National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Adverse Events (1)
- Behavioral Health (1)
- Children's Health Insurance Program (CHIP) (1)
- Children/Adolescents (3)
- Clinician-Patient Communication (1)
- Communication (1)
- COVID-19 (3)
- Decision Making (1)
- Diabetes (1)
- Diagnostic Safety and Quality (1)
- Education: Patient and Caregiver (1)
- Electronic Health Records (EHRs) (3)
- Emergency Department (1)
- Emergency Medical Services (EMS) (3)
- Healthcare Costs (1)
- Healthcare Delivery (1)
- Health Insurance (1)
- Hospitals (1)
- Imaging (1)
- Infectious Diseases (2)
- Influenza (1)
- Injuries and Wounds (1)
- Inpatient Care (1)
- Medicaid (1)
- Neonatal Intensive Care Unit (NICU) (1)
- Newborns/Infants (1)
- Nursing (2)
- Nursing Homes (2)
- Patient-Centered Healthcare (1)
- Patient Safety (3)
- Policy (1)
- Practice Patterns (1)
- Prevention (2)
- Primary Care (2)
- Provider: Clinician (1)
- (-) Provider: Health Personnel (21)
- Provider: Nurse (1)
- Provider: Physician (1)
- Provider Performance (2)
- Public Health (2)
- Public Reporting (1)
- Quality of Care (1)
- Research Methodologies (1)
- Risk (1)
- Sickle Cell Disease (1)
- Stress (1)
- Teams (2)
- Trauma (1)
- Vaccination (1)
- Web-Based (2)
- Workforce (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 21 of 21 Research Studies DisplayedMisra-Hebert AD, Ji X, Nowacki AS
Impact of the COVID-19 pandemic on healthcare workers' risk of infection and outcomes in a large, integrated health system.
Researchers assessed healthcare workers (HCW) risk for COVID-19 infection, hospitalization, and intensive care unit (ICU) admission. Participants were individuals who had tested for SARS-CoV-2 infection in a large academic healthcare system. The study found that, in a large healthcare system, HCW had similar odds for testing positive, but lower odds of hospitalization, compared to non-HCW. Patient-facing HCW had higher odds of a positive test.
AHRQ-funded; HS024128.
Citation: Misra-Hebert AD, Ji X, Nowacki AS .
Impact of the COVID-19 pandemic on healthcare workers' risk of infection and outcomes in a large, integrated health system.
J Gen Intern Med 2020 Nov;35(11):3293-301. doi: 10.1007/s11606-020-06171-9..
Keywords: COVID-19, Risk, Provider: Health Personnel, Public Health, Healthcare Delivery, Infectious Diseases
Berridge C, Lima J, Schwartz M
Leadership, staff empowerment, and the retention of nursing assistants: findings from a survey of U.S. nursing homes.
In this cross-sectional study, the investigators examined the relationship between nursing assistant (NA) retention and a measure capturing nursing home leadership and staff empowerment. The investigators found that modifiable leadership and staff empowerment practices are associated with NA retention. Associations were most significant when examining the highest practice scores and retention categories. The investigators suggested that nursing homes seeking to improve NA retention might look to leadership and staff empowerment practice changes common to culture change.
AHRQ-funded; HS000011.
Citation: Berridge C, Lima J, Schwartz M .
Leadership, staff empowerment, and the retention of nursing assistants: findings from a survey of U.S. nursing homes.
J Am Med Dir Assoc 2020 Sep;21(9):1254-59.e2. doi: 10.1016/j.jamda.2020.01.109..
Keywords: Nursing Homes, Provider: Health Personnel
Shechter A, Diaz F, Moise N
Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic.
The mental health toll of COVID-19 on healthcare workers (HCW) is not yet fully described. In this study the authors, using a cross-sectional web survey, characterized distress, coping, and preferences for support among NYC HCWs during the COVID-19 pandemic. They concluded that NYC HCWs, especially nurses and advanced practice providers, were experiencing COVID-19-related psychological distress.
