National Healthcare Quality and Disparities Report
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- Registries (2)
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- Risk (52)
- Rural/Inner-City Residents (3)
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- Screening (187)
- Sepsis (3)
- Sex Factors (2)
- Sexual Health (27)
- Sickle Cell Disease (2)
- Skin Conditions (4)
- Sleep Problems (2)
- Social Determinants of Health (16)
- Social Media (2)
- Social Stigma (4)
- Stress (1)
- Stroke (4)
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- Surgery (28)
- Teams (5)
- Telehealth (9)
- Tobacco Use (13)
- Tobacco Use: Smoking Cessation (4)
- Tools & Toolkits (6)
- Training (6)
- Transplantation (2)
- Treatments (1)
- U.S. Preventive Services Task Force (USPSTF) (143)
- Uninsured (4)
- Urban Health (3)
- Urinary Tract Infection (UTI) (15)
- Vaccination (25)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
676 to 700 of 794 Research Studies DisplayedJones SM, Gell NM, Roth JA
The relationship of perceived risk and biases in perceived risk to fracture prevention behavior in older women.
The researchers compared perceived risk and biases in perceived risk for fracture to fracture preventive behavior. They found that higher perceived risk was related to lower quality of life and self-reported health, more medication and calcium use, increased bone density scan use, and less walking. Bias was only associated with less medication use. Neither perceived risk nor bias predicted medication adherence.
AHRQ-funded; HS022982.
Citation: Jones SM, Gell NM, Roth JA .
The relationship of perceived risk and biases in perceived risk to fracture prevention behavior in older women.
Ann Behav Med 2015 Oct;49(5):696-703. doi: 10.1007/s12160-015-9702-7.
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Keywords: Injuries and Wounds, Women, Risk, Prevention, Education: Patient and Caregiver
Caya T, Musuuza J, Yanke E
Using a systems engineering initiative for patient safety to evaluate a hospital-wide daily chlorhexidine bathing intervention.
The researchers undertook a systems engineering approach to evaluate housewide implementation of daily chlorhexidine bathing. They performed direct observations of the bathing process and conducted provider and patient surveys. The main outcome was compliance with bathing using a checklist. Fifty-seven percent of baths had full compliance with the chlorhexidine bathing protocol. Additional time was the main barrier.
AHRQ-funded; HS024039.
Citation: Caya T, Musuuza J, Yanke E .
Using a systems engineering initiative for patient safety to evaluate a hospital-wide daily chlorhexidine bathing intervention.
J Nurs Care Qual 2015 Oct-Dec;30(4):337-44. doi: 10.1097/ncq.0000000000000129..
Keywords: Patient Safety, Prevention, Healthcare-Associated Infections (HAIs)
Heo HH, Sentell TL, Li D
Disparities in potentially preventable hospitalizations for chronic conditions among Korean Americans, Hawaii, 2010-2012.
The researchers compared preventable hospitalizations for chronic conditions in aggregate and for congestive heart failure (CHF) for Korean Americans and whites in Hawaii. They found that older Korean American patients may have significant disparities in preventable hospitalizations, which suggests poor access to or poor quality of primary health care.
AHRQ-funded; HS019990.
Citation: Heo HH, Sentell TL, Li D .
Disparities in potentially preventable hospitalizations for chronic conditions among Korean Americans, Hawaii, 2010-2012.
Prev Chronic Dis 2015 Sep 17;12:E152. doi: 10.5888/pcd12.150057.
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Keywords: Disparities, Racial and Ethnic Minorities, Hospitalization, Prevention, Chronic Conditions
McNellis R, Lewis P
AHRQ Author: McNellis R
Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults with cardiovascular risk factors.
This case study quiz is based on the recommendations of the USPSTF. The case concerns a 34-year-old man who smokes. When he presents for his annual checkup for hypertension, his blood pressure is elevated (142/95 mm Hg), and he has gained 10 lb (4.5 kg) since his last visit.
AHRQ-authored.
Citation: McNellis R, Lewis P .
Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults with cardiovascular risk factors.
Am Fam Physician 2015 Sep 15;92(6):509-10.
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Keywords: Behavioral Health, Cardiovascular Conditions, Case Study, Lifestyle Changes, Nutrition, Prevention, Risk, U.S. Preventive Services Task Force (USPSTF)
Milstone AM, Koontz DW, Voskertchian A
Treating parents to reduce NICU transmission of Staphylococcus aureus (TREAT PARENTS) trial: protocol of a multisite randomised, double-blind, placebo-controlled trial.
