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AHRQ Research Studies Date
Topics
- Ambulatory Care and Surgery (2)
- Behavioral Health (1)
- Burnout (3)
- Care Management (1)
- Children/Adolescents (3)
- Chronic Conditions (1)
- Clinician-Patient Communication (2)
- Communication (4)
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) (1)
- COVID-19 (1)
- Education: Continuing Medical Education (2)
- Elderly (1)
- Electronic Health Records (EHRs) (7)
- Emergency Department (2)
- Healthcare-Associated Infections (HAIs) (1)
- Health Information Technology (HIT) (4)
- Hospitals (3)
- Implementation (1)
- Intensive Care Unit (ICU) (1)
- Medical Devices (1)
- Medicare (1)
- Newborns/Infants (1)
- Nursing (1)
- Palliative Care (2)
- Patient-Centered Healthcare (1)
- Patient and Family Engagement (1)
- Patient Experience (1)
- Patient Safety (4)
- Practice Patterns (2)
- Primary Care (2)
- Provider (1)
- (-) Provider: Health Personnel (28)
- Provider: Physician (1)
- Public Health (1)
- Quality Improvement (1)
- Quality of Care (1)
- Racial and Ethnic Minorities (1)
- Shared Decision Making (1)
- Stress (1)
- Surgery (2)
- Telehealth (1)
- Tobacco Use (1)
- Tools & Toolkits (1)
- Training (2)
- Vulnerable Populations (1)
- Web-Based (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 25 of 28 Research Studies DisplayedWatterson TL, Steege LM, Mott DA
Sociotechnical work system approach to occupational fatigue.
The impact of occupational fatigue has been researched in fields outside of health care such as transportation and industry. Studies with health care professionals such as physicians, medical residents, and nurses has highlighted the potential for occupational fatigue to affect patient, employee, and organizational outcomes. The researchers advise that a conceptual framework of occupational fatigue that is informed by a sociotechnical systems approach is needed. The purpose of this paper was to outline the health care professional occupational fatigue conceptual framework by following the Systems Engineering Initiative for Patient Safety (SEIPS) model and adapting the Conceptual Model of Occupational Fatigue in Nursing.
AHRQ-funded; HS027766.
Citation: Watterson TL, Steege LM, Mott DA .
Sociotechnical work system approach to occupational fatigue.
Jt Comm J Qual Patient Saf 2023 Sep; 49(9):485-93. doi: 10.1016/j.jcjq.2023.05.007..
Keywords: Provider: Health Personnel, Burnout
Hays RD, Walling AM, Sudore RL
Support for use of Consumer Assessment of Healthcare Providers and Systems communication items among seriously ill patients.
High-quality doctor-patient communication is essential for patients with serious illnesses. The purpose of this study was to assess the reliability and validity of Consumer Assessment of Healthcare Providers and Systems (CAHPS(®)) communication items among patients with serious illnesses. The study found that Eigenvalues and internal consistency reliability supported a 5-item communication scale. Item characteristic curves revealed a monotonic relationship of response options with the communication score. Item thresholds indicated that most patients reported positive patient experiences, and item slopes confirmed that all items were strongly related to the communication score. Reliability of the communication scale was higher for assessing patients with negative experiences of care than for the positive end of the spectrum. Communication was positively correlated with confidence in other's knowledge of ACP medical wishes, ACP engagement, and confidence in filling out ACP-related medical forms.
AHRQ-funded; HS029321.
Citation: Hays RD, Walling AM, Sudore RL .
Support for use of Consumer Assessment of Healthcare Providers and Systems communication items among seriously ill patients.
J Palliat Med 2023 Sep; 26(9):1234-39. doi: 10.1089/jpm.2022.0572..
Keywords: Consumer Assessment of Healthcare Providers and Systems (CAHPS), Clinician-Patient Communication, Communication, Provider: Health Personnel
Quinn M, Fowler KE, Harrod M
Exploring sacred moments in hospitalized patients: an exploratory qualitative study.
This explorative qualitative study discusses the phenomena known as “sacred moments”, defined as brief periods of time in which people experience a deep interconnectedness that may possess spiritual qualities and emotions in acute care hospital settings. This study included in-depth interviews with patients and healthcare workers at two academic medical centers in the Midwestern United States. Semi-structured telephone interviews were conducted between August 2020 and April 2021 with 30 hospital healthcare workers and discharged patients with a recent hospital stay. Interviews were recorded and transcribed. Findings were organized into three main domains including (1) several common elements described by participants as marking these moments; (2) benefits experienced by both patients and healthcare workers; and (3) suggestions for fostering sacred moments within the hospital setting.
