National Healthcare Quality and Disparities Report
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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
1476 to 1489 of 1489 Research Studies DisplayedRicciardi R
AHRQ Author: Ricciardi R
The next frontier for nurses: improving quality and safety in primary care.
Nurses’ role in advancing quality and protecting the safety of patients in primary care settings is becoming more important. As primary care moves to team-based practice models to meet the needs of Accountable Care Organizations and the Quality Payment Program, RNs are well positioned to take on leading roles and new responsibilities. The author discusses the challenges and opportunities faced by the nursing profession and AHRQ’s role in assisting this process.
AHRQ-authored.
Citation: Ricciardi R .
The next frontier for nurses: improving quality and safety in primary care.
J Nurs Care Qual 2018 Jan/Mar;33(1):1-4. doi: 10.1097/ncq.0000000000000304.
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Keywords: Quality of Care, Nursing, Patient Safety, Primary Care
Lipira L, Kemp C, Domercant JW
The role of service readiness and health care facility factors in attrition from Option B+ in Haiti: a joint examination of electronic medical records and service provision assessment survey data.
Option B+ is a strategy wherein pregnant or breastfeeding women with HIV are enrolled in lifelong antiretroviral therapy (ART) for prevention of mother-to-child transmission (PMTCT) of HIV. This study explored service readiness and other facility factors as predictors of Option B+ attrition in Haiti. The study found that several facility-level factors were associated with Option B+ attrition.
AHRQ-funded; HS013853.
Citation: Lipira L, Kemp C, Domercant JW .
The role of service readiness and health care facility factors in attrition from Option B+ in Haiti: a joint examination of electronic medical records and service provision assessment survey data.
Int Health 2018 Jan;10(1):54-62. doi: 10.1093/inthealth/ihx060..
Keywords: Breast Feeding, Electronic Health Records (EHRs), Human Immunodeficiency Virus (HIV), Prevention, Women
Wheeler KK, Shi J, Nordin AB
U.S. pediatric burn patient 30-day readmissions.
The objectives of the study were to determine unscheduled 30-day readmission rates for pediatric burn patients and to identify readmission reasons. The investigators used the 2013-2014 National Readmission Database to produce 30-day all-cause unscheduled readmission rates by patient and hospital characteristics.
AHRQ-funded; HS024263.
Citation: Wheeler KK, Shi J, Nordin AB .
U.S. pediatric burn patient 30-day readmissions.
J Burn Care Res 2018 Jan;39(1):73-81. doi: 10.1097/bcr.0000000000000596..
Keywords: Children/Adolescents, Healthcare Cost and Utilization Project (HCUP), Injuries and Wounds, Children/Adolescents, Hospital Readmissions
Kurth AE, Krist AH, Borsky AE
AHRQ Author: Borsky AE, Fan T, Weinstein R
U.S. Preventive Services Task Force methods to communicate and disseminate clinical preventive services recommendations.
The U.S. Preventive Services Task Force (USPSTF) issues evidence-based screening and prevention recommendations, and key to this task is dissemination and implementation of these recommendations. This paper outlines the approaches used by the USPSTF to both solicit input (e.g., public comment periods), as well as to facilitate dissemination of its recommendations to help improve the health of all Americans (e.g., web-based and mobile application tools, journal publications, and annual reports to Congress).
AHRQ-authored.
Citation: Kurth AE, Krist AH, Borsky AE .
U.S. Preventive Services Task Force methods to communicate and disseminate clinical preventive services recommendations.
Am J Prev Med 2018 Jan;54(1s1):S81-s87. doi: 10.1016/j.amepre.2017.07.004.
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Keywords: Communication, Evidence-Based Practice, Guidelines, Prevention, Primary Care, U.S. Preventive Services Task Force (USPSTF)
Mabry-Hernandez IR, Curry SJ, Phillips WR
AHRQ Author: Mabry-Hernandez IR, Ngo-Metzger Q, Bierman AS
U.S. Preventive Services Task Force priorities for prevention research.
This article describes the types of evidence gaps that the USPSTF encounters across its various recommendations and how the USPSTF identifies and communicates these gaps to researchers and policymakers, who can help generate the needed evidence. Common types of evidence gaps include limited evidence in primary care settings and populations, a lack of appropriate health outcomes, limited evidence linking behavior change to health outcomes, and a lack of evidence for effective preventive services in diverse populations.
AHRQ-authored.
