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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.
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1 to 3 of 3 Research Studies DisplayedTarnutzer AA, Gold D, Wang Z
Impact of clinician training background and stroke location on bedside diagnostic test accuracy in the acute vestibular syndrome - a meta-analysis.
Researchers conducted a systematic review to assess the accuracy of bedside diagnosis of acute dizziness/vertigo to differentiate peripheral vestibular from central neurologic causes. Their review indicated that the Head Impulse, Nystagmus, Test of Skew (HINTS) examination by trained clinicians can differentiate peripheral from central causes and show higher diagnostic accuracy for stroke in the first 24-48 hours than MRI diffusion-weighted imaging. They concluded that these techniques should be disseminated to clinicians evaluating dizziness/vertigo.
AHRQ-funded; HS029350.
Citation: Tarnutzer AA, Gold D, Wang Z .
Impact of clinician training background and stroke location on bedside diagnostic test accuracy in the acute vestibular syndrome - a meta-analysis.
Ann Neurol 2023 Aug; 94(2):295-308. doi: 10.1002/ana.26661..
Keywords: Diagnostic Safety and Quality, Training, Education: Continuing Medical Education, Provider: Clinician, Stroke, Cardiovascular Conditions
Williams JP, Nathanson R, LoPresti CM
Current use, training, and barriers in point-of-care ultrasound in hospital medicine: a national survey of VA hospitals.
This study aimed to characterize current point-of-care ultrasound (POCUS) use, training needs, and barriers to use among hospital medicine groups (HMGs). This prospective observation study looked at all Veterans Affairs (VA) medical centers from August 2019 to March 2020 using a web-based survey sent to all chiefs of HMGs. There was a 90% response rate from 117 HMGs. Procedural POCUS use decreased by 19% from 2015 to 2020 but increased for diagnostic use for cardiac (8%), pulmonary (7%), and abdominal (8%) applications. The most common barrier to POCUS use was lack of training (89%), with only 34% of HMGs having access to POCUS training. Access to ultrasound equipment was the least common barrier at 57%, however with the proportion of HMGs with ≥1 ultrasound machine increasing from 29% to 71% from 2015 to 2020. In 2020 an average of 3.6 ultrasound devices per HMG was available, and 45% were handheld devices.
AHRQ-funded; HS025979.
Citation: Williams JP, Nathanson R, LoPresti CM .
Current use, training, and barriers in point-of-care ultrasound in hospital medicine: a national survey of VA hospitals.
J Hosp Med 2022 Aug;17(8):601-08. doi: 10.1002/jhm.12911..
Keywords: Imaging, Training, Hospitals, Diagnostic Safety and Quality, Provider: Clinician
Adams DR, Williams NJ, Becker-Haimes EM
Therapist financial strain and turnover: interactions with system-level implementation of evidence-based practices.
In this study, the investigators prospectively examined the relationship between therapist financial strain and turnover in 247 therapists in 28 community mental health agencies. The investigators expected greater therapist financial strain to predict higher turnover and participation in a system-funded evidence-based practice (EBP) training initiative to alleviate this effect. They found that, controlling for covariates, financial strain predicted therapist turnover but not for therapists who participated in an EBP training initiative.
AHRQ-funded; HS000084.
Citation: Adams DR, Williams NJ, Becker-Haimes EM .
Therapist financial strain and turnover: interactions with system-level implementation of evidence-based practices.
Adm Policy Ment Health 2019 Nov;46(6):713-23. doi: 10.1007/s10488-019-00949-8..
Keywords: Healthcare Costs, Evidence-Based Practice, Behavioral Health, Provider, Provider: Clinician, Training, Workforce