AHRQ-funded; HS024262.
Citation: Shechter A, Diaz F, Moise N .
Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic.
Gen Hosp Psychiatry 2020 Sep-Oct;66:1-8. doi: 10.1016/j.genhosppsych.2020.06.007..
Keywords: COVID-19, Stress, Provider: Clinician, Provider: Physician, Provider: Nurse, Provider: Health Personnel, Behavioral Health
Cho HJ, Feldman LS, Keller S
Choosing Wisely in the COVID-19 era: preventing harm to healthcare workers.
This paper highlights the 5 top recommendations developed for hospitals in the COVID-19 era as part of the Choosing Wisely® campaign. This top 5 list of overuse practices in hospital medicine can lead to harm of both patients and healthcare workers. The recommendations include: 1) Do not obtain nonurgent labs in separate blood draws if they can be batched together; 2) Do not use bronchodilators unless there is active obstructive airway disease; 3) Do not use posteroanterior and lateral chest X-ray (CXR) as initial imaging, use a portable CXR instead; 4) Avoid in-person evaluations in favor of virtual communication unless necessary; and 5) Do not delay goals of care conversations for hospitalized patients who are unlikely to benefit from life-sustaining treatments.
AHRQ-funded; HS025782.
Citation: Cho HJ, Feldman LS, Keller S .
Choosing Wisely in the COVID-19 era: preventing harm to healthcare workers.
J Hosp Med 2020 Jun;15(6):360-62. doi: 10.12788/jhm.3457..
Keywords: COVID-19, Infectious Diseases, Hospitals, Prevention, Public Health, Provider: Health Personnel
Herring B, Trish E
Explaining the growth in US health care spending using state-level variation in income, insurance, and provider market dynamics.
The authors estimated a regression model for state personal health care spending for 1991-2009, then used the results to produce state-level projections of health care spending for 2010-2013 and compared those average projected state values with actual national spending for 2010-2013. They found that at least 70% of the recent slowdown in health care spending can likely be explained by long-standing patterns.
AHRQ-funded; HS000046.
Citation: Herring B, Trish E .
Explaining the growth in US health care spending using state-level variation in income, insurance, and provider market dynamics.
Inquiry 2015 Dec 9;52. doi: 10.1177/0046958015618971.
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Keywords: Healthcare Costs, Health Insurance, Provider: Health Personnel, Policy, Policy
Hall JA, Ship AN, Ruben MA
Clinically relevant correlates of accurate perception of patients' thoughts and feelings.
The goal of the study was to explore the clinical relevance of accurate understanding of patients' thoughts and feelings. It found that accuracy in understanding patients' thoughts and feelings was significantly correlated with nursing students' clinical course experience, clinicians' favorable attitudes to psychosocial discussion, standardized patients' evaluations of medical students' interpersonal skill, and independent coding of medical students' patient-centered behavior while taking a social history.
AHRQ-funded; HS018942.
Citation: Hall JA, Ship AN, Ruben MA .
Clinically relevant correlates of accurate perception of patients' thoughts and feelings.
Health Commun 2015;30(5):423-9. doi: 10.1080/10410236.2013.865507.
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Keywords: Provider: Health Personnel, Clinician-Patient Communication
Vo NM, Trocki R
AHRQ Author: Vo NM, Trocki R
Virtual and peer reviews of grant applications at the Agency for Healthcare Research and Quality.
This study documents the first six unplanned virtual review (VR) sessions conducted during the 2012 hurricane season at the Agency for Healthcare Research and Quality and their effects on review outcomes. Despite their technical novelty, all of the VR sessions have been successfully conducted to the satisfaction of reviewers and agency organizers. Special emphasis panel reviewers are more receptive to the new technology than study section reviewers.
AHRQ-authored.
Citation: Vo NM, Trocki R .
Virtual and peer reviews of grant applications at the Agency for Healthcare Research and Quality.
South Med J 2015 Oct;108(10):622-6. doi: 10.14423/smj.0000000000000353..
