National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Care Coordination (1)
- Caregiving (1)
- (-) Children/Adolescents (8)
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) (1)
- Healthcare Utilization (1)
- Heart Disease and Health (1)
- Home Healthcare (3)
- (-) Hospital Discharge (8)
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- Transitions of Care (4)
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 8 of 8 Research Studies DisplayedRiddle SW, Sherman SN, Moore MJ
A qualitative study of increased pediatric reutilization after a postdischarge home nurse visit.
The Hospital to Home Outcomes (H2O) trial was a 2-arm, randomized controlled trial that assessed the effects of a nurse home visit after a pediatric hospital discharge. Children randomized to the intervention had higher 30-day postdischarge reutilization rates compared with those with standard discharge. The investigators sought to understand perspectives on why postdischarge home nurse visits resulted in higher reutilization rates and to elicit suggestions on how to improve future interventions.
AHRQ-funded; HS024735.
Citation: Riddle SW, Sherman SN, Moore MJ .
A qualitative study of increased pediatric reutilization after a postdischarge home nurse visit.
J Hosp Med 2020 Sep;15(9):518-25. doi: 10.12788/jhm.3370..
Keywords: Children/Adolescents, Home Healthcare, Hospital Discharge, Healthcare Utilization, Hospitals
Steuart R, Tan R, Melink K
Discharge before return to respiratory baseline in children with neurologic impairment.
Children with neurologic impairment (NI) are commonly hospitalized with acute respiratory infections (ARI). These children frequently require respiratory support at baseline and are often discharged before return to respiratory baseline. The purpose of this study was to determine if discharge before return to respiratory baseline was associated with reutilization among children with NI hospitalized with ARI.
AHRQ-funded; HS025138.
Citation: Steuart R, Tan R, Melink K .
Discharge before return to respiratory baseline in children with neurologic impairment.
J Hosp Med 2020 Sep;15(9):531-37. doi: 10.12788/jhm.3394..
Keywords: Children/Adolescents, Neurological Disorders, Respiratory Conditions, Hospital Readmissions, Hospital Discharge, Hospitals
Amar-Dolan LG, Horn MH, O'Connell B B
"This is how hard it is". family experience of hospital-to-home transition with a tracheostomy.
This study explores the experience of family caregivers of children and young adults with a tracheostomy during the transition from hospital to home care. Researchers sought to identify the specific unmet needs of families to direct future interventions. Using semi-structured interviews, they found a need for family-centered discharge processes including coordination of care and teaching focused on emergency preparedness.
AHRQ-funded; HS000063.
Citation: Amar-Dolan LG, Horn MH, O'Connell B B .
"This is how hard it is". family experience of hospital-to-home transition with a tracheostomy.
Ann Am Thorac Soc 2020 Jul;17(7):860-68. doi: 10.1513/AnnalsATS.201910-780OC..
Keywords: Transitions of Care, Home Healthcare, Caregiving, Patient Experience, Care Coordination, Hospital Discharge, Hospitals, Children/Adolescents, Patient-Centered Healthcare
Musial A, Butts B, Loechtenfeldt A
Challenges following hospital discharge for children with medical complexity.
The transition from hospital to home is a period of risk, particularly for children with medical complexity. The aim of this prospective study was to identify and address discharge challenges through execution of postdischarge phone calls. The investigators found that discharge challenges were commonly identified by caregivers of children with medical complexity. The majority of postdischarge challenges were addressed, with some addressed by families themselves.
AHRQ-funded; HS025138.
Citation: Musial A, Butts B, Loechtenfeldt A .
Challenges following hospital discharge for children with medical complexity.
Hosp Pediatr 2020 Jun;10(6):531-36. doi: 10.1542/hpeds.2019-0306..
Keywords: Children/Adolescents, Hospital Discharge, Transitions of Care
Tubbs-Cooley HL, Riddle SW, Gold JM
Paediatric clinical and social concerns identified by home visit nurses in the immediate postdischarge period.