AHRQ-funded; HS028963.
Citation: Quinn M, Fowler KE, Harrod M .
Exploring sacred moments in hospitalized patients: an exploratory qualitative study.
J Gen Intern Med 2023 Jul; 38(9):2038-44. doi: 10.1007/s11606-022-07999-z..
Keywords: Patient and Family Engagement, Provider: Physician, Provider: Health Personnel
Corby S, Ash JS, Florig ST
How providers can optimize effective and Safe Scribe use: a qualitative study.
Providers have begun hiring scribed to address the increase in after-hours and weekend work for providers due to the use of electronic health records. New patient safety risks could be created from the lack of scribe industry standards and the broad variation in how providers and scribes work together. The aim of this secondary analysis study of qualitative data was to describe how providers can optimize the use of scribes safely and effectively. Subject matter experts, providers, informaticians, medical scribes, medical assistants, administrators, social scientists, medical students, and qualitative researchers were included. The study results revealed 3 themes: 1) communication aspects, 2) teamwork efforts, and 3) provider characteristics. Each theme included relevant activities so providers can utilize scribes safely and with a standardized methodology.
AHRQ-funded; HS025141.
Citation: Corby S, Ash JS, Florig ST .
How providers can optimize effective and Safe Scribe use: a qualitative study.
J Gen Intern Med 2023 Jul; 38(9):2052-58. doi: 10.1007/s11606-022-07942-2..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Provider: Health Personnel
Patel M, Berlin H, Rajkumar A
Barriers to telemedicine use: qualitative analysis of provider perspectives during the COVID-19 pandemic.
The objective of this study was to describe perceived barriers and facilitators to the use of web-based visits to inform quality improvement efforts and promote sustainability. Medical providers at a large, midwestern academic institution were surveyed. Four overarching categories of provider experience with web-based visits emerged: quality of care, patient rapport, visit flow, and equity. The authors concluded that their findings demonstrated key barriers to the maintenance of telemedicine services following the COVID pandemic, and that these findings might help to prioritize impactful methods of sustaining and expanding telemedicine availability for patients.
AHRQ-funded; HS027632.
Citation: Patel M, Berlin H, Rajkumar A .
Barriers to telemedicine use: qualitative analysis of provider perspectives during the COVID-19 pandemic.
JMIR Hum Factors 2023 Jun 26; 10:e39249. doi: 10.2196/39249..
Keywords: Telehealth, COVID-19, Public Health, Health Information Technology (HIT), Provider: Health Personnel
MacEwan SR, Gaughan AA, Beal EW
Concerns and frustrations about the public reporting of device-related healthcare-associated infections: perspectives of hospital leaders and staff.
The purpose of this study was to explore the specific concerns of hospital leaders and staff regarding the identification and public reporting of healthcare-associated infections (HAIs). Between 2017 and 2019 the researchers conducted interviews with 471 participants including hospitals leaders and hospital staff across 18 United States hospitals. The study found that interviewees discussed concerns about public reporting of HAI data, including a lack of trust in the data and unintended consequences of its public reporting, as well as particular frustrations with the identification and accountability for publicly-reported HAIs.
AHRQ-funded; HS024958.
Citation: MacEwan SR, Gaughan AA, Beal EW .
Concerns and frustrations about the public reporting of device-related healthcare-associated infections: perspectives of hospital leaders and staff.
Am J Infect Control 2023 Jun; 51(6):633-37. doi: 10.1016/j.ajic.2022.08.003..
Keywords: Medical Devices, Healthcare-Associated Infections (HAIs), Hospitals, Provider: Health Personnel
Fraiman YS, Cheston CC, Morales D
A mixed methods study of perceptions of bias among neonatal intensive care unit staff.
This study’s goal was to characterize the perceptions of bias among neonatal intensive care units (NICU) staff. The authors distributed a survey to all staff (N = 245) in a single academic Level IV NICU, with a response of 178 respondents. More respondents agreed that bias had a greater impact on others vs. their own behaviors. They agreed that behaviors were influenced more by implicit than explicit biases and felt that other staff had implicit bias but that they have less bias than others. Healthcare staff provided ideas for strategies and approaches to mitigate the impact of bias. The authors propose the use of mixed methods studies as they are effective ways of understanding environment-specific perceptions of bias, and contextual assets and barriers when creating interventions to reduce bias and improve equity.