Keywords: Web-Based, Research Methodologies, Provider: Health Personnel
Ricciardi R
AHRQ Author: Ricciardi R
I'm in an NP state of mind: a tribute to Dr. Henry K. Silver on the 50th anniversary of the nurse practitioner profession.
The author gives a personal tribute to Dr. Henry K Silver who co-founded the nurse practitioner role with Dr. Loretta Ford and founded the Child Health Associate/Physician Assistant program at the University of Colorado.
AHRQ-authored.
Citation: Ricciardi R .
I'm in an NP state of mind: a tribute to Dr. Henry K. Silver on the 50th anniversary of the nurse practitioner profession.
J Pediatr Health Care 2015 Sep-Oct;29(5):397-9. doi: 10.1016/j.pedhc.2015.06.009..
Keywords: Nursing, Children/Adolescents, Provider: Health Personnel
O'Leary KJ, Creden AJ, Slade ME
Implementation of unit-based interventions to improve teamwork and patient safety on a medical service.
The authors compared a pre- versus post-intervention on Structured Interdisciplinary Rounds (SIDRs). They found that paired analyses for 82 professionals completing surveys revealed improved teamwork, which was driven mainly by nurses, and that the adverse events rate was similar across study periods; however, SIDR did not reduce adverse events.
AHRQ-funded; HS019630.
Citation: O'Leary KJ, Creden AJ, Slade ME .
Implementation of unit-based interventions to improve teamwork and patient safety on a medical service.
Am J Med Qual 2015 Sep-Oct;30(5):409-16. doi: 10.1177/1062860614538093.
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Keywords: Adverse Events, Provider: Health Personnel, Inpatient Care, Patient Safety, Teams
Pierson CA, Ricciardi R
AHRQ Author: Ricciardi R
A tribute to our heritage.
This article recognizes the contributions of Dr. Henry K. Silver, co-founder of the first nurse practitioner (NP) program and pioneer collaborator who has so greatly influenced the NP profession. The author, Richard Ricciardi, PhD, NP, FAAN, FAANP, knew Dr. Silver personally and professionally. This tribute was read at the June Fellows Induction Ceremony in New Orleans. There is another longer article about Dr. Silver by Dr. Ricciardi in the June 2015 issue of the FAANP Forum.
AHRQ-authored.
Citation: Pierson CA, Ricciardi R .
A tribute to our heritage.
J Am Assoc Nurse Pract 2015 Jul;27(7):350. doi: 10.1002/2327-6924.12287..
Keywords: Nursing, Children/Adolescents, Provider: Health Personnel
Callen J, Giardina TD, Singh H
Emergency physicians' views of direct notification of laboratory and radiology results to patients using the Internet: a multisite survey.
The authors explored emergency physicians' current practices of test result notification and attitudes to direct patient notification of clinically significant abnormal and normal test results. They found that more than half of the emergency physicians were uncomfortable with patients receiving direct notification of normal or abnormal test results. Main concerns were that patients could be anxious, confused, and lacking in the necessary expertise to interpret their results.
AHRQ-funded; HS022087.
Citation: Callen J, Giardina TD, Singh H .
Emergency physicians' views of direct notification of laboratory and radiology results to patients using the Internet: a multisite survey.
J Med Internet Res 2015 Mar 4;17(3):e60. doi: 10.2196/jmir.3721.
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Keywords: Communication, Electronic Health Records (EHRs), Emergency Medical Services (EMS), Provider: Health Personnel, Web-Based
Bishop TF, Ryan MS, McCullough CM
Do provider attitudes about electronic health records predict future electronic health record use?
The authors studied whether comfort with technology and more positive attitudes about EHRs affect use of EHR functions once they are adopted. They found that comfort with computers and attitudes about EHRs did not predict future use of the EHR functions, suggesting that meaningful use of the EHR may not be affected by providers' prior attitudes about EHRs.
AHRQ-funded; HS018546.
Citation: Bishop TF, Ryan MS, McCullough CM .