The purpose of this study was to describe paediatric postdischarge concerns manifesting in the first 96 hr after hospital discharge. The investigators analysed home visit records of 651 children (age <18) hospitalized at a large Midwestern children's hospital in 2015 and 2016 who were enrolled in the trial. Registered nurses documented concerns in structured fields and free-text notes in visit records. Descriptive statistics were used to summarize visit documentation. Free-text visit notes were reviewed and exemplars illustrative of quantitative findings were selected.
AHRQ-funded; HS024735.
Citation: Tubbs-Cooley HL, Riddle SW, Gold JM .
Paediatric clinical and social concerns identified by home visit nurses in the immediate postdischarge period.
J Adv Nurs 2020 Jun;76(6):1394-403. doi: 10.1111/jan.14341..
Keywords: Children/Adolescents, Home Healthcare, Hospital Discharge, Provider: Nurse, Provider
Desai AD, Zhou C, Simon TD
Validation of a parent-reported hospital-to-home transition experience measure.
This study examined the validity of the Pediatric Transition Experience Measure (P-TEM), which is an 8-item, parent-reported measure that globally assesses hospital-to-home transition quality from discharge through follow-up compared to other validation measures. The other measures it was compared to included the 1) Child Hospital Consumer Assessment of Healthcare Providers and Systems Discharge Composite, 2) Center of Excellence on Quality of Care Measures for Children with Complex Needs parent-reported measures, 3) change in health-related quality of life from admission to postdischarge, and 4) 30-day emergency department revisits or readmissions. The P-TEM measure compared favorably with the Child Hospital Consumer Assessment of Healthcare Providers and Systems Discharge Composite measure and the other measures as well.
AHRQ-funded; HS024299.
Citation: Desai AD, Zhou C, Simon TD .
Validation of a parent-reported hospital-to-home transition experience measure.
Pediatrics 2020 Feb;145(2):pii: e20192150. doi: 10.1542/peds.2019-2150..
Keywords: Consumer Assessment of Healthcare Providers and Systems (CAHPS), Children/Adolescents, Patient Experience, Transitions of Care, Hospital Discharge, Quality Improvement, Quality of Care, Quality Measures
Conlon TW, Falkensammer CB, Hammond RS
Association of left ventricular systolic function and vasopressor support with survival following pediatric out-of-hospital cardiac arrest.
This study characterizes the association of hospital discharge survival with left ventricular systolic function evaluated by transthoracic echocardiography and vasoactive infusion support following return of spontaneous circulation after pediatric out-of-hospital cardiac arrest. It found that in patients receiving transthoracic echocardiography within the first 24 hours, decreased left ventricular systolic function and vasopressor use were common.
AHRQ-funded; HS022464.
Citation: Conlon TW, Falkensammer CB, Hammond RS .
Association of left ventricular systolic function and vasopressor support with survival following pediatric out-of-hospital cardiac arrest.
Pediatr Crit Care Med 2015 Feb;16(2):146-54. doi: 10.1097/pcc.0000000000000305..
Keywords: Children/Adolescents, Hospital Discharge, Mortality, Heart Disease and Health
Auger KA, Simon TD, Cooperberg D
Summary of STARNet: Seamless Transitions and (Re)admissions Network.
The Seamless Transitions and (Re)admissions Network (STARNet) met in December 2012 to synthesize ongoing hospital-to-home transition work, discuss goals, and develop a plan to centralize transition information in the future. The authors of this report reviewed the current knowledge regarding hospital-to-home transitions, outlined the challenges of measuring and reducing readmissions, and highlighted research gaps, listing potential measures for transition quality.
AHRQ-funded; HS020506.
Citation: Auger KA, Simon TD, Cooperberg D .
Summary of STARNet: Seamless Transitions and (Re)admissions Network.
Pediatrics 2015 Jan;135(1):164-75. doi: 10.1542/peds.2014-1887.
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Keywords: Children/Adolescents, Hospital Discharge, Transitions of Care, Quality Improvement, Quality of Care