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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
1 to 5 of 5 Research Studies DisplayedBalbin CA, Kawamoto K
The SIMPLE architectural pattern for integrating patient-facing apps into clinical workflows: desiderata and application for lung cancer screening.
To address the need for electronic health record (EHR) systems to accept the connection of any patient-facing digital health app using the SMART on FHIR standard, the authors proposed the Standards-based Implementation Maximizing Portability Leveraging the EHR (SIMPLE). SIMPLE’s architectural pattern was designed to meet several key requirements, such as not requiring patients to install new software; not retaining patient data outside of the EHR; leveraging existing personal health record (PHR) capabilities to optimize user experience; and maximizing portability.
AHRQ-funded; HS028791.
Citation: Balbin CA, Kawamoto K .
The SIMPLE architectural pattern for integrating patient-facing apps into clinical workflows: desiderata and application for lung cancer screening.
AMIA Annu Symp Proc 2024 Jan 11; 2023:844-53..
Keywords: Workflow, Health Information Technology (HIT), Cancer: Lung Cancer, Cancer, Screening
Mojica CM, Gunn R, Pham R
An observational study of workflows to support fecal testing for colorectal cancer screening in primary care practices serving Medicaid enrollees.
This study was conducted to describe clinical workflows for fecal immunochemical tests/fecal occult blood tests (FIT/FOBT) in Oregon primary care practices and to identify specific workflow processes that might be associated with higher colorectal cancer (CRC) screening rates. Findings showed that primary care practices with higher CRC screening rates among newly age-eligible Medicaid enrollees had more established visit-based and population outreach workflows to support identifying patients due for screening, FIT/FOBT distribution, reminders, and follow up. Higher CRC screening was associated with having medical assistants discuss and review FIT/FOBT screening and instructions with patients.
AHRQ-funded; HS022981.
Citation: Mojica CM, Gunn R, Pham R .
An observational study of workflows to support fecal testing for colorectal cancer screening in primary care practices serving Medicaid enrollees.
BMC Cancer 2022 Jan 25;22(1):106. doi: 10.1186/s12885-021-09106-7..
Keywords: Workflow, Screening, Cancer: Colorectal Cancer, Cancer, Primary Care, Vulnerable Populations
Craddock Lee SJ, Reimer T, Garcia S
Definition and coordination of roles and responsibilities among cancer center clinic and research personnel.
This survey looked at how cancer center clinic and research personnel define their roles and responsibilities. A survey was developed that incorporated modified components of the Survey of Physician Attitudes Regarding the Care of Cancer Survivors and was administered to clinic nursing staff and research personnel at a National Cancer Institute-designated comprehensive cancer center. Surveys were completed by 105 staff members (50 research staff, 55 clinic staff, 61% response rate). Research staff were more likely to feel that they had the skills to answer questions, convey information, and provide education for patients. Less than one-third of clinic and research staff reported ever receiving communication about responsibilities. There was also substantial variation in the preferred model for delivery to care of patients in clinical trials.
AHRQ-funded; HS022418.
Citation: Craddock Lee SJ, Reimer T, Garcia S .
Definition and coordination of roles and responsibilities among cancer center clinic and research personnel.
JCO Oncol Pract 2020 Jan;16(1):e64-e74. doi: 10.1200/jop.19.00315..
Keywords: Cancer, Provider, Workflow
Acharya S, Fischer-Valuck BW, Kashani R
Online magnetic resonance image guided adaptive radiation therapy: first clinical applications.
The authors demonstrated the feasibility of online adaptive magnetic resonance (MR) image guided radiation therapy (MR-IGRT) with five patients with abdominopelvic malignancies. They successfully implemented online adaptive MR-IGRT with planning and quality assurance workflow suitable for routine clinical application. Clinical trials are in development to formally evaluate adaptive treatments for a variety of disease sites.
AHRQ-funded; HS022888.
Citation: Acharya S, Fischer-Valuck BW, Kashani R .
Online magnetic resonance image guided adaptive radiation therapy: first clinical applications.
Int J Radiat Oncol Biol Phys 2016 Feb;94(2):394-403. doi: 10.1016/j.ijrobp.2015.10.015.
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Keywords: Cancer, Cancer: Colorectal Cancer, Imaging, Workflow
Zai AH, Kim S, Kamis A
Applying operations research to optimize a novel population management system for cancer screening.
The objective of this paper is to optimize a new visit-independent, population-based cancer screening system (TopCare) by using operations research techniques to simulate changes in patient outreach staffing levels (delegates, navigators), modifications to user workflow within the information technology (IT) system, and changes in cancer screening recommendations. Results showed that simulating the impact of changes in staffing, system parameters, and clinical inputs on the effectiveness and efficiency of care can inform the allocation of limited resources in population management.
AHRQ-funded; HS018161.
Citation: Zai AH, Kim S, Kamis A .
Applying operations research to optimize a novel population management system for cancer screening.
J Am Med Inform Assoc 2014 Feb;21(e1):e129-35. doi: 10.1136/amiajnl-2013-001681.
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Keywords: Cancer, Health Information Technology (HIT), Prevention, Screening, Workflow