AHRQ-funded; HS000063.
Citation: Fraiman YS, Cheston CC, Morales D .
A mixed methods study of perceptions of bias among neonatal intensive care unit staff.
Pediatr Res 2023 May; 93(6):1672-78. doi: 10.1038/s41390-022-02217-2..
Keywords: Newborns/Infants, Intensive Care Unit (ICU), Provider: Health Personnel
Nembhard IM, David G, Ezzeddine I
A systematic review of research on empathy in health care.
This systematic review’s aim was to summarize the predictors and outcomes of empathy by health care personnel, methods used to study their empathy, and the effectiveness of interventions targeting their empathy, in order to advance understanding of the role of empathy in health care and facilitate additional research aimed at increasing positive patient care experiences and outcomes. English-language publications were searched for empirical studies of research from 1971 to April 2021. Out of 2270 articles, 455 reporting on 270 analyses satisfied the inclusion criteria. The authors found that most studies have been survey-based, cross-sectional examinations. Greater empathy is associated with better clinical outcomes and patient care experiences; and empathy predictors are many and fall into five categories (provider demographics, provider characteristics, provider behavior during interactions, target characteristics, and organizational context). One-hundred twenty-eight intervention studies were found of which 80% found a positive and significant effect. Except for 4 studies, interventions were educational programs focused on individual clinicians or trainees.
AHRQ-funded; HS016978.
Citation: Nembhard IM, David G, Ezzeddine I .
A systematic review of research on empathy in health care.
Health Serv Res 2023 Apr;58(2):250-63. doi: 10.1111/1475-6773.14016.
Keywords: Provider: Health Personnel, Patient Experience
Tawfik DS, Adair KC, Palassof S
Leadership behavior associations with domains of safety culture, engagement, and health care worker well-being.
This study evaluated health care worker leadership behaviors in relation to burnout, safety culture, and engagement using the Local Leadership scale of the Safety, Communication, Operational Reliability, and Engagement (SCORE) survey. The SCORE survey was administered to 31 Midwestern hospitals with domains including Local Leadership, Emotional Exhaustion/Burnout, Safety Climate, and Engagement. Out of 23,853 distributed surveys, 70.4% were returned. Local leadership scores averaged 68.8 ± 29.1, with 44.2% reporting emotional exhaustion, 55.9% reporting concerning safety climate, 68.4% reporting concerning teamwork climate, 47.5% reporting high workload, and 20.7% reporting intentions to leave. Each 10-point increase in local leadership score was associated with odds ratios of 0.72 for burnout, 0.48 for concerning safety climate, 0.64 for concerning teamwork climate, 0.90 for high workload, and 0.80 for intentions to leave, after adjustment for unit and provider characteristics.
AHRQ-funded; HS027837.
Citation: Tawfik DS, Adair KC, Palassof S .
Leadership behavior associations with domains of safety culture, engagement, and health care worker well-being.
Jt Comm J Qual Patient Saf 2023 Mar; 49(3):156-65. doi: 10.1016/j.jcjq.2022.12.006..
Keywords: Burnout, Provider: Health Personnel
Giordano NA, Swan BA, Johnson TM
Scalable and sustainable approaches to address the well-being of healthcare personnel.
This article discusses current research that stemmed from a HRSA grant to implement interventions to reduce burnout and optimize behavioral health in the healthcare workforce as part of their Health and Public Safety Workforce Resilient Training Program. A total of 34 awards were made, with the common focus on implementing individual-level mindfulness and compassion-based interventions. The authors are one of the awardees and discuss their efforts to implement a program called Atlanta’s Resiliency Resource fOr frontline Workers (ARROW). This program offers comprehensive resources for resiliency enrichment, mindfulness training and professional development for clinicians and staff working within metropolitan Atlanta healthcare systems. The authors hope to address concerns regarding the paucity of long-term data following participation in mindfulness training, the use of heterogenous and unscalable interventions and restricted enrollment that hinders generalizability.
AHRQ-funded; HS026232.
Citation: Giordano NA, Swan BA, Johnson TM .
Scalable and sustainable approaches to address the well-being of healthcare personnel.
J Adv Nurs 2023 Feb; 79(2):e12-e15. doi: 10.1111/jan.15505..
Keywords: Burnout, Provider: Health Personnel, Stress
Benda N, Hettinger A, Bisantz A
Communication in the electronic age: an analysis of face-to-fact physician-nurse communication in the emergency department.
