National Healthcare Quality and Disparities Report
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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
126 to 143 of 143 Research Studies DisplayedBritt RC, Scerbo MW, Montano M
Intracorporeal suturing: transfer from fundamentals of laparoscopic surgery to cadavers results in substantial increase in mental workload.
The researchers hypothesized that laparoscopic suturing on genuine bowel would be more challenging than on the Fundamentals of Laparoscopic Surgery (FLS)-simulated bowel as reflected in differences on both suturing and secondary task scores. They found that the increase in mental workload is indexed by both an increase in suturing times and a decrease in the ability to attend to the secondary task.
AHRQ-funded; HS020386.
Citation: Britt RC, Scerbo MW, Montano M .
Intracorporeal suturing: transfer from fundamentals of laparoscopic surgery to cadavers results in substantial increase in mental workload.
Surgery 2015 Nov;158(5):1428-33. doi: 10.1016/j.surg.2015.03.032..
Keywords: Surgery, Patient Safety, Simulation, Training
Lindman BR, Tong CW, Carlson DE
National Institutes of Health career development awards for cardiovascular physician-scientists: recent trends and strategies for success.
The authors report on recent success rates for obtaining NIH K awards, provide strategies for preparing a successful application and navigating the early career period for aspiring cardiovascular investigators, and offer cardiovascular division leadership perspectives regarding K awards in the current era. Their objective is to offer practical advice that will equip trainees considering an investigator path for success.
AHRQ-funded; HS023000.
Citation: Lindman BR, Tong CW, Carlson DE .
National Institutes of Health career development awards for cardiovascular physician-scientists: recent trends and strategies for success.
J Am Coll Cardiol 2015 Oct 20;66(16):1816-27. doi: 10.1016/j.jacc.2015.08.858..
Keywords: Education: Continuing Medical Education, Provider, Training
Kho JY, Johns BD, Thomas GW
A hybrid reality radiation-free simulator for teaching wire navigation skills.
The objective of this study was to assess the construct validity for a novel radiation-free simulator designed to teach wire navigation skills in hip fracture fixation. It found that the magnitude of improvement on successive simulator attempts was dependent on the level of expertise; tip-apex distance improved significantly in the novice group, whereas it was unchanged in the experienced group.
AHRQ-funded; HS022077.
Citation: Kho JY, Johns BD, Thomas GW .
A hybrid reality radiation-free simulator for teaching wire navigation skills.
J Orthop Trauma 2015 Oct;29(10):e385-90. doi: 10.1097/bot.0000000000000372..
Keywords: Surgery, Training, Health Information Technology (HIT), Injuries and Wounds, Patient Safety
Rajaram R, Chung JW, Cohen ME
Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties.
The 2011 ACGME resident duty hour reform implemented additional restrictions to existing duty hour policies. The study’s objective was to determine the association between this reform and patient outcomes among several surgical specialties. It found that implementation of the 2011 ACGME resident duty hour reform was not associated with a significant change in patient outcomes for several surgical specialties in the 2 years after reform.
AHRQ-funded; HS000078.
Citation: Rajaram R, Chung JW, Cohen ME .
Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties.
J Am Coll Surg 2015 Sep;221(3):748-57. doi: 10.1016/j.jamcollsurg.2015.06.010..
Keywords: Education: Continuing Medical Education, Outcomes, Surgery, Training
Hall J, Cohen DJ, Davis M
Preparing the workforce for behavioral health and primary care integration.
The researchers sought to identify how organizations prepare clinicians to work together to integrate behavioral health and primary care. They concluded that insufficient training capacity and practical experience opportunities continue to be major barriers to supplying the workforce needed for effective behavioral health and primary care integration. Until the training capacity grows to meet the demand, practices must put forth considerable effort and resources to train their own employees.
AHRQ-funded; HS022981.
Citation: Hall J, Cohen DJ, Davis M .
Preparing the workforce for behavioral health and primary care integration.
J Am Board Fam Med 2015 Sep-Oct;28 Suppl 1:S41-51. doi: 10.3122/jabfm.2015.S1.150054.
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Keywords: Patient-Centered Healthcare, Healthcare Delivery, Primary Care: Models of Care, Primary Care, Behavioral Health, Training, Community-Based Practice
Wang D, Le XH, Luque AE
Identifying effective approaches for dissemination of clinical evidence--correlation analyses on promotional activities and usage of a guideline-driven interactive case simulation tool in a statewide HIV-HCV-STD clinical education program.
The investigators analyzed correlations between promotional activities and usage of a guideline-driven interactive case simulation tool (ICST) for insomnia screening and treatment in a statewide HIV-HCV-STD clinical education program. They found that promotional activities were strongly correlated with the number of audience as well as the intensity of use of the target resource, with strong correlations identified between the sending of email newsletters and the intensity of resource use by promotion recipients, by new users, and through the most convenient access channel associated with the promotion.
AHRQ-funded; HS022057.
Citation: Wang D, Le XH, Luque AE .
