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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
1 to 3 of 3 Research Studies DisplayedShapiro J, Robins L, Galowitz P
Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations.
The authors developed an "Ask-Tell-Ask" model and materials to guide the disclosure coaching process. In this paper, they described a comprehensive approach to coaching developed over years of coaching experience that incorporates their model, its rationale, step-by-step coaching strategies and guidance, and organizational considerations regarding implementation of a coaching program to support patient-centered transparent communication after harmful events.
AHRQ-funded; HS019531.
Citation: Shapiro J, Robins L, Galowitz P .
Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations.
J Patient Saf 2021 Dec 1;17(8):e1364-e70. doi: 10.1097/pts.0000000000000491..
Keywords: Clinician-Patient Communication, Communication, Medical Liability, Patient Safety
Antunez AG, Saari A, Miller J
Patient preferences in cases of inter-system medical error discovery (IMED).
This study looked at patients’ preferences in reporting by physicians when there are medical errors, both self-discovered by the physician, and for inter-system medical error discoveries (IMEDs). Telephone interviews were conducted with 30 patient volunteers from Michigan from January to March 2018. Two medical vignettes were presented, one involving a single physician discovering their own error and the other involving an IMED scenario. Analysis showed that patients considered IMED essentially equivalent to self-discovered errors, and strongly preferred disclosure for both scenarios. Patients said they would likely take certain actions following disclosure of another physician’s error, ranging from confronting the physician to changing providers to taking legal action.
AHRQ-funded; HS026030.
Citation: Antunez AG, Saari A, Miller J .
Patient preferences in cases of inter-system medical error discovery (IMED).
Ann Surg 2021 Mar;273(3):516-22. doi: 10.1097/sla.0000000000003507..
Keywords: Medical Errors, Adverse Events, Medical Liability, Clinician-Patient Communication, Communication
Yu H, Greenberg M, Haviland A
The impact of state medical malpractice reform on individual-level health care expenditures.
This study aims to fill the evidence gap concerning the effect of different types of malpractice reform by examining the general population, not a subgroup or a specific health condition, and controlling for individual-level sociodemographic and health status. It found that only two of the 10 major state-level malpractice reforms had significant impacts on the growth of individual-level health expenditures.
AHRQ-funded; HS023336.
Citation: Yu H, Greenberg M, Haviland A .
The impact of state medical malpractice reform on individual-level health care expenditures.
Health Serv Res 2017 Dec;52(6):2018-37. doi: 10.1111/1475-6773.12789.
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Keywords: Healthcare Costs, Policy, Medical Liability, Policy