Citation: Mabry-Hernandez IR, Curry SJ, Phillips WR .
U.S. Preventive Services Task Force priorities for prevention research.
Am J Prev Med 2018 Jan;54(1s1):S95-s103. doi: 10.1016/j.amepre.2017.08.014.
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Keywords: Evidence-Based Practice, Health Services Research (HSR), Prevention, U.S. Preventive Services Task Force (USPSTF)
Lindrooth RC, Perraillon MC, Hardy RY
Understanding the relationship between Medicaid expansions and hospital closures.
The investigators hypothesized that Medicaid expansion of eligibility for childless adults prevents hospital closures because increased Medicaid coverage for previously uninsured people reduces uncompensated care expenditures and strengthens hospitals' financial position. They tested this hypothesis using data for the period 2008-16 on hospital closures and financial performance and discuss their findings in this paper.
AHRQ-funded; HS024959; HS025208.
Citation: Lindrooth RC, Perraillon MC, Hardy RY .
Understanding the relationship between Medicaid expansions and hospital closures.
Health Aff 2018 Jan;37(1):111-20. doi: 10.1377/hlthaff.2017.0976..
Keywords: Healthcare Costs, Policy, Hospitals, Medicaid, Rural Health
Wolff TA, Krist AH, LeFevre M
AHRQ Author: Wolff TA
Update on the methods of the U.S. Preventive Services Task Force: linking intermediate outcomes and health outcomes in prevention.
Given the frequent lack of evidence on health outcomes, the USPSTF uses evidence on intermediate outcomes when appropriate. The ultimate goal is to determine precisely a consistent relationship between the direction and magnitude of change in an intermediate outcome with a predictable resultant direction and magnitude of change in the health outcomes. The USPSTF will exercise great caution when making a recommendation that depends on the evidence linking intermediate and health outcomes because of inherent evidence limitations.
AHRQ-authored.
Citation: Wolff TA, Krist AH, LeFevre M .
Update on the methods of the U.S. Preventive Services Task Force: linking intermediate outcomes and health outcomes in prevention.
Am J Prev Med 2018 Jan;54(1s1):S4-s10. doi: 10.1016/j.amepre.2017.08.032.
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Keywords: Evidence-Based Practice, Guidelines, Outcomes, Prevention, U.S. Preventive Services Task Force (USPSTF)
Krist AH, Wolff TA, Jonas DE
AHRQ Author: Wolff TA
Update on the methods of the U.S. Preventive Services Task Force: methods for understanding certainty and net benefit when making recommendations.
Since the 1980s, the U.S. Preventive Services Task Force (USPSTF) has developed and used rigorous methods to make evidence-based recommendations about preventive services to promote health and well-being for all Americans. This manuscript details examples of how the USPSTF uses different methods to make recommendations that truly reflect the evidence.
AHRQ-authored.
Citation: Krist AH, Wolff TA, Jonas DE .
Update on the methods of the U.S. Preventive Services Task Force: methods for understanding certainty and net benefit when making recommendations.
Am J Prev Med 2018 Jan;54(1s1):S11-s18. doi: 10.1016/j.amepre.2017.09.011.
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Keywords: Evidence-Based Practice, Guidelines, Prevention, Primary Care, U.S. Preventive Services Task Force (USPSTF)
Silver MI, Rositch AF, Phelan-Emrick DF
Uptake of HPV testing and extended cervical cancer screening intervals following cytology alone and Pap/HPV cotesting in women aged 30-65 years.
To evaluate the adoption of HPV testing and recommended extended cervical cancer screening intervals in clinical practice, researchers described yearly uptake of Pap/HPV cotesting and estimated length of time between normal screens by patient characteristics. They concluded that increased screening intervals were observed only among cotested women, while those screened by cytology alone continued to be screened almost annually.
AHRQ-funded; HS022199.
Citation: Silver MI, Rositch AF, Phelan-Emrick DF .
Uptake of HPV testing and extended cervical cancer screening intervals following cytology alone and Pap/HPV cotesting in women aged 30-65 years.
Cancer Causes Control 2018 Jan;29(1):43-50. doi: 10.1007/s10552-017-0976-x.
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Keywords: Cancer, Infectious Diseases, Prevention, Screening, Women
Arthur KC, Lucenko BA, Sharkova IV
Using state administrative data to identify social complexity risk factors for children.