This study looks to measure the effect of treating parents with short course intranasal mupirocin and topical chlorhexidine antisepsis on acquisition of S. aureus colonisation and infection in neonates. The primary outcome will be neonatal acquisition of an S. aureus strain that is concordant to the parental baseline S. aureus strain.
AHRQ-funded; HS022872.
Citation: Milstone AM, Koontz DW, Voskertchian A .
Treating parents to reduce NICU transmission of Staphylococcus aureus (TREAT PARENTS) trial: protocol of a multisite randomised, double-blind, placebo-controlled trial.
BMJ Open 2015 Sep 09;5(9):e009274. doi: 10.1136/bmjopen-2015-009274.
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Keywords: Healthcare-Associated Infections (HAIs), Newborns/Infants, Antimicrobial Stewardship, Prevention, Neonatal Intensive Care Unit (NICU)
Gance-Cleveland B, Aldrich H, Dandreaux D
A virtual childhood obesity collaborative: satisfaction with online continuing education.
This descriptive study evaluated school-based health center (SBHC) providers’ satisfaction with Web based continuing education as part of a virtual childhood obesity intervention. Participation in the first two learning sessions was higher than the last two. Provider satisfaction of training modules by question type and content area was quite high. Many providers also reported plans to make changes in their practice after completing the training.
AHRQ-funded; HS018646.
Citation: Gance-Cleveland B, Aldrich H, Dandreaux D .
A virtual childhood obesity collaborative: satisfaction with online continuing education.
J Pediatr Health Care 2015 Sep-Oct;29(5):413-23. doi: 10.1016/j.pedhc.2015.01.006..
Keywords: Education: Continuing Medical Education, Obesity, Children/Adolescents, Prevention, Web-Based
Curry SJ, Whitlock EP
Behavioral counseling interventions expert forum: overview and primer on U.S. Preventive Services Task Force methods.
In November 2013, the U.S. Preventive Services Task Force convened an expert forum on behavioral counseling interventions. The forum brought together NIH, CDC, and AHRQ leaders, leading behavioral counseling researchers, and members of the U.S. preventive Services Task Force to discuss issues related to optimizing evidence-based behavioral counseling recommendations. This paper provides an overview of the methods used by the Task Force to develop counseling recommendations.
AHRQ-funded; 290201000004I.
Citation: Curry SJ, Whitlock EP .
Behavioral counseling interventions expert forum: overview and primer on U.S. Preventive Services Task Force methods.
Am J Prev Med 2015 Sep;49(3 Suppl 2):S129-37. doi: 10.1016/j.amepre.2015.04.017.
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Keywords: Behavioral Health, Evidence-Based Practice, Guidelines, Prevention, U.S. Preventive Services Task Force (USPSTF)
Theodoro D, Olsen MA, Warren DK
Emergency department central line-associated bloodstream infections (CLABSI) incidence in the era of prevention practices.
The incidence of central line–associated bloodstream infections (CLABSI) attributed to central venous catheters (CVCs) inserted in the emergency department (ED) is not widely reported. The goal of this study was to report the incidence of ED CLABSI. It concluded that the CLABSI rates in this academic medical center ED were in the range of those reported by the ICU.
AHRQ-funded; HS018092; HS019455.
Citation: Theodoro D, Olsen MA, Warren DK .
Emergency department central line-associated bloodstream infections (CLABSI) incidence in the era of prevention practices.
Acad Emerg Med 2015 Sep;22(9):1048-55. doi: 10.1111/acem.12744..
Keywords: Central Line-Associated Bloodstream Infections (CLABSI), Emergency Department, Healthcare-Associated Infections (HAIs), Intensive Care Unit (ICU), Prevention
Nijhawan AE, Kitchell E, Etherton SS
Half of 30-day hospital readmissions among HIV-infected patients are potentially preventable.
The researchers assessed whether readmissions among HIV-infected patients were potentially preventable using both published criteria and detailed chart review, how readmissions might have been prevented, and the phase of care deemed suboptimal (inpatient care, discharge planning, post-discharge). They found that among 130 individuals experiencing 30-day readmissions, about half were determined to be potentially preventable using published criteria (53 percent) or implicit chart review (48 percent).
AHRQ-funded; HS022418.
Citation: Nijhawan AE, Kitchell E, Etherton SS .
Half of 30-day hospital readmissions among HIV-infected patients are potentially preventable.
AIDS Patient Care STDS 2015 Sep;29(9):465-73. doi: 10.1089/apc.2015.0096..
Keywords: Human Immunodeficiency Virus (HIV), Hospital Readmissions, Electronic Health Records (EHRs), Patient-Centered Outcomes Research, Prevention
Thompson DA, Marsteller JA, Pronovost PJ
Locating errors through networked surveillance: A multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.