This study described the patterns and content of nurse to physician verbal conversations in three emergency departments (EDs) with electronic health records. It found that physician participants experienced significantly more communication events than nurse participants, while nurses initiated significantly more communication events than physicians. Most of the communication events occurred at the physician workstation followed by patient treatment areas.
AHRQ-funded; HS022542.
Citation: Benda N, Hettinger A, Bisantz A .
Communication in the electronic age: an analysis of face-to-fact physician-nurse communication in the emergency department.
Journal of Healthcare Informatics Research 2017 Dec;1(2):218-30.
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Keywords: Communication, Electronic Health Records (EHRs), Provider: Health Personnel, Emergency Department, Nursing
Rizvi RF, Marquard JL, Seywerd MA
Usability evaluation of an EHR's clinical notes interface from the perspective of attending and resident physicians: an exploratory study.
Usability of a commercial, inpatient Electronic Health Record (EHR) clinical notes documentation interface was analyzed from standpoints of two provider groups employing two standardized patient cases. The study results suggested that: (1) EHR usability and desirability is influenced by user characteristics, (2) repeated task performance improves user efficiency, and (3) user performance is correlated to their subjective system assessments.
AHRQ-funded; HS022085.
Citation: Rizvi RF, Marquard JL, Seywerd MA .
Usability evaluation of an EHR's clinical notes interface from the perspective of attending and resident physicians: an exploratory study.
Stud Health Technol Inform 2017;245:1128-32.
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Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Provider: Health Personnel
Mosaly PR, Mazur LM, Marks LB
Quantification of baseline pupillary response and task-evoked pupillary response during constant and incremental task load.
The objective of this study was to assess variability in baseline pupil size and task-evoked pupillary response (TEPR) during two basic working memory tasks: constant load of 3-letters memorization-recall (10 trials), and incremental load memorization-recall. It concluded that quantification of TEPR can be affected by shifts in baseline pupil size that are most likely affected by non-cognitive factors when other external factors are kept constant.
AHRQ-funded; HS023458; HS024062.
Citation: Mosaly PR, Mazur LM, Marks LB .
Quantification of baseline pupillary response and task-evoked pupillary response during constant and incremental task load.
Ergonomics 2017 Oct;60(10):1369-75. doi: 10.1080/00140139.2017.1288930.
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Keywords: Health Information Technology (HIT), Provider: Health Personnel, Patient Safety
Kruse GR, Hays H, Orav EJ
Meaningful use of the Indian Health Service electronic health record.
This study sought to understand the use of electronic health record (EHR) functionalities by physicians practicing in an underserved setting. Physicians routinely used a median 7 of 10 EHR functionalities targeted by the Meaningful Use program, but only 5 percent used all 10. Most (63 percent) felt the EHR improved quality of care. Many (76 percent) reported increased documentation time and poorer quality patient-physician interactions (45 percent).
AHRQ-funded; 290200900023I.
Citation: Kruse GR, Hays H, Orav EJ .
Meaningful use of the Indian Health Service electronic health record.
Health Serv Res 2017 Aug;52(4):1349-63. doi: 10.1111/1475-6773.12531.
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Keywords: Electronic Health Records (EHRs), Provider: Health Personnel, Practice Patterns, Vulnerable Populations
Davis MM, Howk S, Spurlock M
A qualitative study of clinic and community member perspectives on intervention toolkits: "unless the toolkit is used it won't help solve the problem.".
Researchers conducted this study to explore what clinic and community-based users want in intervention toolkits and to identify the factors that support application in practice. They found that participants wanted toolkits targeted at the right audience and demonstrated to be effective. Well organized toolkits, often with a quick start guide, with tools that were easy to tailor and apply were desired.
AHRQ-funded; HS022981.
Citation: Davis MM, Howk S, Spurlock M .
A qualitative study of clinic and community member perspectives on intervention toolkits: "unless the toolkit is used it won't help solve the problem.".
BMC Health Serv Res 2017 Jul 18;17(1):497. doi: 10.1186/s12913-017-2413-y.
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Keywords: Provider: Health Personnel, Ambulatory Care and Surgery, Primary Care, Tools & Toolkits, Implementation
Dyrbye LN, Shanafelt TD, Sinsky CA
AHRQ Author: Meyers D
https://nam.edu/burnout-among-health-care-professionals-a-call-to-explore-and-address-this-underrecognized-threat-to-safe-high-quality-care
Burnout among health care professionals: a call to explore and address this underrecognized threat to safe, high-quality care.