Researchers aimed to test the feasibility of using an integrated state agency administrative database to identify social complexity risk factors and examine their relationship to emergency department (ED) use. They concluded that State administrative data can be used to identify social complexity risk factors associated with higher rates of ED use among Medicaid-insured children.
AHRQ-funded; HS020506.
Citation: Arthur KC, Lucenko BA, Sharkova IV .
Using state administrative data to identify social complexity risk factors for children.
Ann Fam Med 2018 Jan;16(1):62-69. doi: 10.1370/afm.2134.
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Keywords: Children/Adolescents, Data, Emergency Department, Healthcare Utilization, Risk
Payne TH, Alonso WD, Markiel JA
Using voice to create hospital progress notes: description of a mobile application and supporting system integrated with a commercial electronic health record.
The authors described the development and design of a smartphone app-based system to create inpatient progress notes using voice, commercial automatic speech recognition software, with text processing to recognize spoken voice commands and format the note, and integration with a commercial EHR. They found the system to be generally very reliable, accepted by physician users, and secure. They concluded that this approach provides an alternative to the use of keyboard and templates to create progress notes and may appeal to physicians who prefer voice to typing.
AHRQ-funded; HS023631.
Citation: Payne TH, Alonso WD, Markiel JA .
Using voice to create hospital progress notes: description of a mobile application and supporting system integrated with a commercial electronic health record.
J Biomed Inform 2018 Jan;77:91-96. doi: 10.1016/j.jbi.2017.12.004.
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Keywords: Health Information Technology (HIT), Inpatient Care, Electronic Health Records (EHRs)
Parasrampuria S, Oakes AH, Wu SS
Value and performance of accountable care organizations: a cost-minimization analysis.
The goal of this study was to determine the relationship between the quality of accountable care organizations (ACOs) and their long-term reduction in healthcare costs by conducting a cost minimization analysis. Centers for Medicare and Medicaid cost and quality data was used to calculate weighted composite quality scores for each ACO and organization-level cost savings. Markov modeling was used to compute the probability that an ACO transitioned between different quality levels in successive years and Monte Carlo simulations were conducted to project long-term cost savings by quality level over a 10-year period. The authors conclude that ACOs are a mechanism for decreasing costs by improving quality of care within the current fee-for-service healthcare model; higher quality ACOs incorporate higher levels of care coordination, which is associated with greater cost savings.
AHRQ-funded; HS000029.
Citation: Parasrampuria S, Oakes AH, Wu SS .
Value and performance of accountable care organizations: a cost-minimization analysis.
Int J Technol Assess Health Care 2018 Jan;34(4):388-92. doi: 10.1017/s0266462318000399..
Keywords: Healthcare Costs, Quality of Care
Seibert G, Ewers T, Barker AK
What do visitors know and how do they feel about contact precautions?
This study surveyed visitors of Clostridium difficile infection (CDI) patients to understand their compliance, knowledge, and perceptions of contact precautions. Nursing staff were the fundamental source for information on personal protective equipment (PPE) for visitors, but the researchers discovered variation in staff communication regarding the need for PPE use. Although most visitors knew where to find required personal protective equipment, less than half were fully compliant with gown and gloves.
AHRQ-funded; HS024039.
Citation: Seibert G, Ewers T, Barker AK .
What do visitors know and how do they feel about contact precautions?
Am J Infect Control 2018 Jan;46(1):115-17. doi: 10.1016/j.ajic.2017.05.011..
Keywords: Clostridium difficile Infections, Guidelines, Healthcare-Associated Infections (HAIs), Infectious Diseases, Prevention
Wardyn SE, Stegger M, Price LB
Whole-genome analysis of recurrent Staphylococcus aureus t571/ST398 infection in farmer, Iowa, USA.
Staphylococcus aureus strain sequence type (ST) 398 has emerged during the last decade, largely among persons who have contact with swine or other livestock. Although colonization with ST398 is common in livestock workers, infections are not frequently documented. The authors report recurrent ST398-IIa infection in an Iowa farmer in contact with swine and cattle.
AHRQ-funded; HS019966.
Citation: Wardyn SE, Stegger M, Price LB .
Whole-genome analysis of recurrent Staphylococcus aureus t571/ST398 infection in farmer, Iowa, USA.
Emerg Infect Dis 2018 Jan;24(1):153-54. doi: 10.3201/eid2401.161184.
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Keywords: Community-Acquired Infections, Genetics, Infectious Diseases, Methicillin-Resistant Staphylococcus aureus (MRSA)