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AHRQ Research Studies Date
Topics
- Adverse Events (2)
- Behavioral Health (1)
- Cancer (1)
- Care Coordination (1)
- Caregiving (2)
- Children/Adolescents (1)
- Clinician-Patient Communication (3)
- Critical Care (1)
- Dementia (1)
- Elderly (2)
- Falls (1)
- Health Information Technology (HIT) (2)
- Health Literacy (2)
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- Medical Errors (2)
- Medication (1)
- Outcomes (1)
- Patient and Family Engagement (2)
- Patient Safety (4)
- Prevention (2)
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- Quality Improvement (1)
- Risk (1)
- Stress (1)
- Surgery (2)
- Teams (2)
- (-) Tools & Toolkits (12)
- Web-Based (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 12 of 12 Research Studies DisplayedAbraham J, Kannampallil TG, Patel VL
Impact of structured rounding tools on time allocation during multidisciplinary rounds: an observational study.
The aim of this study was to investigate whether disproportionate time allocation effects during multidisciplinary rounds (MDRs) persist with the use of structured rounding tools. It concluded that the use of structured rounding tools potentially mitigates disproportionate time allocation and communication breakdowns during rounds with the more structured system-based Handoff Intervention Tool (HAND-IT), almost completely eliminating such effects.
AHRQ-funded; HS017586.
Citation: Abraham J, Kannampallil TG, Patel VL .
Impact of structured rounding tools on time allocation during multidisciplinary rounds: an observational study.
JMIR Hum Factors 2016 Dec 09;3(2):e29. doi: 10.2196/humanfactors.6642.
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Keywords: Tools & Toolkits, Clinician-Patient Communication, Teams, Health Information Technology (HIT), Care Coordination
Gaugler JE, Reese M, Tanler R
Care to Plan: an online tool that offers tailored support to dementia caregivers.
This study developed and tested the feasibility of "Care to Plan" (CtP), an online resource for dementia caregivers (e.g., relatives or unpaid nonrelatives) that generates tailored support recommendations. It concluded that, based on the integrated qualitative and quantitative data, CtP was simple and easy to understand. The streamlined visual layout facilitated utility and the individualized recommendations could meet the needs of users.
AHRQ-funded; HS20948; HS22445.
Citation: Gaugler JE, Reese M, Tanler R .
Care to Plan: an online tool that offers tailored support to dementia caregivers.
Gerontologist 2016 Dec;56(6):1161-74. doi: 10.1093/geront/gnv150.
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Keywords: Caregiving, Dementia, Elderly, Web-Based, Tools & Toolkits
Mueller SK, Yoon C, Schnipper JL
Association of a web-based handoff tool with rates of medical errors.
The researchers implemented a web-based handoff tool and training for health care professionals and evaluated the association of the tool with rates of medical errors in adult medical and surgical patients. They found that implementation of this tool was associated with a significant reduction in rates of medical errors, driven largely by a reduction in errors attributable to communication failure and errors that occurred during end-of-shift handoffs.
AHRQ-funded; HS023331.
Citation: Mueller SK, Yoon C, Schnipper JL .
Association of a web-based handoff tool with rates of medical errors.
JAMA Intern Med 2016 Sep;176(9):1400-2. doi: 10.1001/jamainternmed.2016.4258.
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Keywords: Medical Errors, Patient Safety, Surgery, Tools & Toolkits, Web-Based
Katsulis Z, Ergai A, Leung WY
Iterative user centered design for development of a patient-centered fall prevention toolkit.
The use of electronic decision support that tailors fall prevention strategy to patient-specific risk factors, known as Fall T.I.P.S (Tailoring Interventions for Patient Safety), has proven to be an effective approach for decreasing hospital falls. A paper version of the Fall T.I.P.S toolkit was developed primarily for hospitals that do not have the resources to implement the electronic solution; however, more work is needed to optimize the effectiveness of the paper version of this tool.
AHRQ-funded; HS023535.
Citation: Katsulis Z, Ergai A, Leung WY .
Iterative user centered design for development of a patient-centered fall prevention toolkit.
Appl Ergon 2016 Sep;56:117-26. doi: 10.1016/j.apergo.2016.03.011.
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Keywords: Falls, Tools & Toolkits, Prevention, Patient Safety, Hospitals
Mabachi NM, Cifuentes M, Barnard J
AHRQ Author: Brach C
Demonstration of the Health Literacy Universal Precautions Toolkit: lessons for quality improvement.
AHRQ’s Health Literacy Universal Precautions Toolkit was developed to help primary care practices assess and make changes to improve communication with and support for patients. Twelve diverse primary care practices implemented assigned tools over a 6-month period. Qualitative results revealed challenges practices experienced during implementation, including competing demands, bureaucratic hurdles, technological challenges, limited quality improvement experience, and limited leadership support.
AHRQ-authored.
Citation: Mabachi NM, Cifuentes M, Barnard J .
Demonstration of the Health Literacy Universal Precautions Toolkit: lessons for quality improvement.
J Ambul Care Manage 2016 Jul-Sep;39(3):199-208. doi: 10.1097/jac.0000000000000102..
Keywords: Health Literacy, Quality Improvement, Tools & Toolkits, Primary Care, Clinician-Patient Communication
Landrigan CP, Stockwell D, Toomey SL
Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool.
This study's objective was to develop and test the Global Assessment of Pediatric Patient Safety (GAPPS) trigger tool, which measures hospital-wide rates of adverse events (AEs) and preventable AEs. In total, 3,814 medical records were reviewed. It found that both primary and secondary reviewers agreed 92 percent of the time on presence or absence of a suspected AE.
AHRQ-funded; HS020513.
Citation: Landrigan CP, Stockwell D, Toomey SL .
Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool.
Pediatrics 2016 Jun;137(6):pii: e20154076. doi: 10.1542/peds.2015-4076.
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Keywords: Patient Safety, Children/Adolescents, Tools & Toolkits, Adverse Events, Children/Adolescents
Rocque GB, Taylor RA, Acemgil A
Guiding lay navigation in geriatric patients with cancer using a distress assessment tool.
This study assessed the feasibility and impact of using distress assessments to frame lay navigator interactions with geriatric patients with cancer who were enrolled in navigation between January 1, 2014, and December 31, 2014. It concluded that lay navigators were able to routinely screen for patient distress at a high degree of penetration using a structured distress assessment.
AHRQ-funded; HS013852.
Citation: Rocque GB, Taylor RA, Acemgil A .
Guiding lay navigation in geriatric patients with cancer using a distress assessment tool.
J Natl Compr Canc Netw 2016 Apr;14(4):407-14.
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Keywords: Elderly, Cancer, Tools & Toolkits, Stress, Behavioral Health
Maher M, Kaziunas E, Ackerman M
User-centered design groups to engage patients and caregivers with a personalized health information technology tool.
The researchers’ goal was to develop a tool that could be used in the real-world, daily practice of Hematopoietic Blood and Marrow Transplant (HCT) patients and caregivers (users) in the inpatient setting. To that end, they examined the views, needs, and wants of users in the design and development process of the Bone Marrow Transplant Roadmap through user-centered Design Groups.
AHRQ-funded; HS023613.
Citation: Maher M, Kaziunas E, Ackerman M .
User-centered design groups to engage patients and caregivers with a personalized health information technology tool.
Biol Blood Marrow Transplant 2016 Feb;22(2):349-58. doi: 10.1016/j.bbmt.2015.08.032..
Keywords: Caregiving, Health Information Technology (HIT), Patient and Family Engagement, Tools & Toolkits
Siegel CA, Horton H, Siegel LS
A validated web-based tool to display individualised Crohn's disease predicted outcomes based on clinical, serologic and genetic variables.
The researchers developed a validated, individualised, web-based tool for patients and clinicians to visualise individualised risks for developing Crohn's disease complications. Their web-based tool displays an individualised predicted outcome for adult patients with Crohn's disease based on clinical, serologic and genetic variables. This tool can be used to help providers and patients make personalised decisions about treatment options.
AHRQ-funded; HS021747.
Citation: Siegel CA, Horton H, Siegel LS .
A validated web-based tool to display individualised Crohn's disease predicted outcomes based on clinical, serologic and genetic variables.
Aliment Pharmacol Ther 2016 Jan;43(2):262-71. doi: 10.1111/apt.13460.
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Keywords: Web-Based, Tools & Toolkits, Risk, Outcomes
Dalal AK, Dykes PC, Collins S
A web-based, patient-centered toolkit to engage patients and caregivers in the acute care setting: a preliminary evaluation.
The researchers implemented a web-based, patient-centered toolkit that engages patients/caregivers in the hospital plan of care by facilitating education and patient-provider communication. Of the 585 eligible patients approached on medical intensive care and oncology units, 239 were enrolled (119 patients, 120 caregivers). They found that the average system usability scores and satisfaction ratings of a sample of surveyed enrollees were favorable.
AHRQ-funded; HS023535.
Citation: Dalal AK, Dykes PC, Collins S .
A web-based, patient-centered toolkit to engage patients and caregivers in the acute care setting: a preliminary evaluation.
J Am Med Inform Assoc 2016 Jan;23(1):80-7. doi: 10.1093/jamia/ocv093.
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Keywords: Critical Care, Patient and Family Engagement, Clinician-Patient Communication, Tools & Toolkits, Web-Based
Weiss BD, Brega AG, LeBlanc WG
AHRQ Author: Brach C
Improving the effectiveness of medication review: guidance from the Health Literacy Universal Precautions Toolkit.
The objective of this study was to determine whether the medication review tool in AHRQ’s Health Literacy Universal Precautions Toolkit can help to improve medication reviews in primary care practices. It found that eEvaluation before and after implementation revealed a 3-fold increase in the percentage of patients who brought all their prescription medications and a 6-fold increase in the number of prescription medications brought to office visits.
AHRQ-authored; AHRQ-funded; 290200710008.
Citation: Weiss BD, Brega AG, LeBlanc WG .
Improving the effectiveness of medication review: guidance from the Health Literacy Universal Precautions Toolkit.
J Am Board Fam Med 2016 Jan-Feb;29(1):18-23. doi: 10.3122/jabfm.2016.01.150163.
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Keywords: Health Literacy, Medication, Primary Care, Tools & Toolkits
Huang LC, Conley D, Lipsitz S
The Surgical Safety Checklist and teamwork coaching tools: a study of inter-rater reliability.
The authors assessed the inter-rater reliability (IRR) of two novel observation tools for measuring surgical safety checklist performance and teamwork. They found that both the Checklist Coaching Tool and the Surgical Teamwork Tool demonstrated substantial IRR and required limited training to use, indicating that both instruments may be used to observe checklist performance and teamwork in the operating room. They recommended that further refinement and calibration of observer expectations, particularly in rating teamwork, could improve the utility of the tools.
AHRQ-funded; HS019631.
Citation: Huang LC, Conley D, Lipsitz S .
The Surgical Safety Checklist and teamwork coaching tools: a study of inter-rater reliability.
BMJ Qual Saf 2014 Aug;23(8):639-50. doi: 10.1136/bmjqs-2013-002446.
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Keywords: Patient Safety, Surgery, Tools & Toolkits, Teams, Adverse Events, Medical Errors, Prevention