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
101 to 125 of 229 Research Studies DisplayedHartzler AL, Chaudhuri S
Integrating patient-reported outcomes into spine surgical care through visual dashboards: lessons learned from human-centered design.
The researchers share lessons learned from engaging health care professionals to inform design of visual dashboards, an emerging type of health information technology (HIT). Their work illustrates a range of engagement methods guided by human-centered principles and design recommendations for optimizing PRO Dashboards for patient care and quality improvement.
AHRQ-funded; HS020025.
Citation: Hartzler AL, Chaudhuri S .
Integrating patient-reported outcomes into spine surgical care through visual dashboards: lessons learned from human-centered design.
eGEMS 2015 Mar 13;3(2):1133. doi: 10.13063/2327-9214.1133..
Keywords: Comparative Effectiveness, Health Information Technology (HIT), Surgery, Patient-Centered Outcomes Research
Joshi A, Perin DM, Amadi C
Evaluating the usability of an interactive, bi-lingual, touchscreen-enabled breastfeeding educational programme: application of Nielson's heuristics.
The study purpose was to conduct heuristic evaluation of an interactive, bilingual touchscreen-enabled breastfeeding educational program for Hispanic women living in rural settings in Nebraska. The results demonstrated that the system was more consistent with Nielsen’s usability heuristics. With Nielsen’s usability heuristics, it is possible to identify problems in a timely manner.
AHRQ-funded; HS021321.
Citation: Joshi A, Perin DM, Amadi C .
Evaluating the usability of an interactive, bi-lingual, touchscreen-enabled breastfeeding educational programme: application of Nielson's heuristics.
J Innov Health Inform 2015 Mar 5;22(2):265-74. doi: 10.14236/jhi.v22i2.71..
Keywords: Health Information Technology (HIT), Education: Patient and Caregiver, Rural Health, Breast Feeding, Racial and Ethnic Minorities
Burgess JF, Jones EA, Morgan JR
Capsule commentary on Tannenbaum et al., nudging physician prescription decisions by partitioning the order set: results of a vignette-based study.
Users of computerized provider order entry (CPOE)s employ a variety of “shortcuts” to increase efficiency and reduce search costs. The authors comment on a study suggesting that new ordering could be a shortcut for signaling which choices are “common or appropriate”. They argue that future research on inappropriate use should grapple directly with when and why providers employ shortcuts.
AHRQ-funded; HS022242.
Citation: Burgess JF, Jones EA, Morgan JR .
Capsule commentary on Tannenbaum et al., nudging physician prescription decisions by partitioning the order set: results of a vignette-based study.
J Gen Intern Med 2015 Mar;30(3):343. doi: 10.1007/s11606-014-3095-3..
Keywords: Health Information Technology (HIT), Decision Making, Medication
Kern LM, Edwards AM, Pichardo M
Electronic health records and health care quality over time in a federally qualified health center.
The researchers sought to determine the association between EHRs and quality of care in a large Federally Qualified Health Center (FQHC), during the 3 years following EHR implementation. They found that the magnitude of absolute improvement ranged from 5 percent to 20 percent per measure. EHRs were associated with continuing improvement in health care quality for at least 3 years post-implementation in the safety-net setting of a FQHC.
AHRQ-funded; HS017067.
Citation: Kern LM, Edwards AM, Pichardo M .
Electronic health records and health care quality over time in a federally qualified health center.
J Am Med Inform Assoc 2015 Mar;22(2):453-8. doi: 10.1093/jamia/ocu049..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Quality of Care
Lyles CR, Sarkar U
Health literacy, vulnerable patients, and health information technology use: where do we go from here?
The authors comment on an article in the same issue that found only 32 percent of older adults used the Internet to get health information and only 10 percent of older adults with limited health literacy did so. They discuss its implications for the related issues of access, training, and perhaps most importantly, the usability of websites and other technology platforms.
AHRQ-funded; HS023558; HS022047.
Citation: Lyles CR, Sarkar U .
Health literacy, vulnerable patients, and health information technology use: where do we go from here?
J Gen Intern Med 2015 Mar;30(3):271-2. doi: 10.1007/s11606-014-3166-5..