The objectives of the study were to develop a scientifically sound and feasible peer-to-peer assessment model that allows health-care organizations to evaluate patient safety in cardiovascular operating rooms and to establish safety priorities for improvement. It identified 6 top priority hazard themes: safety culture, teamwork and communication, infection prevention, transitions of care, failure to adhere to practices or policies, and operating room layout and equipment.
AHRQ-funded; HS013904.
Citation: Thompson DA, Marsteller JA, Pronovost PJ .
Locating errors through networked surveillance: A multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.
J Patient Saf 2015 Sep;11(3):143-51. doi: 10.1097/pts.0000000000000059..
Keywords: Patient Safety, Medical Errors, Adverse Events, Surgery, Cardiovascular Conditions, Prevention
Ludman EJ, Curry SJ
Perspectives in implementing a primary care-based intervention to reduce alcohol misuse.
This study, Options Regarding Consumption of Alcohol (ORCA), was designed to test whether a primary care-based intervention would reduce alcohol misuse among patients who screened positive for risky or hazardous drinking. This paper assesses the study features using the Pragmatic-Explanatory Continuum Indicator Summary Model domains. As a randomized trial, the study included some explanatory features (e.g., standardized follow-up surveys administered by study personnel); however, several aspects of the study were highly pragmatic.
AHRQ-funded; 290201000004I.
Citation: Ludman EJ, Curry SJ .
Perspectives in implementing a primary care-based intervention to reduce alcohol misuse.
Am J Prev Med 2015 Sep;49(3 Suppl 2):S194-9. doi: 10.1016/j.amepre.2015.05.016.
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Keywords: Alcohol Use, Behavioral Health, Prevention, Primary Care, U.S. Preventive Services Task Force (USPSTF)
Creech CB, Al-Zubeidi DN, Fritz SA
Prevention of recurrent staphylococcal skin infections.
Staphylococcus aureus infections pose a significant health burden. As S aureus colonization is associated with subsequent infection, decolonization is recommended for patients with recurrent skin and soft tissue infections or in settings of ongoing transmission. S aureus infections often cluster within households, and asymptomatic carriers serve as reservoirs for transmission; therefore, a household approach to decolonization is more effective than measures performed by individuals alone.
AHRQ-funded; HS021736.
Citation: Creech CB, Al-Zubeidi DN, Fritz SA .
Prevention of recurrent staphylococcal skin infections.
Infect Dis Clin North Am 2015 Sep;29(3):429-64. doi: 10.1016/j.idc.2015.05.007.
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Keywords: Prevention, Methicillin-Resistant Staphylococcus aureus (MRSA), Antimicrobial Stewardship, Patient Safety
McNellis RJ, Ory MG, Lin JS
AHRQ Author: McNellis RJ
Standards of evidence for behavioral counseling recommendations.
This paper summarizes and expands upon an extensive discussion held at the U.S. Preventive Services Task Force’s Expert Forum on behavioral counseling interventions held in November 2013. The paper describes the foundational challenges for using behavioral outcomes as evidence to support a Task Force recommendation.
AHRQ-authored
Citation: McNellis RJ, Ory MG, Lin JS .
Standards of evidence for behavioral counseling recommendations.
Am J Prev Med 2015 Sep;49(3 Suppl 2):S150-7. doi: 10.1016/j.amepre.2015.06.002..
Keywords: Behavioral Health, Evidence-Based Practice, Health Promotion, Prevention, Primary Care, U.S. Preventive Services Task Force (USPSTF)
Roghmann MC, Johnson JK, Sorkin JD
Transmission of methicillin-resistant Staphylococcus aureus (MRSA) to healthcare worker gowns and gloves during care of nursing home residents.
This study estimated the frequency of methicillin-resistant Staphylococcus aureus (MRSA) transmission to gowns and gloves worn by healthcare workers (HCWs) interacting with nursing home residents to better inform infection prevention policies in this setting. It found that MRSA transmission from MRSA-positive residents to health care worker gown and gloves is substantial; high-contact activities of daily living confer the highest risk.
AHRQ-funded; HS019979.
Citation: Roghmann MC, Johnson JK, Sorkin JD .
Transmission of methicillin-resistant Staphylococcus aureus (MRSA) to healthcare worker gowns and gloves during care of nursing home residents.
Infect Control Hosp Epidemiol 2015 Sep;36(9):1050-7. doi: 10.1017/ice.2015.119..
Keywords: Methicillin-Resistant Staphylococcus aureus (MRSA), Patient Safety, Nursing Homes, Prevention
Rivera-Hernandez M, Galarraga O
Type of insurance and use of preventive health services among older adults in Mexico.