The high prevalence of burnout among health care professionals is cause for concern because it appears to be affecting quality, safety, and health care system performance. Efforts are needed to address this growing problem. Progress will require methodologically sound studies, adequate funding, and collaborative efforts. The authors hope that research sponsors, institutions, clinician organizations, researchers, clinicians, and patients join in supporting enhanced research efforts focused on these topics.
AHRQ-authored.
Citation: Dyrbye LN, Shanafelt TD, Sinsky CA .
Burnout among health care professionals: a call to explore and address this underrecognized threat to safe, high-quality care.
NAM Perspectives 2017 Jul 5.
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Keywords: Quality of Care, Provider: Health Personnel, Patient Safety, Workforce
Bush RA, Connelly CD, Perez A
Physician perception of the role of the patient portal in pediatric health.
Little information regarding physician opinion of the patient portal is available, with almost no information gathered in the pediatric environment. Using a mixed-methods approach, physicians in a large pediatric medical facility and integrated delivery network were surveyed by online quantitative questionnaire and structured interviews. Physicians reported the portal's role in more communication efficiency for patients, parents, and providers.
AHRQ-funded; HS022404.
Citation: Bush RA, Connelly CD, Perez A .
Physician perception of the role of the patient portal in pediatric health.
J Ambul Care Manage 2017 Jul/Sep;40(3):238-45. doi: 10.1097/jac.0000000000000175.
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Keywords: Children/Adolescents, Electronic Health Records (EHRs), Provider: Health Personnel, Clinician-Patient Communication, Web-Based
Loresto FL, Jr., Jupiter D, Kuo YF
Examining differences in characteristics between patients receiving primary care from nurse practitioners or physicians using Medicare Current Beneficiary Survey data and Medicare claims data.
There is a perception that nurse practitioners (NPs), as compared with primary care medical doctors (PCMDs), tend to provide care to healthier patients. In this study, patients utilizing NP-only or PCMD-only models for primary care were characterized and compared in terms of functional, cognitive, and psychological factors. The results were contrary to the initial perception. In terms of health status, NP-only patients were similar to PCMD-only patients.
AHRQ-funded; HS020642.
Citation: Loresto FL, Jr., Jupiter D, Kuo YF .
Examining differences in characteristics between patients receiving primary care from nurse practitioners or physicians using Medicare Current Beneficiary Survey data and Medicare claims data.
J Am Assoc Nurse Pract 2017 Jun;29(6):340-47. doi: 10.1002/2327-6924.12465.
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Keywords: Provider: Health Personnel, Medicare, Primary Care, Workforce
Kavalieratos D, Siconolfi DE, Steinhauser KE
"It is like heart failure. It is chronic ... and it will kill you": a qualitative analysis of burnout among hospice and palliative care clinicians.
This study explored burnout among palliative care clinicians, specifically their experiences with burnout, their perceived sources of burnout, and potential individual, interpersonal, organizational, and policy-level solutions to address burnout. Common sources of burnout included increasing workload, tensions between nonspecialists and palliative care specialists, and regulatory issues. Participants proposed antiburnout solutions, including promoting the provision of generalist palliative care, frequent rotations on-and-off service, and organizational support for self-care.
AHRQ-funded; HS023681; HS022989.
Citation: Kavalieratos D, Siconolfi DE, Steinhauser KE .
"It is like heart failure. It is chronic ... and it will kill you": a qualitative analysis of burnout among hospice and palliative care clinicians.
J Pain Symptom Manage 2017 May;53(5):901-10.e1. doi: 10.1016/j.jpainsymman.2016.12.337.
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Keywords: Provider: Health Personnel, Palliative Care, Workforce
Scerbo MW, Britt RC, Montano M
Effects of a retention interval and refresher session on intracorporeal suturing and knot tying skill and mental workload.
The effects of refraining from practice for different intervals on laparoscopic suturing and mental workload were assessed with a secondary task developed by the authors. When participants who reached proficiency in suturing and knot tying were reassessed after either 1 or 5 months without practice, their performance times increased by 35 percent and secondary task scores decreased by 30 percent. These deficits, however, were nearly reversed after a single refresher session.
AHRQ-funded; HS020386.
Citation: Scerbo MW, Britt RC, Montano M .
Effects of a retention interval and refresher session on intracorporeal suturing and knot tying skill and mental workload.