Keywords: Health Literacy, Education: Patient and Caregiver, Elderly, Health Information Technology (HIT)
Tannenbaum D, Doctor JN, Persell SD
Nudging physician prescription decisions by partitioning the order set: results of a vignette-based study.
The purpose of this study was to examine whether the grouping of menu items systematically affects prescribing practices among primary care providers. It found that provider treatment choice appears to be influenced by the grouping of menu options, suggesting that the layout of EHR order sets is not an arbitrary exercise.
AHRQ-funded; RC4 AG039115 (NIA/AHRQ).
Citation: Tannenbaum D, Doctor JN, Persell SD .
Nudging physician prescription decisions by partitioning the order set: results of a vignette-based study.
J Gen Intern Med 2015 Mar;30(3):298-304. doi: 10.1007/s11606-014-3051-2..
Keywords: Electronic Health Records (EHRs), Primary Care, Clinical Decision Support (CDS), Health Information Technology (HIT), Medication
Samwald M, Minarro Gimenez JA, Boyce RD
Pharmacogenomic knowledge representation, reasoning and genome-based clinical decision support based on OWL 2 DL ontologies.
The authors developed Web Ontology Language (OWL) ontologies and automated reasoning methodologies to meet various goals such as providing a simple and concise formalism for representing pharmacogenomic knowledge. Their ontology-based framework can be used to represent, organize and reason over the growing wealth of pharmacogenomic knowledge, as well as to identify errors, inconsistencies and insufficient definitions in source data sets or individual patient data.
AHRQ-funded; HS019461.
Citation: Samwald M, Minarro Gimenez JA, Boyce RD .
Pharmacogenomic knowledge representation, reasoning and genome-based clinical decision support based on OWL 2 DL ontologies.
BMC Med Inform Decis Mak 2015 Feb 22;15:12. doi: 10.1186/s12911-015-0130-1..
Keywords: Comparative Effectiveness, Health Information Technology (HIT), Decision Making, Medication, Genetics
Jones JB, Weiner JP, Shah NR
The wired patient: patterns of electronic patient portal use among patients with cardiac disease or diabetes.
The researchers described the types and patterns of portal users in an integrated delivery system. They found naturally occurring groups of EHR Web portal users within a population of adult primary care patients with chronic conditions. More than half of the patient cohort exhibited distinct patterns of portal use linked to key features.
AHRQ-funded; HS016228.
Citation: Jones JB, Weiner JP, Shah NR .
The wired patient: patterns of electronic patient portal use among patients with cardiac disease or diabetes.
J Med Internet Res 2015 Feb 20;17(2):e42. doi: 10.2196/jmir.3157..
Keywords: Health Information Technology (HIT), Electronic Health Records (EHRs), Primary Care, Healthcare Delivery, Chronic Conditions
Hosomura N, Goldberg SI, Shubina M
Electronic documentation of lifestyle counseling and glycemic control in patients with diabetes.
The aim of this study was to establish quantitative characteristics of documentation of lifestyle counseling that are associated with improved glycemic control in patients with diabetes, using a previously validated natural language processing system that enables abstraction of lifestyle counseling documentation from narrative electronic provider notes. It identified novel quantitative characteristics of electronic documentation of lifestyle counseling that are associated with improved glycemic control in patients with diabetes.
AHRQ-funded; HS017030.
Citation: Hosomura N, Goldberg SI, Shubina M .
Electronic documentation of lifestyle counseling and glycemic control in patients with diabetes.
Diabetes Care 2015 Jul;38(7):1326-32. doi: 10.2337/dc14-2016..
Keywords: Diabetes, Electronic Health Records (EHRs), Health Information Technology (HIT), Lifestyle Changes
Singh H, Sittig DF
Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.
The Safer Dx framework can help stakeholders measure a monitor diagnostic errors, which are considered hard to tackle and remain elusive to improvement efforts because they are difficult to define and measure.
AHRQ-funded; HS022087
Citation: Singh H, Sittig DF .
Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.
BMJ Qual Saf. 2015 Feb;24(2):103-10. doi: 10.1136/bmjqs-2014-003675..
Keywords: Health Information Technology (HIT), Quality of Care, Patient Safety
Singh H, Sittig DF
Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.
