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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 5 of 5 Research Studies DisplayedZamudio J, Woodward J, Kanji FF
Demands of surgical teams in robotic-assisted surgery: an assessment of intraoperative workload within different surgical specialties.
Existing approaches to evaluating workload in robotic-assisted surgery (RAS) focus on surgeons and lack real-world data. The purpose of this study was to understand how workload differs by role and specialty aids to identify effective ways to optimize workload. The researchers administered SURG-TLX surveys to surgical staff at three sites. 188 questionnaires were obtained across 90 RAS procedures. Significantly higher aggregate scores were reported for gynecology and urology than for general. Surgeons reported significantly higher scores for task complexity than both technicians and nurses.
AHRQ-funded; HS026491.
Citation: Zamudio J, Woodward J, Kanji FF .
Demands of surgical teams in robotic-assisted surgery: an assessment of intraoperative workload within different surgical specialties.
Am J Surg 2023 Sep; 6(3):365-70. doi: 10.1016/j.amjsurg.2023.06.010..
Keywords: Surgery, Provider: Physician
Wurcel AG, Zubiago J, Reyes J
Surgeons' perspectives on valve surgery in people with drug use-associated infective endocarditis.
Hospitalizations for drug-use associated infective endocarditis (DUA-IE) have contributed to increasing surgical consultations for valve replacement. Little is known about cardiothoracic surgeons' perspectives on the decision-making process around operations for people with DUA-IE. The purpose of this semiqualitative, multisite study was to collect the perspectives of cardiothoracic surgeons on initial and repeat valve surgery for people with DUA-IE. The researchers conducted purposeful sampling of surgeons at 7 hospitals: University of Alabama, Boston Medical Center, Massachusetts General Hospital, University of North Carolina-Chapel Hill, Rhode Island Hospital-Brown University, Tufts Medical Center, and Vanderbilt University Medical Center. Nineteen cardiothoracic surgeons (53% acceptance) were interviewed. The study found that perceptions of the drivers of addiction varied as did the approaches to repeat valve operations. There were mixed perspectives on multidisciplinary meetings, although many surgeons indicated interest in more efficient meetings and more intensive postoperative and posthospitalization multidisciplinary care.
AHRQ-funded; HS026008.
Citation: Wurcel AG, Zubiago J, Reyes J .
Surgeons' perspectives on valve surgery in people with drug use-associated infective endocarditis.
Ann Thorac Surg 2023 Sep; 116(3):492-98. doi: 10.1016/j.athoracsur.2021.12.068..
Keywords: Surgery, Provider: Physician, Substance Abuse
Bamdad MC, Vitous CA, Rivard SJ
What we talk about when we talk about coping: a qualitative study of surgery resident's coping after complications and deaths.
The purpose of this study was to examine how surgery residents cope with negative patient outcomes including complications and death. There has been a dearth of scholarly work examining surgery resident coping strategies. The researchers included 28 mid-level and senior residents from 14 academic, community, and hybrid training programs across the United States to participate in interviews. The study found that residents described both internal and external strategies for how they cope with complications and deaths. Internal strategies included compartmentalization of emotions or experiences, thoughts of forgiveness, a sense of inevitability, and beliefs surrounding resilience. External strategies included support from colleagues and mentors, personal practices or rituals, such as exercise or psychotherapy, and commitment to change.
AHRQ-funded; HS000053; HS026772.
Citation: Bamdad MC, Vitous CA, Rivard SJ .
What we talk about when we talk about coping: a qualitative study of surgery resident's coping after complications and deaths.
Ann Surg 2023 Aug 1; 278(2):e422-e28. doi: 10.1097/sla.0000000000005854..
Keywords: Provider: Physician, Surgery, Mortality
Hu FY, Tabata-Kelly M, Johnston FM
Surgeon-reported factors influencing adoption of quality standards for goal-concordant care in patients with advanced cancer: a qualitative study.
This study’s objective was to explore surgical oncologists' perspectives on factors influencing adoption of quality standards in patients with advanced cancer. While the American College of Surgeons has adopted a Geriatric Surgery Verification Program that includes communication standards designed to facilitate goal-concordant care, little is known about how surgeons believe these standards align with clinical practice. The authors conducted semistructured video-based interviews from November 2020 to January 2021 with academic surgical oncologists purposively sampled based on demographics, region, palliative care certification, and years in practice. These interviews addressed: (1) adherence to standards documenting care preferences for life-sustaining treatment, surrogate decision-maker, and goals of surgery; and (2) factors influencing their adoption into practice. Participants included 26 surgeons (57.7% male, 8.5 mean years in practice, 19.2% palliative care board-certified). While goals of surgery are commonly discussed, there is low consistency of documenting these goals. There were conflicting views about the relevance of care preferences to preoperative conversations and surrogate decision-maker documentation by the surgeon and questioned the direct connection between documentation of quality standards and higher value patient care. Key themes in adopting quality standards of documentation included organizational culture, workflow, and multidisciplinary collaboration.
AHRQ-funded; HS024736.
Citation: Hu FY, Tabata-Kelly M, Johnston FM .
Surgeon-reported factors influencing adoption of quality standards for goal-concordant care in patients with advanced cancer: a qualitative study.
Ann Surg 2023 May; 277(5):e1000-e05. doi: 10.1097/sla.0000000000005441..
Keywords: Surgery, Provider: Physician, Cancer
Bamdad MC, Vitous CA, Rivard SJ
"You remember those days"-a qualitative study of resident surgeon responses to complications and deaths.
This qualitative study examined the impact of complications and deaths on surgery residents to facilitate development of improved support systems. Twenty-eight mid-level and senior residents (PGY3 and above) from 14 different training programs across the US were given semi-structured interviews. The interviewees described an initial emotional response of sadness, frustration, or grief. Simultaneously or soon after went through an examination period where they looked at how and why the outcome occurred with the goal of learning from it. The last phase was having a feeling of ownership, which was strengthened by involved in patient care and length of rotation.
AHRQ-funded; HS026772.
Citation: Bamdad MC, Vitous CA, Rivard SJ .
"You remember those days"-a qualitative study of resident surgeon responses to complications and deaths.
J Surg Educ 2022 Mar-Apr; 79(2):452-62. doi: 10.1016/j.jsurg.2021.09.011..
Keywords: Surgery, Provider: Physician, Adverse Events, Mortality