Do provider attitudes about electronic health records predict future electronic health record use?
Healthc (Amst) 2015 Mar;3(1):5-11. doi: 10.1016/j.hjdsi.2014.04.002.
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Keywords: Electronic Health Records (EHRs), Provider: Health Personnel, Primary Care
Miller D, Noonan K, Fiks AG
Increasing pediatrician participation in EHR incentive programs.
The authors addressed potential causes of the variability of pediatrician registration in the meaningful use (MU) program and suggested specific solutions to support effective pediatric electronic health record implementation across all states. They concluded that implementing their proposed solutions would support pediatricians’ use of electronic health records, with an ultimate goal of improving child health.
AHRQ-funded; HS022689.
Citation: Miller D, Noonan K, Fiks AG .
Increasing pediatrician participation in EHR incentive programs.
Pediatrics 2015 Jan;135(1):e1-4. doi: 10.1542/peds.2014-2438.
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Keywords: Children's Health Insurance Program (CHIP), Electronic Health Records (EHRs), Provider: Health Personnel, Medicaid, Children/Adolescents
Kruger JF, Chen AH, Rybkin A
Clinician perspectives on considering radiation exposure to patients when ordering imaging tests: a qualitative study.
The authors examined outpatient clinician attitudes towards considering radiation exposure when ordering CT scans and clinician reactions to displaying radiation exposure information for CT scans at clinician electronic order entry. They found that displaying clinically relevant radiation exposure information at order entry may improve clinician knowledge and inform patient-clinician discussions regarding risks and benefits of imaging.
AHRQ-funded; HS018090.
Citation: Kruger JF, Chen AH, Rybkin A .
Clinician perspectives on considering radiation exposure to patients when ordering imaging tests: a qualitative study.
BMJ Qual Saf 2014 Nov;23(11):893-901. doi: 10.1136/bmjqs-2013-002773.
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Keywords: Decision Making, Provider: Health Personnel, Imaging, Patient Safety, Practice Patterns
Friermuth CE, Haywood C, Jr., Silva S
Attitudes toward patients with sickle cell disease in a multicenter sample of emergency department providers.
The authors aimed to validate a survey that measures attitudes toward sickle cell disease (SCD) patients among emergency department (ED) providers and to compare differences in attitude scores between provider types. They found that, among ED providers, this scale identified a dimension not observed in research with the original instrument among internal medicine providers. They concluded that provider attitudes influence patient-provider interactions and quality of care.
AHRQ-funded; HS019646.
Citation: Friermuth CE, Haywood C, Jr., Silva S .
Attitudes toward patients with sickle cell disease in a multicenter sample of emergency department providers.
Adv Emerg Nurs J 2014 Oct-Dec;36(4):335-47. doi: 10.1097/tme.0000000000000036.
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Keywords: Emergency Department, Emergency Medical Services (EMS), Provider: Health Personnel, Sickle Cell Disease
Profit J, Sharek PJ, Amspoker AB
Burnout in the NICU setting and its relation to safety culture.
The objectives of this study are three-fold: to test the psychometric properties of a brief four-item burnout scale; to provide neonatal intensive care unit (NICU) burnout and resilience benchmarking data across different units and caregiver types; and to examine the relationships between caregiver burnout and patient safety culture. The authors found that NICU caregiver burnout appears to have 'climate-like' features, is prevalent, and is associated with lower perceptions of patient safety culture.
AHRQ-funded; HS014246.
Citation: Profit J, Sharek PJ, Amspoker AB .
Burnout in the NICU setting and its relation to safety culture.
BMJ Qual Saf 2014 Oct;23(10):806-13. doi: 10.1136/bmjqs-2014-002831.
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Keywords: Provider: Health Personnel, Neonatal Intensive Care Unit (NICU), Newborns/Infants, Patient Safety
Dill JS, Morgan JC, Weiner B
Frontline health care workers and perceived career mobility: do high-performance work practices make a difference?