The authors developed a multifaceted framework to advance the science of measuring diagnostic errors (The Safer Dx framework). They described how their framework serves as a conceptual foundation for system-wide safety measurement, monitoring, and improvement of diagnostic error. They posited that the Safer Dx framework can be used by a variety of stakeholders including researchers, clinicians, health care organizations, and policymakers, to stimulate both retrospective and more proactive measurement of diagnostic errors.
AHRQ-funded; HS022087.
Citation: Singh H, Sittig DF .
Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.
BMJ Qual Saf 2015 Feb;24(2):103-10. doi: 10.1136/bmjqs-2014-003675.
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Keywords: Diagnostic Safety and Quality, Health Information Technology (HIT), Medical Errors, Patient Safety, Quality Measures
Unni S, Yao Y, Milne N
An evaluation of clinical risk factors for estimating fracture risk in postmenopausal osteoporosis using an electronic medical record database.
The researchers sought to identify variables in an EMR database for calculating fracture risk Assessment (FRAX) score in a cohort of postmenopausal women, to estimate absolute fracture risk. They found that mean 10-year risk for any major fracture was 11.1 percent when bone mineral density (BMD) was used and 11.2 percent when BMI was used.
AHRQ-funded; HS0018582.
Citation: Unni S, Yao Y, Milne N .
An evaluation of clinical risk factors for estimating fracture risk in postmenopausal osteoporosis using an electronic medical record database.
Osteoporos Int 2015 Feb;26(2):581-7. doi: 10.1007/s00198-014-2899-7..
Keywords: Electronic Health Records (EHRs), Injuries and Wounds, Risk, Osteoporosis, Health Information Technology (HIT)
Wang HE, Schmicker RH, Herren H
Classification of cardiopulmonary resuscitation chest compression patterns: manual versus automated approaches.
The researchers sought to determine the inter-rater reliability of chest compression pattern classifications by human raters. They found good inter-rater agreement in the manual classification of CPR chest compression patterns, and automated classification showed strong agreement with human ratings.
AHRQ-funded; HS013852.
Citation: Wang HE, Schmicker RH, Herren H .
Classification of cardiopulmonary resuscitation chest compression patterns: manual versus automated approaches.
Acad Emerg Med 2015 Feb;22(2):204-11. doi: 10.1111/acem.12577.
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Keywords: Cardiovascular Conditions, Health Information Technology (HIT), Outcomes
Dingfield L, Bender L, Harris P
Comparison of pediatric and adult hospice patients using electronic medical record data from nine hospices in the United States, 2008-2012.
The researchers aimed to assess differences between pediatric and adult hospice patients regarding patient characteristics and outcomes. They found that pediatric patients were less likely to have an admitting diagnosis of cancer and less likely to use oxygen at enrollment but were more likely to have an enteral feeding tube. Also, pediatric patients were half as likely as adults to have a do-not-resuscitate order upon hospice enrollment.
AHRQ-funded; HS018425; HS021780.
Citation: Dingfield L, Bender L, Harris P .
Comparison of pediatric and adult hospice patients using electronic medical record data from nine hospices in the United States, 2008-2012.
J Palliat Med 2015 Feb;18(2):120-6. doi: 10.1089/jpm.2014.0195..
Keywords: Cancer, Children/Adolescents, Electronic Health Records (EHRs), Health Information Technology (HIT)
Harrison AM, Thongprayoon C, Kashyap R
Developing the surveillance algorithm for detection of failure to recognize and treat severe sepsis.
The objective of this study was to advance, test, and refine a detection and alert system (“sniffer”) for delays in recognition and treatment of severe sepsis that could be used in the critical care setting. They found that a sepsis sniffer (essentially an automated surveillance algorithm) was able to correctly identify delay in recognition and treatment of severe sepsis.
AHRQ-funded; HS022799.
Citation: Harrison AM, Thongprayoon C, Kashyap R .
Developing the surveillance algorithm for detection of failure to recognize and treat severe sepsis.
Mayo Clin Proc 2015 Feb;90(2):166-75. doi: 10.1016/j.mayocp.2014.11.014..
Keywords: Patient Safety, Electronic Health Records (EHRs), Critical Care, Health Information Technology (HIT)
Armstrong AW, Johnson MA, Lin S
Patient-centered, direct-access online care for management of atopic dermatitis: a randomized clinical trial.