Surgery 2017 May;161(5):1209-14. doi: 10.1016/j.surg.2016.11.011.
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Keywords: Surgery, Education: Continuing Medical Education, Training, Provider: Health Personnel
Kruser JM, Taylor LJ, Campbell TC
"Best case/worst case": training surgeons to use a novel communication tool for high-risk acute surgical problems.
"Best Case/Worst Case" (BC/WC) is a communication tool designed to promote goal-concordant care during discussions about high-risk surgery. The objective of this study was to evaluate a structured training program designed to teach surgeons how to use BC/WC. It concluded that : surgeons can learn to use BC/WC with older patients considering acute high-risk surgical interventions..
AHRQ-funded; HS000078.
Citation: Kruser JM, Taylor LJ, Campbell TC .
"Best case/worst case": training surgeons to use a novel communication tool for high-risk acute surgical problems.
J Pain Symptom Manage 2017 Apr;53(4):711-19.e5. doi: 10.1016/j.jpainsymman.2016.11.014.
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Keywords: Communication, Shared Decision Making, Provider: Health Personnel, Surgery, Training
Rocque GB, Dionne-Odom JN, Sylvia Huang CH
Implementation and impact of patient lay navigator-led advance care planning conversations.
Advance care planning (ACP) improves alignment between patient preferences for life-sustaining treatment and care received at end of life (EOL). This study evaluated implementation of lay navigator-led ACP and concluded that a navigator-led ACP program was feasible and may be associated with lower rates of resource utilization near EOL.
AHRQ-funded; HS023009.
Citation: Rocque GB, Dionne-Odom JN, Sylvia Huang CH .
Implementation and impact of patient lay navigator-led advance care planning conversations.
J Pain Symptom Manage 2017 Apr;53(4):682-92. doi: 10.1016/j.jpainsymman.2016.11.012.
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Keywords: Communication, Elderly, Palliative Care, Patient-Centered Healthcare, Provider: Health Personnel
Hanauer DA, Branford GL, Greenberg G
Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist?
This report describes a 2-year prospective, longitudinal survey of attending physicians in 3 clinical areas (family medicine, general pediatrics, internal medicine) who experienced a transition from a homegrown electronic health record (EHR) to a vendor EHR. The primary goal was to determine if perceptions followed a J-curve pattern in which they initially dropped but eventually surpassed baseline measures. A J-curve was not found for any measures, including workflow, safety, communication, and satisfaction.
AHRQ-funded; HS023613.
Citation: Hanauer DA, Branford GL, Greenberg G .
Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist?
J Am Med Inform Assoc 2017 Apr 1;24(e1):e157-e65. doi: 10.1093/jamia/ocw077.
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Keywords: Electronic Health Records (EHRs), Provider: Health Personnel, Ambulatory Care and Surgery, Patient Safety, Workflow
Blecker S, Meisel T, Dickson VV
"We're almost guests in their clinical care": inpatient provider attitudes toward chronic disease management.
The purpose of this study was to explore inpatient provider attitudes about chronic disease management and, in particular, barriers and facilitators of chronic disease management in the hospital. It found that a strong relationship with the outpatient provider and involvement of specialists were facilitators of inpatient chronic disease management. Providers perceived benefits to in-hospital chronic disease management for both processes of care and clinical outcomes.
AHRQ-funded; HS023683.
Citation: Blecker S, Meisel T, Dickson VV .
"We're almost guests in their clinical care": inpatient provider attitudes toward chronic disease management.
J Hosp Med 2017 Mar;12(3):162-67. doi: 10.12788/jhm.2699.
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Keywords: Care Management, Chronic Conditions, Hospitals, Provider: Health Personnel
Johnson TJ, Winger DG, Hickey RW
Comparison of physician implicit racial bias toward adults versus children.
This study compared implicit racial bias toward adults versus children among resident physicians working in a pediatric emergency department. It found that resident physicians have implicit racial bias against black children, similar to levels of bias against black adults. Bias in the study did not vary by resident demographic characteristics, including specialty, suggesting that pediatric residents are as susceptible as other physicians to implicit bias.
AHRQ-funded; HS017587.
Citation: Johnson TJ, Winger DG, Hickey RW .
Comparison of physician implicit racial bias toward adults versus children.
Acad Pediatr 2017 Mar;17(2):120-26. doi: 10.1016/j.acap.2016.08.010.
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Keywords: Children/Adolescents, Emergency Department, Provider: Health Personnel, Children/Adolescents, Racial and Ethnic Minorities