National Healthcare Quality and Disparities Report
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 4 of 4 Research Studies DisplayedMarin JR, Rodean J, Hall M
Trends in use of advanced imaging in pediatric emergency departments, 2009-2018.
This study looked at trends in advanced imaging use in pediatric emergency departments (ED) from 2009 to 2018. This cross-sectional study assessed 26,082,062 ED visits by children younger than 18 years from the Pediatric Health Information System administrative database. These visits were made by 9,868,406 children (mean [SD] age, 5.59 [5.15] years; 13,842,567 [53.1%] male; 9,273,181 [35.6%] non-Hispanic white) to 32 US pediatric EDs during the 10-year study period. Advanced imaging trends looked at were for computed tomography (CT), ultrasonography, and magnetic resonance imaging (MRI). Trends in ED length of stay after imaging was also examined. ED encounters increased from 6.4% in 2009 to 8.7% in 2018. There were increases for ultrasonography and MRIs, but rates decreased slightly for CT. Increased use of ultrasonography were for abdominal pain and appendectomy, and MRI for ventricular shunt procedures. The largest decreases in CT rates were for concussion, appendectomy, ventricular shunt procedures, and headaches.
AHRQ-funded; HS026006.
Citation: Marin JR, Rodean J, Hall M .
Trends in use of advanced imaging in pediatric emergency departments, 2009-2018.
JAMA Pediatr 2020 Sep;174(9):e202209. doi: 10.1001/jamapediatrics.2020.2209..
Keywords: Children/Adolescents, Emergency Department, Imaging
Schoenfeld EM, Houghton C, Patel PM
Shared decision making in patients with suspected uncomplicated ureterolithiasis: a decision aid development study.
The objective of this study was to develop a decision aid (DA) to facilitate shared decision making (SDM) around whether to obtain computed tomography (CT) imaging in patients presenting to the emergency department (ED) with suspected uncomplicated ureterolithiasis. Using stakeholder engagement and qualitative inquiry, the investigators developed their evidence-based DA. They indicated that future research will test the efficacy of the DA in facilitating SDM.
AHRQ-funded; HS025701.
Citation: Schoenfeld EM, Houghton C, Patel PM .
Shared decision making in patients with suspected uncomplicated ureterolithiasis: a decision aid development study.
Acad Emerg Med 2020 Jul;27(7):554-65. doi: 10.1111/acem.13917..
Keywords: Decision Making, Emergency Department, Imaging, Diagnostic Safety and Quality
Thiessen M, Vogel JA, Byyny RL
Emergency ultrasound literature and adherence to standards for reporting of diagnostic accuracy criteria.
Given the wide usage of emergency point-of-care ultrasound (EUS) among emergency physicians (EPs), rigorous study surrounding its accuracy is essential. The Standards for Reporting of Diagnostic Accuracy (STARD) criteria were established to ensure robust reporting methodology for diagnostic studies. Adherence to the STARD criteria among EUS diagnostic studies has yet to be reported. In this study, the objective was to evaluate a body of EUS literature shortly after STARD publication for its baseline adherence to the STARD criteria.
AHRQ-funded; HS023901.
Citation: Thiessen M, Vogel JA, Byyny RL .
Emergency ultrasound literature and adherence to standards for reporting of diagnostic accuracy criteria.
J Emerg Med 2020 Apr;58(4):636-46. doi: 10.1016/j.jemermed.2019.09.029..
Keywords: Imaging, Emergency Department, Diagnostic Safety and Quality
Kocher KE, Arora R, Bassin BS
Baseline performance of real-world clinical practice within a statewide emergency medicine quality network: the Michigan Emergency Department Improvement Collaborative (MEDIC).
The Michigan Emergency Department Improvement Collaborative (MEDIC) has baseline performance data to identify practice variation across 15 diverse emergency departments on key emergency care quality indicators. The authors assessed MEDIC quality measures and found that performance varied greatly, with demonstrated opportunity for improvement. They conclude that MEDIC provides a robust platform for emergency physician engagement across emergency department practice settings to improve care and is a model for other states.
AHRQ-funded; HS024160.
Citation: Kocher KE, Arora R, Bassin BS .
Baseline performance of real-world clinical practice within a statewide emergency medicine quality network: the Michigan Emergency Department Improvement Collaborative (MEDIC).
Ann Emerg Med 2020 Feb;75(2):192-205. doi: 10.1016/j.annemergmed.2019.04.033..
Keywords: Emergency Department, Quality Improvement, Quality Indicators (QIs), Quality Measures, Quality of Care, Imaging, Diagnostic Safety and Quality