National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
Data
- Data Infographics
- Data Visualizations
- Data Tools
- Data Innovations
- All-Payer Claims Database
- Healthcare Cost and Utilization Project (HCUP)
- Medical Expenditure Panel Survey (MEPS)
- AHRQ Quality Indicator Tools for Data Analytics
- State Snapshots
- United States Health Information Knowledgebase (USHIK)
- Data Sources Available from AHRQ
Search All Research Studies
AHRQ Research Studies Date
Topics
- Adverse Events (6)
- Ambulatory Care and Surgery (1)
- Antibiotics (1)
- Antimicrobial Stewardship (1)
- Arthritis (4)
- Blood Clots (1)
- Blood Pressure (2)
- Burnout (1)
- Cardiovascular Conditions (3)
- Care Coordination (2)
- Caregiving (2)
- Care Management (2)
- Children/Adolescents (6)
- Chronic Conditions (4)
- Clinical Decision Support (CDS) (2)
- Clinician-Patient Communication (1)
- Communication (2)
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) (4)
- Critical Care (1)
- Data (1)
- Decision Making (2)
- Dementia (2)
- Diabetes (3)
- Diagnostic Safety and Quality (6)
- Education: Patient and Caregiver (2)
- Elderly (2)
- Electronic Health Records (EHRs) (49)
- Emergency Department (2)
- Emergency Medical Services (EMS) (2)
- Evidence-Based Practice (8)
- Healthcare-Associated Infections (HAIs) (4)
- Healthcare Cost and Utilization Project (HCUP) (1)
- Healthcare Delivery (3)
- Healthcare Utilization (1)
- Health Information Exchange (HIE) (3)
- (-) Health Information Technology (HIT) (91)
- Health Literacy (1)
- Health Services Research (HSR) (3)
- Health Systems (2)
- Heart Disease and Health (1)
- Home Healthcare (2)
- Hospitalization (1)
- Hospital Readmissions (2)
- Hospitals (17)
- Imaging (1)
- Implementation (3)
- Injuries and Wounds (2)
- Intensive Care Unit (ICU) (1)
- Learning Health Systems (1)
- Long-Term Care (2)
- Low-Income (1)
- Medicaid (1)
- Medical Errors (3)
- Medication (3)
- Medication: Safety (1)
- Mortality (1)
- Neurological Disorders (3)
- Nursing (2)
- Nursing Homes (2)
- Obesity (1)
- Obesity: Weight Management (1)
- Outcomes (3)
- Patient-Centered Healthcare (3)
- Patient-Centered Outcomes Research (3)
- Patient and Family Engagement (3)
- Patient Experience (4)
- Patient Safety (16)
- Payment (1)
- Practice Patterns (1)
- Pressure Ulcers (1)
- Prevention (1)
- Primary Care (12)
- Primary Care: Models of Care (1)
- Provider (1)
- Provider: Nurse (1)
- Provider Performance (9)
- Quality Improvement (44)
- Quality Indicators (QIs) (8)
- Quality Measures (14)
- (-) Quality of Care (91)
- Racial and Ethnic Minorities (2)
- Registries (2)
- Respiratory Conditions (1)
- Sepsis (2)
- Simulation (1)
- Stroke (1)
- Surgery (8)
- Telehealth (8)
- Tools & Toolkits (2)
- Trauma (1)
- Urban Health (1)
- Urinary Tract Infection (UTI) (1)
- Vulnerable Populations (1)
- Web-Based (1)
- Workflow (1)
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
76 to 91 of 91 Research Studies DisplayedAhmed S, Siegel CA, Melmed GY
Implementing quality measures for inflammatory bowel disease.
The author argues that implementation of quality measures may depend on the care setting and whether quality measurement and improvement can be incorporated into workflows and electronic medical records. He also asserts that collaborative networks, utilization of care pathways, and standardized treatment algorithms may represent avenues for wide-scale implementation of quality improvement.
AHRQ-funded; HS021747.
Citation: Ahmed S, Siegel CA, Melmed GY .
Implementing quality measures for inflammatory bowel disease.
Curr Gastroenterol Rep 2015 Apr;17(4):14. doi: 10.1007/s11894-015-0437-1..
