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Topics
- Clinician-Patient Communication (1)
- Communication (1)
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- Education: Continuing Medical Education (2)
- Electronic Health Records (EHRs) (1)
- (-) Emergency Department (7)
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- Health Information Technology (HIT) (1)
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- (-) Simulation (7)
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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 7 of 7 Research Studies DisplayedMcCarthy DM, Powell RE, Cameron KA
Simulation-based mastery learning compared to standard education for discussing diagnostic uncertainty with patients in the emergency department: a randomized controlled trial.
The purpose of this study was to evaluate the effectiveness of the Uncertainty Communication Education Module (UCEM) in improving physician communications. Patients' understanding of the care they received has implications for care quality, safety, and patient satisfaction, especially when they are discharged without a definitive diagnosis. Developing a patient-centered diagnostic uncertainty communication strategy will improve safety of acute care discharges. This trial has been designed to have a low-resource, scalable intervention that would allow for widespread dissemination and uptake.
AHRQ-funded; HS025651.
Citation: McCarthy DM, Powell RE, Cameron KA .
Simulation-based mastery learning compared to standard education for discussing diagnostic uncertainty with patients in the emergency department: a randomized controlled trial.
BMC Med Educ 2020 Feb 19;20(1):49. doi: 10.1186/s12909-020-1926-y..
Keywords: Education: Continuing Medical Education, Clinician-Patient Communication, Communication, Emergency Department, Simulation, Provider: Physician, Provider
Rosenman ED, Vrablik MC, Brolliar SM
Targeted simulation-based leadership training for trauma team leaders.
Effective team leadership is linked to better teamwork, which in turn is believed to improve patient care. Simulation-based training provides a mechanism to develop effective leadership behaviors. Traditionally, healthcare curricula have included leadership as a small component of broader teamwork training, with very few examples of leadership-focused curricula. The objective of this work was to describe a novel simulation-based team leadership curriculum that easily adapts to individual learners.
AHRQ-funded; HS022458.
Citation: Rosenman ED, Vrablik MC, Brolliar SM .
Targeted simulation-based leadership training for trauma team leaders.
West J Emerg Med 2019 May;20(3):520-26. doi: 10.5811/westjem.2019.2.41405..
Keywords: TeamSTEPPS, Teams, Simulation, Training, Emergency Department, Education: Continuing Medical Education, Quality Improvement, Quality of Care
Bond WF, Barker LT, Cooley KL
A simple low-cost method to integrate telehealth interprofessional team members during in situ simulation.
This article describes the integration of remote telehealth electronic intensive care unit (eICU) personnel into in situ simulations with rural emergency department (ED) care teams and the technical challenges of creating shared awareness of the patient's condition and the care team's progress among the care team, the eICU, and those running the simulation. The purpose of the simulations was to introduce telehealth technology and new processes of engaging the eICU via telehealth during sepsis care in rural EDs; development of the scenarios included experts in sepsis, telehealth, and emergency medicine. A shared in situ simulation clinical actions observational checklist was created using an off-the-shelf survey software program. The checklist was completed during the simulations by an onsite observer, and shared with the eICU team via teleconferencing software to and cue eICU nurse engagement. Staff from the two EDs were engaged and an eICU nurse participated in debriefing via the telehealth video system.
AHRQ-funded; HS024027.
Citation: Bond WF, Barker LT, Cooley KL .
A simple low-cost method to integrate telehealth interprofessional team members during in situ simulation.
Simul Healthc 2019 Apr;14(2):129-36. doi: 10.1097/sih.0000000000000357..
Keywords: Critical Care, Electronic Health Records (EHRs), Emergency Department, Health Information Technology (HIT), Rural Health, Simulation, Teams, Telehealth
Rosenman ED, Dixon AJ, Webb JM
A simulation-based approach to measuring team situational awareness in emergency medicine: a multicenter, observational study.
