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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 2 of 2 Research Studies DisplayedBond 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
Khubchandani JA, Ingraham AM, Daniel VT
Geographic diffusion and implementation of acute care surgery: an uneven solution to the national emergency general surgery crisis.
Researchers investigated geographic diffusion of acute care surgery (ACS) models of care and characterized the communities in which ACS implementation is lagging. They found that acute care surgery implementation has not been uniform. Rural regions have limited ACS access, with hospitals in counties with greater than the 75th percentile population having 5.4 times higher odds of implementing ACS than hospitals in counties with less than 25th percentile population.
AHRQ-funded; HS022694.
Citation: Khubchandani JA, Ingraham AM, Daniel VT .
Geographic diffusion and implementation of acute care surgery: an uneven solution to the national emergency general surgery crisis.
JAMA Surg 2018 Feb;153(2):150-59. doi: 10.1001/jamasurg.2017.3799.
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Keywords: Critical Care, Rural Health, Surgery