Keywords: Quality Measures, Quality of Care, Quality Improvement, Electronic Health Records (EHRs), Health Information Technology (HIT)
Stifter J, Yao Y, Lopez KD
Proposing a new conceptual model and an exemplar measure using health information: Technology to examine the impact of relational nurse continuity on hospital-acquired pressure ulcers.
The authors present a new conceptual model and an innovative use of health information technology to measure relational nurse continuity and to demonstrate the potential for bringing the results of big data science back to the bedside. Understanding the power of big data to address critical clinical issues may foster a new direction for nursing administration theory development.
AHRQ-funded; HS023072.
Citation: Stifter J, Yao Y, Lopez KD .
Proposing a new conceptual model and an exemplar measure using health information: Technology to examine the impact of relational nurse continuity on hospital-acquired pressure ulcers.
ANS Adv Nurs Sci 2015 Jul-Sep;38(3):241-51. doi: 10.1097/ans.0000000000000081.
.
.
Keywords: Nursing, Pressure Ulcers, Quality of Care, Health Information Technology (HIT), Healthcare-Associated Infections (HAIs)
Baier RR, Cooper E, Wysocki A
Using qualitative methods to create a home health web application user interface for patients with low computer proficiency.
The researchers undertook a multi-phased approach to create a consumer-facing home health web application in Rhode Island. This included reviewing the evidence base to identify design recommendations and then creating a paper prototype and wireframe. They performed qualitative research to iteratively test their proposed user interface with two user groups, home health consumers and hospital case managers and t]hen refined their design to create the final web application.
AHRQ-funded; HS021879
Citation: Baier RR, Cooper E, Wysocki A .
Using qualitative methods to create a home health web application user interface for patients with low computer proficiency.
eGEMS. 2015 May 13;3(2):1166. doi: 10.13063/2327-9214.1166..
Keywords: Home Healthcare, Health Information Technology (HIT), Quality of Care, Education: Patient and Caregiver
Ornstein SM, Nemeth LS, Nietert PJ
Learning from primary care meaningful use exemplars.
This report presents the results of a multimethod study combining an EHR-based clinical quality measurements (CQM) performance assessment, a provider survey, and focus groups among high CQM performers. It concluded that purposeful use of EHR functionality coupled with staff education in a milieu where Quality Improvement is valued and supported is associated with higher performance on CQM.
AHRQ-funded; HS022701; HS018984.
Citation: Ornstein SM, Nemeth LS, Nietert PJ .
Learning from primary care meaningful use exemplars.
J Am Board Fam Med 2015 May-Jun;28(3):360-70. doi: 10.3122/jabfm.2015.03.140219..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Primary Care, Quality Indicators (QIs), Quality of Care
Newman ED, Lerch V, Billet J
Improving the quality of care of patients with rheumatic disease using patient-centric electronic redesign software.
To improve the quality of care for patients with rheumatic disease, the researchers developed electronic data capture, aggregation, display, and documentation software. They found that their software was adopted for use by 86% of patients and rheumatologists. They concluded that the software was well-adopted by patients and providers. Post-implementation, significant improvements in quality of care, efficiency of care, and productivity were demonstrated.
AHRQ-funded; 290200600019I.
Citation: Newman ED, Lerch V, Billet J .
Improving the quality of care of patients with rheumatic disease using patient-centric electronic redesign software.
Arthritis Care Res 2015 Apr;67(4):546-53. doi: 10.1002/acr.22479..
Keywords: Health Information Technology (HIT), Quality of Care, Arthritis, Patient-Centered Outcomes Research
Kern LM, Edwards AM, Pichardo M
Electronic health records and health care quality over time in a federally qualified health center.
The researchers sought to determine the association between EHRs and quality of care in a large Federally Qualified Health Center (FQHC), during the 3 years following EHR implementation. They found that the magnitude of absolute improvement ranged from 5 percent to 20 percent per measure. EHRs were associated with continuing improvement in health care quality for at least 3 years post-implementation in the safety-net setting of a FQHC.
AHRQ-funded; HS017067.
