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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results1 to 7 of 7 Research Studies Displayed
Hwang D, Teno JM, Clark M
Family perceptions of quality of hospice care in the nursing home.
The investigators examined bereaved family members' perceptions of nursing home-hospice collaborations in terms of what family members believe went well or could have been improved. The focus group participants identified three major aspects of collaboration as important to care delivery: knowing who (nursing home or hospice) is responsible for which aspects of patient care, concern about information coordination between the nursing home and hospice, and the need for hospice to advocate for high-quality care rather than their having to directly do so on behalf of their family members. These concerns have been incorporated into the revised Family Evaluation of Hospice Care, a post-death survey used to evaluate quality of hospice care.
Citation: Hwang D, Teno JM, Clark M . Family perceptions of quality of hospice care in the nursing home. J Pain Symptom Manage 2014 Dec;48(6):1100-7. doi: 10.1016/j.jpainsymman.2014.04.003.
Keywords: Care Coordination, Nursing Homes, Palliative Care, Quality of Care
Garfield CF, Lee Y, Kim HN
Paternal and maternal concerns for their very low-birth-weight infants transitioning from the NICU to home.
The authors examined the concerns and coping mechanisms of fathers and mothers of very low-birth-weight neonatal intensive care unit (NICU) infants as they transition to home from the NICU. They found that overriding concerns included pervasive uncertainty, lingering medical concerns, and partner-related adjustment concerns that differed by gender. They concluded that many parental concerns can be addressed with improved discharge information exchanges and anticipatory guidance.
Citation: Garfield CF, Lee Y, Kim HN . Paternal and maternal concerns for their very low-birth-weight infants transitioning from the NICU to home. J Perinat Neonatal Nurs 2014 Oct-Dec;28(4):305-12. doi: 10.1097/jpn.0000000000000021.
Keywords: Care Coordination, Hospital Discharge, Neonatal Intensive Care Unit (NICU), Newborns/Infants, Transitions of Care
Brown SE, Rey MM, Pardo D
The allocation of intensivists' rounding time under conditions of intensive care unit capacity strain.
This single-center study of 566 patients provides the ﬁrst description of how ICU physicians allocate time spent on patient rounds and how this allocation changes as ICUs become strained. Daily rounding time increased with increases in census and admissions, but less time was spent per patient, primarily affecting new admissions and nonblack follow-up patients. Neither patient age, sex, acuity, and severity of illness nor the presence of family on rounds affected the allocation of rounding time.
Citation: Brown SE, Rey MM, Pardo D . The allocation of intensivists' rounding time under conditions of intensive care unit capacity strain. Am J Respir Crit Care Med. 2014 Oct 1;190(7):831-4. doi: 10.1164/rccm.201406-1127LE..
Keywords: Intensive Care Unit (ICU), Critical Care, Care Coordination
Liao JM, Roy CL, Eibensteiner K
Lost in transition: discrepancies in how physicians perceive the actionability of the results of tests pending at discharge.
Effective communication of pending hospital test results between inpatient and primary care physicians is sometimes challenging or nonexistent. This communication is essential for safe, quality transactions at discharge. Health information technology (such as email and fax) is an effective strategy for improving and reporting test-result management.
Citation: Liao JM, Roy CL, Eibensteiner K . Lost in transition: discrepancies in how physicians perceive the actionability of the results of tests pending at discharge. J Hospital Med. 2014 Jun;9(6):407-9. doi: 10.1002/jhm.2177..
Keywords: Communication, Care Coordination, Health Information Technology (HIT), Hospital Discharge, Patient Safety
Sockolow PS, Bowles KH, Rogers M
Opportunities in interdisciplinary care team adoption of electronic point-of-care documentation systems.
The authors conducted three evaluation studies in community and hospital settings to examine point-of-care documentation system adoption among interdisciplinary care team clinicians. At all sites, mismatch between system functionality and workflow was a barrier to clinician system access during patient care and reduced clinician efficiency; however, clinicians were satisfied with their ability to access other clinicians’ notes, without increased interdisciplinary team communication.
Citation: Sockolow PS, Bowles KH, Rogers M . Opportunities in interdisciplinary care team adoption of electronic point-of-care documentation systems. Stud Health Technol Inform 2014;201:371-9..
Keywords: Health Information Technology (HIT), Electronic Health Records (EHRs), Care Coordination
Halbert CH, Briggs V, Bowman M
Acceptance of a community-based navigator program for cancer control among urban African Americans.
The researchers evaluated acceptance of a community-based navigator program for cancer control and identified factors having significant independent associations with navigation acceptance in an urban sample of African Americans. They found that age and perceived risk of developing cancer had a significant independent association with navigation acceptance. Participants who believed that they were at high risk for developing cancer had a lower likelihood of completing navigation.
Citation: Halbert CH, Briggs V, Bowman M . Acceptance of a community-based navigator program for cancer control among urban African Americans. Health Educ Res 2014 Feb;29(1):97-108. doi: 10.1093/her/cyt098..
Keywords: Cancer, Care Coordination, Care Management, Community-Based Practice, Racial / Ethnic Minorities, Urban Health
Arora VM, Reed DA, Fletcher KE
Building continuity in handovers with shorter residency duty hours.
The authors discuss how “continuity-enhanced handovers” differ from traditional handovers in several key aspects, including quality of information transferred, greater professional responsibility of senders and receivers, and a different philosophy of “coverage.” By reconceptualizing handover as a necessary bridge to continuity, and hence to safer patient care, this model of continuity-enhanced handovers has the potential to allay fears and improve patient care in an era of increasing fragmentation.
Citation: Arora VM, Reed DA, Fletcher KE . Building continuity in handovers with shorter residency duty hours. BMC Med Educ 2014;14 Suppl 1:S16. doi: 10.1186/1472-6920-14-s1-s16..
Keywords: Quality of Care, Patient Safety, Care Coordination