This study examined how high-performance work practices (HPWPs) that focus on career development are related to an individuals' perceived mobility with their current employer, and also examined the relationships between perceived mobility, job satisfaction, and turnover intent. The findings suggest that tuition remission and educational release time positively predict perceived mobility, while measures of perceived organizational support in one's current position and perceived supervisor support for career development are also significant predictors of perceived mobility. Additionally, perceived mobility is a significant predictor of job satisfaction and intent to stay with current employer.
AHRQ-funded; HS000032.
Citation: Dill JS, Morgan JC, Weiner B .
Frontline health care workers and perceived career mobility: do high-performance work practices make a difference?
Health Care Manage Rev 2014 Oct-Dec;39(4):318-28. doi: 10.1097/HMR.0b013e31829fcbfd.
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Keywords: Provider: Health Personnel, Provider Performance, Workforce
Campbell LJ, Li Q, Li Y
Healthcare worker influenza vaccination in Oregon nursing homes: correlates of facility characteristics.
The authors identified nursing home (NH) characteristics that may be associated with employee influenza vaccination rates (EVRs). They concluded that, as NHs generally have low EVRs, it may be necessary to target low-performing facilities to achieve substantial improvements.
AHRQ-funded; HS000044.
Citation: Campbell LJ, Li Q, Li Y .
Healthcare worker influenza vaccination in Oregon nursing homes: correlates of facility characteristics.
J Am Med Dir Assoc 2014 Oct;15(10):768-72. doi: 10.1016/j.jamda.2014.06.005.
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Keywords: Provider: Health Personnel, Influenza, Nursing Homes, Prevention, Vaccination
Hussey PS, Luft HS, McNamara P
AHRQ Author: McNamara P
Public reporting of provider performance at a crossroads in the United States: summary of current barriers and recommendations on how to move forward.
The authors presented a vision statement and 10 recommendations for public reports to achieve their potential for engaging and informing consumers.
AHRQ-authored; AHRQ-funded.
Citation: Hussey PS, Luft HS, McNamara P .
Public reporting of provider performance at a crossroads in the United States: summary of current barriers and recommendations on how to move forward.
Med Care Res Rev 2014 Oct;71(5 Suppl):5s-16s. doi: 10.1177/1077558714535980.
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Keywords: Education: Patient and Caregiver, Quality of Care, Provider: Health Personnel, Provider Performance, Public Reporting
Cleveland N, Colwell C, Douglass E
Motor vehicle crash severity estimations by physicians and prehospital personnel.
The purpose of this study was to determine whether emergency physicians (EPs) and EMS personnel differ in their assessment of motor vehicle collision severity and the potential for serious injury when viewing crash scene photographs. They found excellent crash and injury agreement at both ends of the severity spectrum but only modest agreement, and therefore greater variability, in the middle of the severity spectrum.
AHRQ-funded; HS017526
Citation: Cleveland N, Colwell C, Douglass E .
Motor vehicle crash severity estimations by physicians and prehospital personnel.
Prehosp Emerg Care. 2014 Jul-Sep;18(3):402-7. doi: 10.3109/10903127.2014.891065..
Keywords: Emergency Medical Services (EMS), Trauma, Injuries and Wounds, Provider: Health Personnel, Diagnostic Safety and Quality
Everett CM, Thorpe CT, Palta M
The roles of primary care PAs and NPs caring for older adults with diabetes.
The investigators proposed a multidimensional characterization of PA and NP roles on panels of primary care patients with diabetes. They found that PAs and NPs in primary care perform a variety of roles and frequently perform multiple roles within a clinic.
AHRQ-funded; HS017646; HS018368; HS000083.
Citation: Everett CM, Thorpe CT, Palta M .
The roles of primary care PAs and NPs caring for older adults with diabetes.
Jaapa 2014 Apr;27(4):45-9. doi: 10.1097/01.jaa.0000444736.16669.76.
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Keywords: Diabetes, Provider: Health Personnel, Patient-Centered Healthcare, Primary Care, Teams