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.
Results
1 to 3 of 3 Research Studies DisplayedAragaki D, Basu A, Conlon C
Quality of electrodiagnostic testing for carpal tunnel syndrome: adherence to quality measures.
This study examined the quality of electrodiagnostic testing for carpal tunnel syndrome (CTS). The authors prospectively recruited 477 adults with workers’ compensation claims for CTS from 30 occupational health clinics and evaluated whether electrodiagnostic testing adhered to five process-oriented quality measures. Among the patients who had CTS surgery, nearly all had the recommended preoperative electrodiagnostic testing. Most (77.8%) included essential components but few documented skin temperature and criteria were seldom met for interpreting test findings as consistent with CTS or severe CTS.
AHRQ-funded; HS018982.
Citation: Aragaki D, Basu A, Conlon C .
Quality of electrodiagnostic testing for carpal tunnel syndrome: adherence to quality measures.
Muscle Nerve 2020 Jul;62(1):50-59. doi: 10.1002/mus.26858.
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Keywords: Diagnostic Safety and Quality, Quality Indicators (QIs), Quality Measures, Quality of Care
Shetty KD, Robbins M, Aragaki D
The quality of electrodiagnostic tests for carpal tunnel syndrome: Implications for surgery, outcomes, and expenditures.
The quality of electrodiagnostic tests may influence treatment decisions, particularly regarding surgery, affecting health outcomes and health-care expenditures. In this study, the investigators evaluated test quality among 338 adults with workers' compensation claims for carpal tunnel syndrome. The investigators found that in simulations, suboptimal quality tests rendered surgery inappropriate for 99 of 309 patients (+32 percentage points). They also found that test quality was not associated with overall health, actual receipt of surgery, or expenditures.
AHRQ-funded; HS018982.
Citation: Shetty KD, Robbins M, Aragaki D .
The quality of electrodiagnostic tests for carpal tunnel syndrome: Implications for surgery, outcomes, and expenditures.
Muscle Nerve 2020 Jul;62(1):60-69. doi: 10.1002/mus.26874..
Keywords: Diagnostic Safety and Quality, Neurological Disorders, Surgery, Quality Indicators (QIs), Quality Measures, Quality of Care
Kocher KE, Arora R, Bassin BS
Baseline performance of real-world clinical practice within a statewide emergency medicine quality network: the Michigan Emergency Department Improvement Collaborative (MEDIC).
The Michigan Emergency Department Improvement Collaborative (MEDIC) has baseline performance data to identify practice variation across 15 diverse emergency departments on key emergency care quality indicators. The authors assessed MEDIC quality measures and found that performance varied greatly, with demonstrated opportunity for improvement. They conclude that MEDIC provides a robust platform for emergency physician engagement across emergency department practice settings to improve care and is a model for other states.
AHRQ-funded; HS024160.
Citation: Kocher KE, Arora R, Bassin BS .
Baseline performance of real-world clinical practice within a statewide emergency medicine quality network: the Michigan Emergency Department Improvement Collaborative (MEDIC).
Ann Emerg Med 2020 Feb;75(2):192-205. doi: 10.1016/j.annemergmed.2019.04.033..
Keywords: Emergency Department, Quality Improvement, Quality Indicators (QIs), Quality Measures, Quality of Care, Imaging, Diagnostic Safety and Quality