National Healthcare Quality and Disparities Report
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Search All Research Studies
AHRQ Research Studies Date
Topics
- Adverse Events (2)
- Central Line-Associated Bloodstream Infections (CLABSI) (1)
- (-) Evidence-Based Practice (5)
- Guidelines (1)
- Healthcare-Associated Infections (HAIs) (1)
- Health Services Research (HSR) (1)
- Labor and Delivery (1)
- Long-Term Care (1)
- Medical Errors (1)
- Newborns/Infants (1)
- Nursing Homes (1)
- Outcomes (1)
- Patient-Centered Outcomes Research (1)
- (-) Patient Safety (5)
- Pregnancy (1)
- Quality Improvement (1)
- Quality of Care (3)
- Teams (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 5 of 5 Research Studies DisplayedMetersky ML, Wang Y, Klompas M
Trend in ventilator-associated pneumonia rates between 2005 and 2013.
This study found that, from 2005 through 2013, Medicare Patient Safety Monitoring System (MPSMS) ventilator-associated pneumonia (VAP) rates remained stable and substantial, affecting approximately 10 percent of ventilated patients. Persistently high VAP rates bolster concerns that most interventions purported to reduce VAP are supported by limited evidence.
AHRQ-authored; AHRQ-funded; 290201200003C.
Citation: Metersky ML, Wang Y, Klompas M .
Trend in ventilator-associated pneumonia rates between 2005 and 2013.
JAMA 2016 Dec 13;316(22):2427-29. doi: 10.1001/jama.2016.16226.
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Keywords: Healthcare-Associated Infections (HAIs), Patient Safety, Evidence-Based Practice
Burstein PD, Zalenski DM, Edwards JL
Changing labor and delivery practice: focus on achieving practice and documentation standardization with the goal of improving neonatal outcomes.
The researchers established a multifactorial shoulder dystocia response and management protocol to promote sustainable practice change. In the first year, there was a threefold increase in shoulder dystocia reporting, which continued in years 2 and 3. In the first year, 96 percent of clinicians completed all training elements. Overall teams reached a 99 percent adoption rate of the shoulder dystocia protocol.
AHRQ-funded; HS019608.
Citation: Burstein PD, Zalenski DM, Edwards JL .
Changing labor and delivery practice: focus on achieving practice and documentation standardization with the goal of improving neonatal outcomes.
Health Serv Res 2016 Dec;51 Suppl 3:2472-86. doi: 10.1111/1475-6773.12589.
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Keywords: Labor and Delivery, Newborns/Infants, Adverse Events, Quality Improvement, Quality of Care, Patient Safety, Patient-Centered Outcomes Research, Outcomes, Guidelines, Evidence-Based Practice, Pregnancy, Teams
Simmons SF, Schnelle JF, Sathe NA
Defining safety in the nursing home setting: Implications for future research.
AHRQ’s Common Format for nursing homes (NHs) accommodates voluntary reporting for 4 adverse events: falls with injury, pressure ulcers, medication errors, and infections. In 2015, AHRQ funded a technical brief to describe the state of the science related to safety in the NH setting to inform a research agenda. Thirty-six recent systematic reviews evaluated NH safety-related interventions to address these 4 adverse events and reported mostly mixed evidence about effective approaches to ameliorate them.
AHRQ-funded; 290201500003I.
Citation: Simmons SF, Schnelle JF, Sathe NA .
Defining safety in the nursing home setting: Implications for future research.
J Am Med Dir Assoc 2016 Jun;17(6):473-81. doi: 10.1016/j.jamda.2016.03.005..
Keywords: Nursing Homes, Long-Term Care, Adverse Events, Patient Safety, Evidence-Based Practice
Pronovost PJ, Cleeman JI, Wright D
AHRQ Author: Cleeman JI
Fifteen years after to Err is Human: a success story to learn from.
This paper provides a historical profile of the central line-associated bloodstream infection (CLABSI) success story, comparing infection rates before and 15 years after the IOM report. It discusses the five elements essential to the national success in reducing CLABSI rates: a reliable and valid measurement system, evidence-based care practices, investment in implementation sciences, local ownership and peer learning communities, and coordination and alignment of CLABSI reduction efforts.
AHRQ-authored.
Citation: Pronovost PJ, Cleeman JI, Wright D .
Fifteen years after to Err is Human: a success story to learn from.
BMJ Qual Saf 2016 Jun;25(6):396-9. doi: 10.1136/bmjqs-2015-004720.
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Keywords: Central Line-Associated Bloodstream Infections (CLABSI), Patient Safety, Medical Errors, Evidence-Based Practice, Quality of Care
Kronick R
AHRQ Author: Kronick R
AHRQ's role in improving quality, safety, and health system performance.
The author, director of AHRQ, focuses on several topics including investing in research and evidence to understand how to improve the safety and quality of health care, and generating measures and data used to track and improve performance and evaluate progress of the U.S. health-care system. He concludes by discussing AHRQ’s continuing exploration of ways to expand its efforts in patient safety into nonhospital settings.
AHRQ-authored.
Citation: Kronick R .
AHRQ's role in improving quality, safety, and health system performance.
Public Health Rep 2016 Mar-Apr;131(2):229-32.
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Keywords: Patient Safety, Quality of Care, Evidence-Based Practice, Health Services Research (HSR)