The main purpose of this study was to assess the differences between Seguro Popular (SP) and employer-based health insurance in the use of preventive services,. It found that SP enrollees were more likely to use screening tests for diabetes, cholesterol, hypertension, and cervical cancer than the uninsured; however, those in employment-based and private insurances had higher odds of using preventive care for most services.
AHRQ-funded; HS0000011.
Citation: Rivera-Hernandez M, Galarraga O .
Type of insurance and use of preventive health services among older adults in Mexico.
J Aging Health 2015 Sep;27(6):962-82. doi: 10.1177/0898264315569457..
Keywords: Health Insurance, Health Insurance, Prevention, Screening
Mabry-Hernandez I, Lewis P
AHRQ Author: Mabry-Hernandez I
Screening for hepatitis B virus infection in nonpregnant adolescents and adults.
This paper presents a case study and quiz regarding a 35-year-old man whose parents were born in southeast Asia. Although he was born in the United States, he. does not have any vaccination records from his childhood. During an office visit, he mentions that a relative was recently diagnosed with hepatitis B virus (HBV) infection and asks whether he should be screened. Correct answers are based on the U.S. Preventive Services Task Force Recommendation Statement.
AHRQ-authored.
Citation: Mabry-Hernandez I, Lewis P .
Screening for hepatitis B virus infection in nonpregnant adolescents and adults.
Am Fam Physician 2015 Aug 15;92(4):301-2..
Keywords: U.S. Preventive Services Task Force (USPSTF), Screening, Hepatitis, Prevention
Slayton RB, Toth D, Lee BY
Vital signs: estimated effects of a coordinated approach for action to reduce antibiotic-resistant infections in health care facilities - United States.
The researchers analyzed data from CDC's National Healthcare Safety Network and Emerging Infections Program to project the number of health care-associated infections (HAIs) from antibiotic-resistant bacteria or C. difficile both with and without a large scale national intervention that would include interrupting transmission and improved antibiotic stewardship. They found that, with effective action now, more than half a million antibiotic-resistant HAIs could be prevented over 5 years and that a coordinated approach to interrupting transmission is more effective than historical independent facility-based efforts.
AHRQ-funded; HS023317.
Citation: Slayton RB, Toth D, Lee BY .
Vital signs: estimated effects of a coordinated approach for action to reduce antibiotic-resistant infections in health care facilities - United States.
MMWR Morb Mortal Wkly Rep 2015 Aug 7;64(30):826-31.
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Keywords: Antibiotics, Clostridium difficile Infections, Healthcare-Associated Infections (HAIs), Patient Safety, Prevention
Ho T, Dukhovny D, Zupancic JA
Choosing Wisely in newborn medicine: five opportunities to increase value.
This report describes the identification of 5 tests and treatments in newborn medicine. The expert panel achieved consensus on the top 5 items. The first item was to avoid routine use of antireflux medications for treatment of symptomatic gastroesophageal reflux disease or for treatment of apnea and desaturation in preterm infants.
AHRQ-funded; HS000063.
Citation: Ho T, Dukhovny D, Zupancic JA .
Choosing Wisely in newborn medicine: five opportunities to increase value.
Pediatrics 2015 Aug;136(2):e482-9. doi: 10.1542/peds.2015-0737..
Keywords: Newborns/Infants, Prevention, Patient-Centered Outcomes Research, Guidelines
Goldman SN, Liss DT, Brown T
Comparative effectiveness of multifaceted outreach to initiate colorectal cancer screening in community health centers: a randomized controlled trial.
The researchers sought to determine whether outreach increases fecal immune-chemical test (FIT) uptake among patients with no CRC screening history compared to usual care. They found that patients who received outreach were more likely to complete FIT than those in usual care (36.7 percent vs. 14.8 percent).
AHRQ-funded; HS021141.
Citation: Goldman SN, Liss DT, Brown T .
Comparative effectiveness of multifaceted outreach to initiate colorectal cancer screening in community health centers: a randomized controlled trial.
J Gen Intern Med 2015 Aug;30(8):1178-84. doi: 10.1007/s11606-015-3234-5..
Keywords: Community-Based Practice, Comparative Effectiveness, Patient-Centered Outcomes Research, Prevention, Screening
Safdar N, Perencevich E
Crossing the quality chasm for Clostridium difficile infection prevention.
The author comments on a new population-based cohort study (Daneman, et al.) in the same journal issue on the association of hospital prevention processes and patient risk factors with the risk of Clostridium difficile infection. She concludes that the findings of the study are important and should serve as a wake-up call for institutions to participate actively in assessing and evaluating implementation of and adherence to CDI prevention practices.
