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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 4 of 4 Research Studies DisplayedDresden SM, Lo AX, Lindquist LA
The impact of Geriatric Emergency Department Innovations (GEDI) on health services use, health related quality of life, and costs: protocol for a randomized controlled trial.
The objective of this randomized controlled trial is to evaluate the efficacy of the Geriatric Emergency Department Innovations (GEDI) program, an ED nurse-led geriatric assessment and care coordination program, in decreasing unnecessary health services use and improving Health-Related Quality-of-Life (HRQoL) for older adults in the ED. Community-dwelling older adults aged 65 and older who are vulnerable or frail according to the Clinical Frailty Scale during an ED visit will be randomized to either GEDI or to usual ED care. The primary outcome is hospitalization or death within 30 days of the ED visit. Secondary outcomes include health service use outcomes, healthcare costs, and HRQoL outcomes.
AHRQ-funded; HS026489.
Citation: Dresden SM, Lo AX, Lindquist LA .
The impact of Geriatric Emergency Department Innovations (GEDI) on health services use, health related quality of life, and costs: protocol for a randomized controlled trial.
Contemp Clin Trials 2020 Oct;97:106125. doi: 10.1016/j.cct.2020.106125..
Keywords: Elderly, Emergency Department, Quality of Life, Hospitalization, Hospital Discharge
Wentz AE, Wang RRC, Marshall BDL
Variation in opioid analgesia administration and discharge prescribing for emergency department patients with suspected urolithiasis.
Previous research has suggested caution about opioid analgesic usage in the emergency department (ED) setting and raised concerns about variations in prescription opioid analgesic usage, both across institutions and for whom they are prescribed. In this study, the investigators examined opioid analgesic usage in ED patients with suspected urolithiasis across fifteen participating hospitals. They found marked hospital-level differences in opioid analgesic administration and prescribing, as well as associations with education, healthcare insurance, and race/ethnicity groups.
AHRQ-funded; HS019312.
Citation: Wentz AE, Wang RRC, Marshall BDL .
Variation in opioid analgesia administration and discharge prescribing for emergency department patients with suspected urolithiasis.
Am J Emerg Med 2020 Oct;38(10):2119-24. doi: 10.1016/j.ajem.2020.07.016..
Keywords: Opioids, Medication, Emergency Department, Practice Patterns, Hospital Discharge
Rising KL, Powell RE, Cameron KA
Development of the uncertainty communication checklist: a patient-centered approach to patient discharge from the emergency department.
Acad Med 2020 Jul;95(7):1026-34. doi: 10.1097/acm.0000000000003231.
AHRQ-funded; HS025651.
Citation: Rising KL, Powell RE, Cameron KA .
Development of the uncertainty communication checklist: a patient-centered approach to patient discharge from the emergency department.
Acad Med 2020 Jul;95(7):1026-34. doi: 10.1097/acm.0000000000003231..
Keywords: Patient-Centered Healthcare, Hospital Discharge, Emergency Department, Clinician-Patient Communication, Communication
Hsuan C, Carr BG, Hsia RY
Assessment of hospital readmissions from the emergency department after implementation of Medicare's hospital readmissions reduction program.
The purpose of this study was to examine whether the Medicare Hospital Readmissions Reduction Program (HRRP) was associated with changes in the probability of readmission at emergency department (ED) visits after hospital discharge (ED revisits) overall and depending on whether admission is typically indicated for the patient's condition at the ED revisit. Using hospital and ED discharge data from California, Florida, and New York, findings suggested that implementation of the HRRP was associated with a lower likelihood of readmission for recently discharged patients presenting to the ED, specifically for congestive heart failure. These findings highlighted the critical role of the ED in readmission reduction under the HRRP and suggested that patient outcomes after HRRP implementation merit further study.
AHRQ-funded; HS025838.
Citation: Hsuan C, Carr BG, Hsia RY .
Assessment of hospital readmissions from the emergency department after implementation of Medicare's hospital readmissions reduction program.
JAMA Netw Open 2020 May;3(5):e203857. doi: 10.1001/jamanetworkopen.2020.3857..
Keywords: Healthcare Cost and Utilization Project (HCUP), Emergency Department, Hospital Readmissions, Hospital Discharge, Hospitals, Medicare