This study’s goal was to develop and evaluate a novel approach to the measurement of team situational awareness (TSA) in interprofessional emergency medicine (EM) teams. EM teams, consisting of resident physicians, nurses, and medical students, were recruited from the University of Washington and Wayne State University; each team completed a simulated emergency resuscitation scenario, then completed three measures: a TSA measure, a team perception of shared understanding measure, and a team leader effectiveness measure. The simulations were recorded and coded independently for team performance by using a previously validated measure. Relationships between the TSA measure and other variables were explored. The authors conclude that simulations can provide a platform for TSA research and that their study provides a feasible method for simulation-based assessment of TSA.
AHRQ-funded; HS020295; HS022458.
Citation: Rosenman ED, Dixon AJ, Webb JM .
A simulation-based approach to measuring team situational awareness in emergency medicine: a multicenter, observational study.
Acad Emerg Med 2018 Feb;25(2):196-204. doi: 10.1111/acem.13257..
Keywords: Shared Decision Making, Emergency Department, Simulation, Teams
Rosenman ED, Fernandez R, Wong AH
Changing systems through effective teams: a role for simulation.
The objectives of this research were to explore the antecedents and processes that support team effectiveness, to summarize the role of simulation in the development and understanding team effectiveness, and to identify research targets that further the improvement of team-based training and assessment; the ultimate goal was the improvement of healthcare systems. The authors explore the foundations of team effectiveness, with a focus on team affect and team cognition. They also discuss advanced team processes that build on these foundations. The role of simulation‐based training in targeting these constructs and identifying resources from the team science literature is highlighted. The collaboration between educators and researchers from emergency medicine and the team sciences is emphasized, as is the importance of using a translational science approach to evaluate simulation‐based team training and elucidate the relationship between training and systems‐level outcomes.
AHRQ-funded; HS024820.
Citation: Rosenman ED, Fernandez R, Wong AH .
Changing systems through effective teams: a role for simulation.
Acad Emerg Med 2018 Feb;25(2):128-43. doi: 10.1111/acem.13260.
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Keywords: Emergency Department, Healthcare Delivery, Simulation, Teams
Bond WF, Hui J, Fernandez R
The 2017 Academic Emergency Medicine Consensus Conference: Catalyzing System Change Through Healthcare Simulation: Systems, Competency, and Outcomes.
The Academic Emergency Medicine (AEM) Consensus Conference "Catalyzing System Change Through Healthcare Simulation: Systems, Competency, and Outcome" was conceived to foster discussion among experts in EM, engineering, and social sciences, focusing on key barriers and opportunities in simulation-based research. This executive summary describes the overall rationale for the conference, conference planning, and consensus-building approaches and outlines the focus of the eight breakout sessions.
AHRQ-funded; HS024820.
Citation: Bond WF, Hui J, Fernandez R .
The 2017 Academic Emergency Medicine Consensus Conference: Catalyzing System Change Through Healthcare Simulation: Systems, Competency, and Outcomes.
Acad Emerg Med 2018 Feb;25(2):109-15. doi: 10.1111/acem.13302..
Keywords: Emergency Department, Healthcare Delivery, Health Services Research (HSR), Simulation
Laker LF, Torabi E, France DJ
Understanding emergency care delivery through computer simulation modeling.
This article is a product of a breakout session from the 2017 Academic Emergency Medicine conference entitled “Catalyzing System Change through Health Care Simulation: Systems, Competency, and Outcomes.” This article explores the role that computer simulation modeling can and should play in developing emergency room care delivery systems. The four approaches to computer simulation modeling were described and each of their benefits and risks. An introduction to available software modeling platforms and how to determine the best one for the readers situation is also included.
AHRQ-funded; HS021749.
Citation: Laker LF, Torabi E, France DJ .
Understanding emergency care delivery through computer simulation modeling.
Acad Emerg Med 2018 Feb;25(2):116-27. doi: 10.1111/acem.13272..
Keywords: Emergency Department, Healthcare Delivery, Simulation, Health Services Research (HSR)