National Healthcare Quality and Disparities Report
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 3 of 3 Research Studies DisplayedByrnes ME, Varlamos CJ, Rivard SJ
"You're used to being the one that can fix things…": a qualitative snapshot of colorectal surgeons during COVID-19.
This viewpoint article reflects the narratives of 58 colorectal surgeons who engaged in an in-depth qualitative interview during the COVID-19 shutdown of elective surgeries. The goal for reporting these findings is to offer a snapshot of surgeon perspectives on the delays of elective surgeries and to give voice to surgeons who were unable to perform most or all their duties as a surgeon.
AHRQ-funded; HS025365; HS000053.
Citation: Byrnes ME, Varlamos CJ, Rivard SJ .
"You're used to being the one that can fix things…": a qualitative snapshot of colorectal surgeons during COVID-19.
Dis Colon Rectum 2020 Dec;63(12):1575-78. doi: 10.1097/dcr.0000000000001818..
Keywords: Surgery, Provider: Physician, Provider, COVID-19, Public Health, Infectious Diseases
Patterson ES, Papautsky EL, Krok-Schoen JL
Scheduling delayed treatment and surgeries post-pandemic: a stakeholder analysis.
The purpose of this study was to assess diverse stakeholder perspectives regarding how to trade off risks and benefits to patients, healthcare providers, and the local community. The study found that there exists a high number of different categories of stakeholders affected by the post-pandemic decisions to reschedule delayed treatments and surgeries. The primary stakeholders for a delayed surgery are the surgeon with knowledge of the clinical benefits of undertaking an operation and the patient's willingness to tolerate uncertainty and the increased risk of infection. For decisions about capacity in the operating rooms and inpatient setting after the surgery, the primary factors are reducing staff infections, preventing patients from contracting COVID-19 during operations and during post-surgical recovery at the hospital, conserving critical resources such as Personal Protective Equipment (PPE), and addressing the quality of life needs of hospital staff, such as childcare and preventing infecting members of their household. The timing and selection of elective surgery cases has an effect on the ability of hospitals to manage finances, which impacts decisions about staff employment when resources such as rooms are not being utilized.
AHRQ-funded; HS024379.
Citation: Patterson ES, Papautsky EL, Krok-Schoen JL .
Scheduling delayed treatment and surgeries post-pandemic: a stakeholder analysis.
Proc Int Symp Hum Factors Ergon Healthc 2020 Sep;9(1):10-14. doi: 10.1177/2327857920091066..
Keywords: COVID-19, Surgery, Public Health, Access to Care
Baker AW, Nehls N, Ilies I
Use of optimised dual statistical process control charts for early detection of surgical site infection outbreaks.
This study analyzed the use of optimized dual statistical process control (SPC) charts to predict surgical site infection (SSI) outbreaks. The researchers retrospectively applied an optimized pair of moving average (MA) SPC charts to all 30 SSI outbreaks previously identified and investigated from 2007 to 2015 in the Duke Infection Control Outreach Network (DICON), which is a network of more than 50 community hospitals. The dual MA SPC chart approach detected all 30 outbreaks at a median of 16 months prior to traditional surveillance detection.
AHRQ-funded; HS23821.
Citation: Baker AW, Nehls N, Ilies I .
Use of optimised dual statistical process control charts for early detection of surgical site infection outbreaks.
BMJ Qual Saf 2020 Jun;29(6):517-20. doi: 10.1136/bmjqs-2019-010586..
Keywords: Healthcare-Associated Infections (HAIs), Surgery, Patient Safety, Hospitals, Public Health, Infectious Diseases