The researchers compared the effectiveness of a direct-access, online model with that of an in-person model for follow-up management of pediatric and adult patients with atopic dermatitis. They found that patients whose disease was managed through the direct-access online model achieved equivalent improvements in atopic dermatitis disease severity compared with those whose disease was managed through the usual, in-person visits.
AHRQ-funded; HS018341.
Citation: Armstrong AW, Johnson MA, Lin S .
Patient-centered, direct-access online care for management of atopic dermatitis: a randomized clinical trial.
JAMA Dermatol 2015 Feb;151(2):154-60. doi: 10.1001/jamadermatol.2014.2299..
Keywords: Healthcare Delivery, Comparative Effectiveness, Health Information Technology (HIT), Patient-Centered Healthcare, Patient-Centered Outcomes Research
Hsiao CJ, King J, Hing E
AHRQ Author: Hsiao CJ
The role of health information technology in care coordination in the United States.
This study used 2012 national data to explore the extent to which office-based physicians in the United States receive patient health information (electronically or non-electronically) needed to coordinate care with providers outside their practice, as well as with hospitals. It found that a higher percentage of physicians using health information technology (HIT) received patient information necessary for care coordination than those who did not use HIT.
AHRQ-authored.
Citation: Hsiao CJ, King J, Hing E .
The role of health information technology in care coordination in the United States.
Med Care. 2015 Feb;53(2):184-90. doi: 10.1097/mlr.0000000000000276..
Keywords: Health Information Technology (HIT), Care Coordination, Primary Care, Hospitals
Nguyen C, McElroy LM, Abecassis MM
The use of technology for urgent clinician to clinician communications: a systematic review of the literature.
The aim of this study was to review the literature examining the role of devices and technology in facilitating urgent clinician–clinician communication to identify critical areas for future research. It found that most studies examining the effectiveness of communication devices in urgent contexts are before-and-after studies that relied on quantitative metrics focused on user satisfaction, method of use, and/or the effect on clinical communication.
AHRQ-funded; HS000078.
Citation: Nguyen C, McElroy LM, Abecassis MM .
The use of technology for urgent clinician to clinician communications: a systematic review of the literature.
Int J Med Inform 2015 Feb;84(2):101-10. doi: 10.1016/j.ijmedinf.2014.11.003..
Keywords: Clinical Decision Support (CDS), Health Information Technology (HIT), Communication
Eslami MH, Doros G, Goodney PP
Using vascular quality initiative as a platform for organizing multicenter, prospective, randomized clinical trials: OVERPAR trial.
The researchers describe the organization of a prospective, randomized, multicenter trial comparing the effectiveness of open popliteal artery aneurysm repair (OPAR) and endovascular popliteal artery aneurysm repair (EPAR) of asymptomatic popliteal artery aneurysms (PAAs) as an example for how to use the Vascular Quality Initiative (VQI) framework. They concluded that using the existing VQI infrastructure, Open versus Endovascular Repair of PAAs will provide level 1 data for PAA treatment on a modest budget.
AHRQ-funded; HS021581.
Citation: Eslami MH, Doros G, Goodney PP .
Using vascular quality initiative as a platform for organizing multicenter, prospective, randomized clinical trials: OVERPAR trial.
Ann Vasc Surg 2015 Feb;29(2):278-85. doi: 10.1016/j.avsg.2014.08.007..
Keywords: Quality of Care, Evidence-Based Practice, Health Information Technology (HIT)
Arcia A, Velez M, Bakken S
Style guide: An interdisciplinary communication tool to support the process of generating tailored infographics from electronic health data using EnTICE3.
In this case study the authors describe key features of the structured communication tool—a style guide—used to support interdisciplinary collaboration. They propose the use of such a tool for research teams engaged in similar projects. They employ tailored infographics to present patient reported outcome data from a community health survey, in a comprehensible and actionable manner, to the individuals who provided it.
AHRQ-funded; HS019853; HS022961.
Citation: Arcia A, Velez M, Bakken S .
Style guide: An interdisciplinary communication tool to support the process of generating tailored infographics from electronic health data using EnTICE3.
eGEMS 2015 Jan 26;3(1):1120. doi: 10.13063/2327-9214.1120..
