highly functional technology.
AHRQ-funded; HS023837
Citation: Hose BZ, Carayon P, Hoonakker PLT .
Managing multiple perspectives in the collaborative design process of a team health information technology.
Appl Ergon 2023 Jan;106:103846. doi: 10.1016/j.apergo.2022.103846.
Keywords: Teams, Health Information Technology (HIT)
Campbell-Voytal K, Daly JM, Nagykaldi ZJ
Team science approach to developing consensus on research good practices for practice-based research networks: A case study.
Using peer learning strategies, seven experienced practice-based research networks (PBRNs) working in collaborative teams articulated procedures for PBRN Research Good Practices (PRGPs). The PRGPs is a PBRN-specific resource to facilitate PBRN management and staff training, to promote adherence to study protocols, and to increase validity and generalizability of study findings. This paper describes the team science processes which culminated in the PRGPs.
AHRQ-funded; HS016713; HS019601.
Citation: Campbell-Voytal K, Daly JM, Nagykaldi ZJ .
Team science approach to developing consensus on research good practices for practice-based research networks: A case study.
Clin Transl Sci 2015 Dec;8(6):632-7. doi: 10.1111/cts.12363.
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Keywords: Primary Care: Models of Care, Practice-Based Research Network (PBRN), Primary Care, Teams, Implementation
Etchegaray JM, Thomas EJ
Engaging employees: the importance of high-performance work systems for patient safety.
The researchers developed and tested survey items that measure high-performance work systems (HPWSs), reported psychometric characteristics of the survey, and examined associations between HPWSs and teamwork culture, safety culture, and overall patient safety grade. They concluded that the HPWSs survey was reliable, distinct from safety culture and teamwork culture based on a confirmatory factor analysis.
AHRQ-funded; HS017145.
Citation: Etchegaray JM, Thomas EJ .
Engaging employees: the importance of high-performance work systems for patient safety.
J Patient Saf 2015 Dec;11(4):221-7. doi: 10.1097/pts.0000000000000076.
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Keywords: Patient Safety, Quality of Care, Teams
Nembhard IM, Morrow CT, Bradley EH
Implementing role-changing versus time-changing innovations in health care: differences in helpfulness of staff improvement teams, management, and network for learning.
This paper examined the hypothesis that the degree to which access to groups that can alter organizational learning depends on innovation type. Team representativeness and network membership were positively associated with implementing role-changing practices; while senior management engagement was positively associated with implementing time-changing practices. The authors concluded that these findings advance implementation science by explaining mixed results across past studies, that the nature of change for workers alters potential facilitators' effects on implementation.
AHRQ-funded; HS018987.
Citation: Nembhard IM, Morrow CT, Bradley EH .
Implementing role-changing versus time-changing innovations in health care: differences in helpfulness of staff improvement teams, management, and network for learning.
Med Care Res Rev 2015 Dec;72(6):707-35. doi: 10.1177/1077558715592315.
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Keywords: Healthcare Delivery, Quality Improvement, Organizational Change, Teams, Quality of Care, Learning Health Systems, Implementation
Fernandez R, Grand JA
Leveraging social science-healthcare collaborations to improve teamwork and patient safety.
This article highlights guiding team science principles from the organizational psychology literature that can be applied to the study of teams in healthcare. The authors' goal is to provide some common language and understanding around teams and teamwork. Additionally, they hope to impart an appreciation for the potential synergy present within clinician-social scientist collaborations.
AHRQ-funded; HS020295; HS022458.
Citation: Fernandez R, Grand JA .
Leveraging social science-healthcare collaborations to improve teamwork and patient safety.
Curr Probl Pediatr Adolesc Health Care 2015 Dec;45(12):370-7. doi: 10.1016/j.cppeds.2015.10.005.
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Keywords: Patient Safety, Teams, Quality Improvement, Quality of Care, Medical Errors, Adverse Events
Graetz I, Huang J, Brand R
The impact of electronic health records and teamwork on diabetes care quality.
The researchers examined whether team cohesion among primary care team members changed the association between EHR use and changes in clinical outcomes for patients with diabetes. They found that patients cared for by higher cohesion primary care teams experienced modest but statistically significantly greater EHR-related health outcome improvements, compared with patients cared for by providers practicing in lower cohesion teams.
AHRQ-funded; HS015280; HS021082.
Citation: Graetz I, Huang J, Brand R .
The impact of electronic health records and teamwork on diabetes care quality.
Am J Manag Care 2015 Dec;21(12):878-84.
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Keywords: Diabetes, Electronic Health Records (EHRs), Quality of Care, Primary Care, Teams
Dykes PC, Stade D, Dalal A
Strategies for managing mobile devices for use by hospitalized inpatients.
The authors implemented the PROSPECT (Promoting Respect and Ongoing Safety through Patient-centeredness, Engagement, Communication and Technology) project at Brigham and Women's Hospital. The goal of PROSPECT is to transform the hospital environment by providing a suite of e-tools to facilitate teamwork. In this paper, the authors described decisions and challenges faced and related the strategies used and lessons learned.
AHRQ-funded; HS023535.
Citation: Dykes PC, Stade D, Dalal A .
Strategies for managing mobile devices for use by hospitalized inpatients.
