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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results1 to 4 of 4 Research Studies Displayed
Mehta AB, Cooke CR, Wiener RS
Hospital variation in early tracheostomy in the United States: a population-based study.
The researchers determined between-hospital variation in early tracheostomy utilization and the association of early tracheostomy with patient outcomes using hierarchical regression. They concluded that early tracheostomy is potentially overused among mechanically ventilated trauma patients, with nearly half of tracheostomies performed within the first week of mechanical ventilation and large unexplained hospital variation, without clear benefits.
Citation: Mehta AB, Cooke CR, Wiener RS . Hospital variation in early tracheostomy in the United States: a population-based study. Crit Care Med 2016 Aug;44(8):1506-14. doi: 10.1097/ccm.0000000000001674.
Keywords: Healthcare Cost and Utilization Project (HCUP), Practice Patterns, Respiratory Conditions, Respiratory Conditions, Outcomes
Gidengil CA, Mehrotra A, Beach S
What drives variation in antibiotic prescribing for acute respiratory infections?
This study sought to identify the underlying factors driving variation in antibiotic prescribing across clinicians and settings. The investigators concluded that poor-quality antibiotic prescribing was associated with feeling rushed, believing less strongly that antibiotics were overused, and believing that patient demand was not an issue, factors that can be assessed and addressed in future interventions.
Citation: Gidengil CA, Mehrotra A, Beach S . What drives variation in antibiotic prescribing for acute respiratory infections? J Gen Intern Med 2016 Aug;31(8):918-24. doi: 10.1007/s11606-016-3643-0..
Keywords: Antibiotics, Medication, Respiratory Conditions, Practice Patterns
Renati S, Linder JA
Necessity of office visits for acute respiratory infections in primary care.
The researchers measured the proportion of primary care acute respiratory infection (ARI) visits that may not require an office visit. They concluded that about two-thirds of primary care ARI visits may not be necessary for appropriate antibiotic management.
Citation: Renati S, Linder JA . Necessity of office visits for acute respiratory infections in primary care. Fam Pract 2016 Jun;33(3):312-7. doi: 10.1093/fampra/cmw019.
Keywords: Decision Making, Medication, Primary Care, Practice Patterns, Respiratory Conditions
Gidengil CA, Linder JA, Beach S
Using clinical vignettes to assess quality of care for acute respiratory infections.
Overprescribing of antibiotics for acute respiratory infections (ARIs) is common. The objective of this study was to develop and validate a vignette-based method to estimate clinician ARI antibiotic prescribing. The researchers concluded that responses to 3 clinical vignettes can identify clinicians with relatively poor quality ARI antibiotic prescribing. Vignettes may be a mechanism to target clinicians for quality improvement efforts.
Citation: Gidengil CA, Linder JA, Beach S . Using clinical vignettes to assess quality of care for acute respiratory infections. Inquiry 2016 Apr 20;53:pii: 0046958016636531. doi: 10.1177/0046958016636531..
Keywords: Antibiotics, Antimicrobial Stewardship, Electronic Health Records (EHRs), Health Information Technology (HIT), Health Services Research (HSR), Medication, Practice Patterns, Primary Care, Quality of Care, Respiratory Conditions