Identifying effective approaches for dissemination of clinical evidence--correlation analyses on promotional activities and usage of a guideline-driven interactive case simulation tool in a statewide HIV-HCV-STD clinical education program.
Stud Health Technol Inform 2015;216:515-9.
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Keywords: Human Immunodeficiency Virus (HIV), Education: Continuing Medical Education, Simulation, Guidelines, Evidence-Based Practice, Health Promotion, Screening, Sleep Problems, Training
Morrato EH, Rabin B, Proctor J
Bringing it home: expanding the local reach of dissemination and implementation training via a university-based workshop.
The Colorado Research in Implementation Science Program (CRISP) developed and delivered an introductory D&I workshop adapted from national programs to extend training reach and foster a local learning community for D&I. This paper describes the context of the local training environment, findings from a pre-workshop needs assessment survey, training design and structure, and post-workshop evaluation. Lessons learned may inform others intending to develop local D&I training workshop.
AHRQ-funded; HS021138.
Citation: Morrato EH, Rabin B, Proctor J .
Bringing it home: expanding the local reach of dissemination and implementation training via a university-based workshop.
Implement Sci 2015 Jul 4;10:94. doi: 10.1186/s13012-015-0281-6..
Keywords: Communication, Education: Continuing Medical Education, Evidence-Based Practice, Guidelines, Quality of Care, Quality Improvement, Training, Implementation
Andrews SE, Alston MJ, Allshouse AA
Does the number of forceps deliveries performed in residency predict use in practice?
The researchers aimed to determine whether a threshold number of forceps deliveries in residency predicts use of forceps in independent practice. They concluded that, although exceeding 13 forceps deliveries made it highly likely that obstetricians would use them in practice, further study is necessary to set goals for a number of resident forceps deliveries that translate into use in practice.
AHRQ-funded; HS022143.
Citation: Andrews SE, Alston MJ, Allshouse AA .
Does the number of forceps deliveries performed in residency predict use in practice?
Am J Obstet Gynecol 2015 Jul;213(1):93.e1-4. doi: 10.1016/j.ajog.2015.03.025..
Keywords: Labor and Delivery, Patient-Centered Outcomes Research, Practice Patterns, Training, Women
Stewart GL, Manges KA, Ward MM
Empowering sustained patient safety: the benefits of combining top-down and bottom-up approaches.
Implementation of TeamSTEPPS for improving patient safety is examined via descriptive qualitative analysis of semistructured interviews with 21 informants at 12 hospitals. Implementation approaches fit 3 strategies: top-down, bottom-up, and combination. The top-down approach failed to develop enough commitment to spread implementation. The bottom-up approach was unable to marshal the resources necessary to spread implementation. Combining top-down and bottom-up, processes best facilitated the implementation and spread of the TeamSTEPPS safety initiative.
AHRQ-funded; HS018396.
Citation: Stewart GL, Manges KA, Ward MM .
Empowering sustained patient safety: the benefits of combining top-down and bottom-up approaches.
J Nurs Care Qual 2015 Jul-Sep;30(3):240-6. doi: 10.1097/ncq.000000000000103.
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Keywords: Patient Safety, TeamSTEPPS, Hospitals, Training
Ballard TN, Grenda TR, Cohn AM
Innovative scheduling solutions for graduate medical education.
Operations research can be applied to solving numerous logistical problems, including residency scheduling dilemmas. The authors pointed out that training programs will need to employ more advanced approaches to solving scheduling dilemmas, and operations research offers innovative approaches to enable graduate medical education programs to efficiently address this constantly changing field.
AHRQ-funded; HS000053.
Citation: Ballard TN, Grenda TR, Cohn AM .
Innovative scheduling solutions for graduate medical education.
J Grad Med Educ 2015 Jun;7(2):169-70. doi: 10.4300/jgme-d-14-00581.1.
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Keywords: Education: Continuing Medical Education, Training
Marshall NE, Vanderhoeven J, Eden KB
Impact of simulation and team training on postpartum hemorrhage management in non-academic centers.
The researchers conducted a multi-center study to evaluate in situ simulation and team training for postpartum hemorrhage management (PPH) among experienced clinical teams in non-academic hospitals in urban and rural communities. They found that team training significantly improved response times in the management of PPH, including the recognition of PPH, time to administer first medication, performance of uterine massage and time to administer second medication.
AHRQ-funded; HS015800; HS016673.
Citation: Marshall NE, Vanderhoeven J, Eden KB .
Impact of simulation and team training on postpartum hemorrhage management in non-academic centers.
J Matern Fetal Neonatal Med 2015 Mar;28(5):495-9. doi: 10.3109/14767058.2014.923393..
Keywords: Training, Patient Safety, Labor and Delivery, Women
Gold JA, Tutsch AS, Gorsuch A
Integrating the electronic health record into high-fidelity interprofessional intensive care unit simulations.
The authors described the impact of integrating the electronic health record (EHR) into high-fidelity, interprofessional intensive care unit (ICU) simulations, and the errors induced. They found a number of safety issues directly related to the EHR, and they now have an infrastructure to focus educational initiative and deploy informatics solutions to mitigate these safety issues.