AMIA Annu Symp Proc 2015 Nov 5;2015:522-31.
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Keywords: Communication, Inpatient Care, Patient and Family Engagement, Patient Safety, Teams
Rosenman ED, Ilgen JS, Shandro JR
A systematic review of tools used to assess team leadership in health care action teams.
This review summarized the characteristics of tools used to assess leadership in health care action (HCA) teams. It described 61 team leadership assessment tools. Forty-nine tools provided behaviors, skills, or characteristics to define leadership. Forty-four tools assessed leadership as one component of a larger assessment, 13 tools identified leadership as the primary focus of the assessment, and 4 assessed leadership style.
AHRQ-funded; HS020295.
Citation: Rosenman ED, Ilgen JS, Shandro JR .
A systematic review of tools used to assess team leadership in health care action teams.
Acad Med 2015 Oct;90(10):1408-22. doi: 10.1097/acm.0000000000000848.
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Keywords: Teams, Tools & Toolkits
O'Leary KJ, Creden AJ, Slade ME
Implementation of unit-based interventions to improve teamwork and patient safety on a medical service.
The authors compared a pre- versus post-intervention on Structured Interdisciplinary Rounds (SIDRs). They found that paired analyses for 82 professionals completing surveys revealed improved teamwork, which was driven mainly by nurses, and that the adverse events rate was similar across study periods; however, SIDR did not reduce adverse events.
AHRQ-funded; HS019630.
Citation: O'Leary KJ, Creden AJ, Slade ME .
Implementation of unit-based interventions to improve teamwork and patient safety on a medical service.
Am J Med Qual 2015 Sep-Oct;30(5):409-16. doi: 10.1177/1062860614538093.
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Keywords: Adverse Events, Provider: Health Personnel, Inpatient Care, Patient Safety, Teams
Xie A, Carayon P, Cox ED
Application of participatory ergonomics to the redesign of the family-centred rounds process.
This study applied a participatory ergonomics (PE) approach to redesigning the family-centred rounds (FCR) process to improve family engagement. Human factors and ergonomics (HFE) principles were integrated in both the content and process of FCR redesign. The authors described activities of the PE process and presented data on PE process evaluation. They concluded that to demonstrate the value of PE-based FCR redesign, future research should document its impact on FCR process measures and patient outcome measures.
AHRQ-funded; HS018680.
Citation: Xie A, Carayon P, Cox ED .
Application of participatory ergonomics to the redesign of the family-centred rounds process.
Ergonomics 2015;58(10):1726-44. doi: 10.1080/00140139.2015.1029534.
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Keywords: Healthcare Delivery, Hospitals, Patient and Family Engagement, Patient-Centered Healthcare, Teams
Ward MM, Zhu X, Lampman M
TeamSTEPPS implementation in community hospitals: adherence to recommended training approaches.
The purpose of this paper is to examine approaches taken by community hospital personnel and compare those to the best practices recommended by Weaver et al. The authors find that training implementation in community hospitals differs significantly from the established, research-based principles for effective team training described in the research literature, which is largely based in academic medical centers.
AHRQ-funded; HS018396.
Citation: Ward MM, Zhu X, Lampman M .
TeamSTEPPS implementation in community hospitals: adherence to recommended training approaches.
Int J Health Care Qual Assur 2015;28(3):234-44. doi: 10.1108/ijhcqa-10-2013-0124..
Keywords: TeamSTEPPS, Hospitals, Training, Teams
Brady PJ, Battles JB, Ricciardi R
AHRQ Author: Brady PJ, Battles JB, Ricciardi R
Teamwork: what health care has learned from the military.
Health care depends on clear instructions and relies not just on individuals but also on strong teams. The authors point out that well-functioning teams make fewer mistakes than do individuals. They describe how military principles can be applied to healthcare, including the elements of structure, accountability, and patient-centeredness.
AHRQ-authored.
Citation: Brady PJ, Battles JB, Ricciardi R .
Teamwork: what health care has learned from the military.
J Nurs Care Qual 2015 Jan-Mar;30(1):3-6. doi: 10.1097/ncq.0000000000000094.
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Keywords: TeamSTEPPS, Teams, Patient-Centered Healthcare, Patient Safety, Quality of Care
Kozlowski SWJ, Chao GT, Chang C-H
https://www.routledge.com/Big-Data-at-Work-The-Data-Science-Revolution-and-Organizational-Psychology/Tonidandel-King-Cortina/p/book/9781848725829
Using big data to advance the science of team effectiveness.
The authors discuss the longstanding treatment of team processes as static constructs rather than as dynamic processes per se. They then highlight research design issues that need to be considered in any effort to directly observe, assess, and capture teamwork process dynamics. Finally, they explain how researchers can directly assess and capture team process dynamics using illustrations from three ongoing projects.
AHRQ-funded; HS020295; HS022458.
Citation: Kozlowski SWJ, Chao GT, Chang C-H .
Using big data to advance the science of team effectiveness.
In: Tonidandel S, King E, Cortina J, editors. Big Data at Work: The Data Science Revolution and Organizational Psychology. New York: Routledge; 2015. p. 272-309, chapter 10..
Keywords: Teams, Research Methodologies, Data