Citation: Kern LM, Edwards AM, Pichardo M .
Electronic health records and health care quality over time in a federally qualified health center.
J Am Med Inform Assoc 2015 Mar;22(2):453-8. doi: 10.1093/jamia/ocu049..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Quality of Care
Singh H, Sittig DF
Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.
The Safer Dx framework can help stakeholders measure a monitor diagnostic errors, which are considered hard to tackle and remain elusive to improvement efforts because they are difficult to define and measure.
AHRQ-funded; HS022087
Citation: Singh H, Sittig DF .
Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.
BMJ Qual Saf. 2015 Feb;24(2):103-10. doi: 10.1136/bmjqs-2014-003675..
Keywords: Health Information Technology (HIT), Quality of Care, Patient Safety
Eslami MH, Doros G, Goodney PP
Using vascular quality initiative as a platform for organizing multicenter, prospective, randomized clinical trials: OVERPAR trial.
The researchers describe the organization of a prospective, randomized, multicenter trial comparing the effectiveness of open popliteal artery aneurysm repair (OPAR) and endovascular popliteal artery aneurysm repair (EPAR) of asymptomatic popliteal artery aneurysms (PAAs) as an example for how to use the Vascular Quality Initiative (VQI) framework. They concluded that using the existing VQI infrastructure, Open versus Endovascular Repair of PAAs will provide level 1 data for PAA treatment on a modest budget.
AHRQ-funded; HS021581.
Citation: Eslami MH, Doros G, Goodney PP .
Using vascular quality initiative as a platform for organizing multicenter, prospective, randomized clinical trials: OVERPAR trial.
Ann Vasc Surg 2015 Feb;29(2):278-85. doi: 10.1016/j.avsg.2014.08.007..
Keywords: Quality of Care, Evidence-Based Practice, Health Information Technology (HIT)
Eschler J, O'Leary K, Kendall L
Systematic inquiry for design of health care information systems: an example of elicitation of the patient stakeholder perspective.
The authors described the application of a theoretical framework to organize qualitative data during a multi-stage research study into patient engagement with electronic health records, thereby more effectively eliciting patient stakeholder needs and goals to inform the design of future health care information systems.
AHRQ-funded; HS021590.
Citation: Eschler J, O'Leary K, Kendall L .
Systematic inquiry for design of health care information systems: an example of elicitation of the patient stakeholder perspective.
Proc Annu Hawaii Int Conf Syst Sci 2015 Jan 5;2015:2804-13. doi: 10.1109/hicss.2015.339.
.
.
Keywords: Electronic Health Records (EHRs), Quality of Care, Health Information Technology (HIT), Patient and Family Engagement
Collinsworth AW, Masica AL, Priest EL
Modifying the electronic health record to facilitate the implementation and evaluation of a bundled care program for intensive care unit delirium.
This case study describes how an integrated health care delivery system modified its inpatient electronic health record to accelerate the implementation and evaluation of ABCDE bundle deployment as a safety and quality initiative for the prevention of delirium in intensive care unit patients.
AHRQ-funded; HS021459
Citation: Collinsworth AW, Masica AL, Priest EL .
Modifying the electronic health record to facilitate the implementation and evaluation of a bundled care program for intensive care unit delirium.
eGEMS. 2014;2(1):1121. doi: 10.13063/2327-9214.1121..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Intensive Care Unit (ICU), Patient Safety, Quality of Care
Adams WG, Phillips BD, Bacic JD
Automated conversation system before pediatric primary care visits: a randomized trial.
The purpose of this study was to determine whether use of an interactive voice response system, the Personal Health Partner (PHP), before routine health care maintenance visits could improve the quality of primary care visits and be well accepted by parents and clinicians. It found that the PHP was able to identify and counsel in multiple areas. All clinicians reported that PHP improved the quality of their care.
AHRQ-funded; HS017248
Citation: Adams WG, Phillips BD, Bacic JD .
Automated conversation system before pediatric primary care visits: a randomized trial.
Pediatrics. 2014 Sep;134(3):e691-9. doi: 10.1542/peds.2013-3759..