AHRQ-funded; HS021637.
Citation: Gold JA, Tutsch AS, Gorsuch A .
Integrating the electronic health record into high-fidelity interprofessional intensive care unit simulations.
J Interprof Care 2015;29(6):562-3. doi: 10.3109/13561820.2015.1063482.
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Keywords: Shared Decision Making, Electronic Health Records (EHRs), Intensive Care Unit (ICU), Patient Safety, Training
Ward MM, Zhu X, Lampman M
TeamSTEPPS implementation in community hospitals: adherence to recommended training approaches.
The purpose of this paper is to examine approaches taken by community hospital personnel and compare those to the best practices recommended by Weaver et al. The authors find that training implementation in community hospitals differs significantly from the established, research-based principles for effective team training described in the research literature, which is largely based in academic medical centers.
AHRQ-funded; HS018396.
Citation: Ward MM, Zhu X, Lampman M .
TeamSTEPPS implementation in community hospitals: adherence to recommended training approaches.
Int J Health Care Qual Assur 2015;28(3):234-44. doi: 10.1108/ijhcqa-10-2013-0124..
Keywords: TeamSTEPPS, Hospitals, Training, Teams
Sherman M, Leland F, Ross B
Simopoly: improving simulation center operations through a tabletop simulation exercise.
In this article, the authors described a novel simulation, Simopoly, designed to provide the opportunity to think creatively about simulation center staff development, retention, and promotion in the context of daily operations and management.
AHRQ-funded; HS020295; HS022458.
Citation: Sherman M, Leland F, Ross B .
Simopoly: improving simulation center operations through a tabletop simulation exercise.
Simul Healthc 2014 Oct;9(5):304-11. doi: 10.1097/sih.0000000000000051.
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Keywords: Provider, Quality Improvement, Training
Smith CS, Hill W, Francovich C
Diagnostic reasoning across the medical education continuum.
The researchers aimed to study linguistic and non-linguistic elements of diagnostic reasoning across the continuum of medical education. They identified three major findings: (1) The "apprentice effect" in novices (high stress and low narrative competence); (2) logistic concept growth in intermediates; and (3) a cognitive state transition (between analytical and intuitive approaches) in experts.
AHRQ-funded; HS018063.
Citation: Smith CS, Hill W, Francovich C .
Diagnostic reasoning across the medical education continuum.
Healthcare 2014 Jul 15;2(3):253-71. doi: 10.3390/healthcare2030253.
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Keywords: Education: Continuing Medical Education, Education: Continuing Medical Education, Patient Safety, Training
Cook JM, Newman E
A consensus statement on trauma mental health: the New Haven Competency Conference process and major findings.
The purpose of this article was to state the need for a comprehensive model of trauma-focused, empirically informed competencies for psychiatrists, and describe the work resulting from the New Haven Competencies consensus conference. The 60 participating experts outlined 5 broad foundational and functional competencies in the areas of trauma-focused and trauma-informed scientific knowledge, psychosocial assessment, psychosocial interventions, professionalism, and relational and systems. Eight cross-cutting competencies were voted into the resulting consensus statement.
AHRQ-funded; HS021602.
Citation: Cook JM, Newman E .
A consensus statement on trauma mental health: the New Haven Competency Conference process and major findings.
Psychol Trauma 2014 Jul;6(4):300-07. doi: 10.1037/a0036747..
Keywords: Trauma, Behavioral Health, Evidence-Based Practice, Education: Continuing Medical Education, Training
Wehbe-Janek H, Pliego J, Sheather S
System-based interprofessional simulation-based training program increases awareness and use of rapid response teams.
The objective of this study was to develop and implement an interprofessional simulation-based training program for rapid response and cardiac arrest emergencies with emphasis on early recognition and effective communication. The researchers concluded that their study demonstrated that rapid response team underuse due to system barriers may be overcome by this type of program targeting specific needs of the institution.
AHRQ-funded; HS016634
Citation: Wehbe-Janek H, Pliego J, Sheather S .
System-based interprofessional simulation-based training program increases awareness and use of rapid response teams.
Jt Comm J Qual Patient Saf. 2014 Jun;40(6):279-87..
Keywords: Critical Care, Cardiovascular Conditions, Simulation, Training, Communication
Boyer DL, Nishisaki A
Evaluating patient outcomes in medical education research: mission impossible?*.
This editorial examines evaluation of the impact of pediatric supplemental crisis resource management (CRM) training among first- and second-year residents. The author suggests that increasing CRM training and using debriefing for skill retention may link this training to patient outcomes.
AHRQ-funded; HS022464
Citation: Boyer DL, Nishisaki A .
Evaluating patient outcomes in medical education research: mission impossible?*.
Pediatr Crit Care Med. 2014 May;15(4):382-4. doi: 10.1097/pcc.0000000000000116..
Keywords: Education: Continuing Medical Education, Outcomes, Children/Adolescents, Training