AHRQ-funded; HS023791.
Citation: Safdar N, Perencevich E .
Crossing the quality chasm for Clostridium difficile infection prevention.
BMJ Qual Saf 2015 Jul;24(7):409-11. doi: 10.1136/bmjqs-2015-004344..
Keywords: Clostridium difficile Infections, Risk, Healthcare-Associated Infections (HAIs), Prevention
Padula WV, Valuck RJ, Makic MB
Factors influencing adoption of hospital-acquired pressure ulcer prevention programs in US academic medical centers.
The purpose of this study was to identify wound care nurse perceptions of the primary factors that influenced, the overall reduction of pressure ulcers (PUs). It found that several internal factors influenced evidence-based practice: hospital prevention campaigns; the availability of nursing specialists; and the level of preventive knowledge among hospital staff. External influential factors included financial concerns and data sharing among peer institutions.
AHRQ-funded; HS023710.
Citation: Padula WV, Valuck RJ, Makic MB .
Factors influencing adoption of hospital-acquired pressure ulcer prevention programs in US academic medical centers.
J Wound Ostomy Continence Nurs 2015 Jul-Aug;42(4):327-30. doi: 10.1097/won.0000000000000145..
Keywords: Evidence-Based Practice, Healthcare-Associated Infections (HAIs), Injuries and Wounds, Nursing, Patient Safety, Pressure Ulcers, Prevention
Albright K, Krantz MJ, Backlund JP
Health promotion text messaging preferences and acceptability among the medically underserved.
Preimplementation focus groups with participants informed the development of text messages that were used in a 6-week pilot program. Postimplementation focus groups and interviews then evaluated the pilot program. The results of the pilot study indicates support among participants for health promotion text messaging embedded into an existing community-based cardiovascular disease risk reduction program.
AHRQ-funded; HS021138.
Citation: Albright K, Krantz MJ, Backlund JP .
Health promotion text messaging preferences and acceptability among the medically underserved.
Health Promot Pract 2015 Jul;16(4):523-32. doi: 10.1177/1524839914566850..
Keywords: Community-Based Practice, Health Promotion, Prevention, Cardiovascular Conditions, Vulnerable Populations
Kiyoshi-Teo H, Blegen M
Influence of institutional guidelines on oral hygiene practices in intensive care units.
The purpose of this study was to explore how characteristics of institutional guidelines for oral hygiene influence nurses’ oral hygiene practices and perceptions of that practice. It concluded that the content and dissemination method of institutional guidelines on oral hygiene do influence the oral hygiene practices of critical care nurses.
AHRQ-funded; HS018879.
Citation: Kiyoshi-Teo H, Blegen M .
Influence of institutional guidelines on oral hygiene practices in intensive care units.
Am J Crit Care 2015 Jul;24(4):309-18. doi: 10.4037/ajcc2015920..
Keywords: Intensive Care Unit (ICU), Nursing, Critical Care, Prevention, Guidelines
Alexander GL
Nurse assistant communication strategies about pressure ulcers in nursing homes.
The author explored strategies nursing assistants use to communicate pressure ulcer prevention practices in nursing homes with variable information technology sophistication measures. Three major themes emerged: Passing on Information, Keeping Track of Needs, and Information Access.
AHRQ-funded; HS016862.
Citation: Alexander GL .
Nurse assistant communication strategies about pressure ulcers in nursing homes.
West J Nurs Res 2015 Jul;37(7):984-1004. doi: 10.1177/0193945914555201.
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Keywords: Communication, Health Information Technology (HIT), Nursing Homes, Pressure Ulcers, Prevention
Shaikh U, Romano P, Paterniti DA
Organizing for quality improvement in health care: An example from childhood obesity prevention.
The researchers evaluated how the quality improvement (QI) intervention, Healthy Eating Active Living TeleHealth Community of Practice, at 7 rural California clinics addressed the challenges. of preventing and managing obesity and translation of evidence into practice. Key challenges were clinician and staff buy-in, changing ingrained clinical practices, and motivating patient and families. Facilitators included top-down organizational requirements for QI, linkages to local QI resources, and involvement of clinical champions.
AHRQ-funded; HS018567.
Citation: Shaikh U, Romano P, Paterniti DA .
Organizing for quality improvement in health care: An example from childhood obesity prevention.
Qual Manag Health Care 2015 Jul-Sep;24(3):121-8. doi: 10.1097/qmh.0000000000000066.
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Keywords: Quality Improvement, Children/Adolescents, Obesity, Prevention, Primary Care