Keywords: Communication, Comparative Effectiveness, Health Information Technology (HIT), Patient-Centered Outcomes Research
Kazberouk A, Martin BI, Stevens JP
Validation of an administrative coding algorithm for classifying surgical indication and operative features of spine surgery.
The purpose of this study was to develop and validate an algorithm using administrative claims to identify both surgical indication and operative features in lumbar surgery as compared with the medical record review, taken as the “gold standard.” It found that claims data accurately reflected certain diagnoses and type of procedures, but were less accurate at characterizing operative features other than the surgical approach.
AHRQ-funded; HS018405; HS021695.
Citation: Kazberouk A, Martin BI, Stevens JP .
Validation of an administrative coding algorithm for classifying surgical indication and operative features of spine surgery.
Spine 2015 Jan 15;40(2):114-20. doi: 10.1097/brs.0000000000000682..
Keywords: Surgery, Health Information Technology (HIT)
Eschler J, O'Leary K, Kendall L
Systematic inquiry for design of health care information systems: an example of elicitation of the patient stakeholder perspective.
The authors described the application of a theoretical framework to organize qualitative data during a multi-stage research study into patient engagement with electronic health records, thereby more effectively eliciting patient stakeholder needs and goals to inform the design of future health care information systems.
AHRQ-funded; HS021590.
Citation: Eschler J, O'Leary K, Kendall L .
Systematic inquiry for design of health care information systems: an example of elicitation of the patient stakeholder perspective.
Proc Annu Hawaii Int Conf Syst Sci 2015 Jan 5;2015:2804-13. doi: 10.1109/hicss.2015.339.
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Keywords: Electronic Health Records (EHRs), Quality of Care, Health Information Technology (HIT), Patient and Family Engagement
Rantz MJ, Skubic M, Popescu M
A new paradigm of technology-enabled 'vital signs' for early detection of health change for older adults.
The purpose of this article is threefold: (1) discuss research behind the technology-enabled ‘vital signs’ for early detection of health change that the Eldertech Research team has conducted, (2) discuss clinical implications for mainstream adoption and use of these vital signs for early interventions to help older adults, their families, and healthcare providers, and (3) present some obstacles to overcome for mainstream adoption.
AHRQ-funded; HS018477.
Citation: Rantz MJ, Skubic M, Popescu M .
A new paradigm of technology-enabled 'vital signs' for early detection of health change for older adults.
Gerontology 2015;61(3):281-90. doi: 10.1159/000366518..
Keywords: Elderly, Health Status, Patient Safety, Health Information Technology (HIT)
Melton GB, Wang Y, Arsoniadis E
Analyzing operative note structure in development of a section header resource.
Using their experience with clinical standards evaluation, the researchers sought to use the HL7 Implementation Guide for Clinical Document Architecture Release 2.0 Operative Note Draft Standard for Trial Use (HL7-ON DSTU) Release 1 (HL7-ON DSTU) and Logical Observation Identifiers Names and Codes (LOINC®) section codes to represent operative note section headers and to develop a resource for operative note section headers.
AHRQ-funded; HS022085.
Citation: Melton GB, Wang Y, Arsoniadis E .
Analyzing operative note structure in development of a section header resource.
Stud Health Technol Inform 2015;216:821-6..
Keywords: Health Information Technology (HIT), Surgery, Electronic Health Records (EHRs)
Salloum A, Crawford EA, Lewin AB
Consumers' and providers' perceptions of utilizing a computer-assisted cognitive behavioral therapy for childhood anxiety.
The purpose of this study was to explore consumers’ and providers’ perceptions of utilizing a Computer-Assisted Cognitive Behavioral Therapy (CCBT) for childhood anxiety in community mental health centers (CMHC) in an effort to identify factors that may impact implementation of CCBT in CMHC. Results suggest that both consumers and providers were highly receptive to participation in and implementation of CCBT in CMHC.
AHRQ-funded; HS018665.
Citation: Salloum A, Crawford EA, Lewin AB .
Consumers' and providers' perceptions of utilizing a computer-assisted cognitive behavioral therapy for childhood anxiety.
Behav Cogn Psychother 2015 Jan;43(1):31-41. doi: 10.1017/s1352465813000647..
Keywords: Anxiety, Children/Adolescents, Community-Based Practice, Health Information Technology (HIT), Patient Experience