Keywords: Primary Care, Quality of Care, Children/Adolescents, Health Information Technology (HIT)
Benkert R, Dennehy P, White J
Diabetes and hypertension quality measurement in four safety-net sites: lessons learned after implementation of the same commercial electronic health record.
The authors described what implementation of a commercially available EHR with built-in quality query algorithms showed us about our care for diabetes and hypertension populations in four safety net clinics. They found that utilizing a shared EHR, a Regional Extension Center-like partnership model, and similar quality query algorithms allowed safety-net clinics to benchmark and improve the quality of care across differing patient populations and health care delivery models.
AHRQ-funded; HS017191.
Citation: Benkert R, Dennehy P, White J .
Diabetes and hypertension quality measurement in four safety-net sites: lessons learned after implementation of the same commercial electronic health record.
Appl Clin Inform 2014 Aug 20;5(3):757-72. doi: 10.4338/aci-2014-03-ra-0019.
.
.
Keywords: Diabetes, Blood Pressure, Electronic Health Records (EHRs), Health Information Technology (HIT), Quality of Care, Chronic Conditions
Longo DR, Woolf HS
Rethinking the information priorities of patients.
Efforts have intensified to provide consumers with online data tools and consumer reports that offer profiles and statistics for evaluating specialists, hospitals, and other clinical facilities. In this article, the authors examine two key questions: what should these resources look like and do patients really want them?
AHRQ-funded; HS021902
Citation: Longo DR, Woolf HS .
Rethinking the information priorities of patients.
JAMA. 2014 May 14;311(18):1857-8. doi: 10.1001/jama.2014.3038..
Keywords: Education: Patient and Caregiver, Decision Making, Quality of Care, Health Information Technology (HIT), Web-Based
Paez K, Roper RA, Andrews RM
AHRQ Author: Roper RA, Andrews RM
Health information technology and hospital patient safety: a conceptual model to guide research.
The authors developed a conceptual model to guide research in sorting out the complex relationships between health information technology (HIT) and the quality and safety of care. They found the model difficult to operationalize because available HIT adoption data did not characterize features and extent of usage, and patient safety measures did not elucidate the process failures leading to safety-related outcomes. Their findings illustrated the critical need for collecting data that are germane to HIT and the possible mechanisms by which HIT may affect inpatient safety.
AHRQ-authored; AHRQ-funded.
Citation: Paez K, Roper RA, Andrews RM .
Health information technology and hospital patient safety: a conceptual model to guide research.
Jt Comm J Qual Patient Saf 2013 Sep;39(9):415-25.
.
.
Keywords: Healthcare Cost and Utilization Project (HCUP), Health Information Technology (HIT), Hospitals, Quality of Care, Patient Safety
Lobach DF, Kawamoto K, Anstrom KJ
A randomized trial of population-based clinical decision support to manage health and resource use for Medicaid beneficiaries.
This study tested the impact of 3 clinical decision support modalities (emails to care managers, printed reports to clinic administrators, and letters to patients) on the use and cost of medical services for Medicaid patients. It found that some modalities can significantly reduce emergency department use and medical costs, while other interventions may have had detrimental consequences.
AHRQ-funded; HS015057
Citation: Lobach DF, Kawamoto K, Anstrom KJ .
A randomized trial of population-based clinical decision support to manage health and resource use for Medicaid beneficiaries.
J Med Syst. 2013 Feb;37(1):9922. doi: 10.1007/s10916-012-9922-3..
Keywords: Clinical Decision Support (CDS), Health Information Technology (HIT), Medicaid, Emergency Medical Services (EMS), Quality of Care
Dixon BE, Rosenman M, Xia Y
A vision for the systematic monitoring and improvement of the quality of electronic health data.
In order to more systematically define, characterize and improve electronic health data quality, the authors propose a novel framework for health data stewardship. Their framework is adapted from prior data quality research outside of health, but it has been reshaped to apply a systems approach to data quality with an emphasis on health outcomes.
AHRQ-funded; HS020909.
Citation: Dixon BE, Rosenman M, Xia Y .
A vision for the systematic monitoring and improvement of the quality of electronic health data.
Stud Health Technol Inform 2013;192:884-8..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Quality Improvement, Quality of Care