National Healthcare Quality and Disparities Report
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Search All Research Studies
AHRQ Research Studies Date
Topics
- Adverse Events (1)
- Clinical Decision Support (CDS) (1)
- Clinician-Patient Communication (1)
- Communication (2)
- Decision Making (1)
- Dementia (1)
- Diagnostic Safety and Quality (1)
- Electronic Health Records (EHRs) (2)
- Evidence-Based Practice (2)
- Falls (1)
- Guidelines (1)
- Healthcare Delivery (1)
- Health Information Technology (HIT) (2)
- Hospitalization (1)
- Hospitals (2)
- Implementation (1)
- Injuries and Wounds (1)
- Medical Errors (1)
- Medication (3)
- Medication: Safety (2)
- Neurological Disorders (1)
- Opioids (1)
- Patient-Centered Healthcare (2)
- Patient and Family Engagement (1)
- Patient Safety (5)
- Prevention (1)
- Primary Care (1)
- Provider (1)
- Provider: Pharmacist (1)
- Quality Improvement (4)
- Quality Indicators (QIs) (1)
- Quality Measures (1)
- Quality of Care (4)
- Stroke (1)
- Substance Abuse (1)
- (-) Tools & Toolkits (11)
- Training (1)
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 11 of 11 Research Studies DisplayedDykes PC, Burns Z, Adelman J
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.
The purpose of this study was to assess whether a fall-prevention tool kit that engages patients and families in the fall-prevention process throughout hospitalization is associated with reduced falls and injurious falls. Findings showed that, in this nonrandomized controlled trial, implementation of a fall-prevention tool kit was associated with a significant reduction in falls and related injuries. A patient-care team partnership appeared to be beneficial for prevention of falls and fall-related injuries.
AHRQ-funded; HS023535.
Citation: Dykes PC, Burns Z, Adelman J .
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.
JAMA Netw Open 2020 Nov 2;3(11):e2025889. doi: 10.1001/jamanetworkopen.2020.25889..
Keywords: Falls, Injuries and Wounds, Prevention, Tools & Toolkits, Patient and Family Engagement, Patient-Centered Healthcare, Clinical Decision Support (CDS), Hospitalization, Hospitals
Alley L, Novak K, Havlin T
Development and pilot of a prescription drug monitoring program and communication intervention for pharmacists
The authors developed the Resources Encouraging Safe Prescription Opioid and Naloxone Dispensing (RESPOND) Toolkit to enhance community pharmacists' understanding of their role in addressing opioid safety; to improve integration of prescription drug monitoring program (PDMP) into daily workflow; and to enhance communication between pharmacists, prescribers, and patients. In this paper, they described the development of the RESPOND Toolkit and summarized their findings from initial pilot testing. They concluded that the RESPOND Toolkit has promise as an effective and scalable approach to providing community pharmacist-tailored training to promote behavioral shifts supporting opioid safety for patients.
AHRQ-funded; HS024227.
Citation: Alley L, Novak K, Havlin T .
Development and pilot of a prescription drug monitoring program and communication intervention for pharmacists
Res Social Adm Pharm 2020 Oct;16(10):1422-30. doi: 10.1016/j.sapharm.2019.12.023..
Keywords: Opioids, Substance Abuse, Medication, Medication: Safety, Patient Safety, Tools & Toolkits, Communication, Provider: Pharmacist, Provider, Training
Stolldorf DP, Mixon AS, Auerbach AD
Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation.
MARQUIS (Multi-Center Medication Reconciliation Quality Improvement Study) provided participating hospitals with a toolkit to assist in developing robust medication reconciliation programs. Here the investigators described hospitals' implementation of the MARQUIS toolkit, barriers and facilitators, and important factors that may enhance the spread and sustainability of the toolkit.
AHRQ-funded; HS025486.
Citation: Stolldorf DP, Mixon AS, Auerbach AD .
Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation.
Am J Health Syst Pharm 2020 Jul 7;77(14):1135-43. doi: 10.1093/ajhp/zxaa136..
Keywords: Medication, Medication: Safety, Patient Safety, Hospitals, Tools & Toolkits
Ray-Barruel G, Cooke M, Chopra V
The I-DECIDED clinical decision-making tool for peripheral intravenous catheter assessment and safe removal: a clinimetric evaluation.
This study assessed the I-DECIDED clinical decision-making tool for peripheral intravenous catheter (PIVC) assessment and safe removal. A clinimetric validation process was designed and conducted in three distinct phases. Content validity testing was conducted via online survey with vascular access experts and clinicians from Australia, the UK, Canada, and the US. Then inter-rater reliability was conducted between 34 pairs of assessors for a total of 68 PIVC assessments. The tool demonstrated strong content validity among international vascular access experts and clinicians and high inter-rater reliability in seven adult medical-surgical wards of three Australian hospitals. Overall, inter-rater reliability was 87.13%. Time to complete assessments averaged 2 minutes, and nurse-reported acceptability was also high.
AHRQ-funded; HS025891.
Citation: Ray-Barruel G, Cooke M, Chopra V .
The I-DECIDED clinical decision-making tool for peripheral intravenous catheter assessment and safe removal: a clinimetric evaluation.
BMJ Open 2020 Jan 21;10(1):e035239. doi: 10.1136/bmjopen-2019-035239..
Keywords: Decision Making, Patient Safety, Tools & Toolkits, Implementation
Hempel S, Miake-Lye I, Brega AG
AHRQ Author: Spector WD
Quality improvement toolkits: recommendations for development.
The authors convened a panel of health care stakeholders informed by a literature review that analyzed 44 publications and 27 toolkits. The panel formed 12 recommendations for content and 1 recommendation for toolkit development methods. The authors then established a set of key recommendations and suggestions addressing the content, development, and evaluation methods of quality improvement toolkits, together with a ready-to-use checklist.
AHRQ-authored.
Citation: Hempel S, Miake-Lye I, Brega AG .
Quality improvement toolkits: recommendations for development.
Am J Med Qual 2019 Nov/Dec;34(6):538-44. doi: 10.1177/1062860618822102..
Keywords: Quality Improvement, Quality of Care, Tools & Toolkits
Mixon AS, Smith GR, Mallouk M
Design of MARQUIS2: study protocol for a mentored implementation study of an evidence-based toolkit to improve patient safety through medication reconciliation.
The first Multi-center Medication Reconciliation Quality Improvement Study (MARQUIS1) demonstrated that implementation of a medication reconciliation best practices toolkit decreased total unintentional medication discrepancies in five hospitals. In this study, the investigators sought to implement the MARQUIS toolkit in more diverse hospitals, incorporating lessons learned from MARQUIS1.
AHRQ-funded; HS023757; HS025486.
Citation: Mixon AS, Smith GR, Mallouk M .
Design of MARQUIS2: study protocol for a mentored implementation study of an evidence-based toolkit to improve patient safety through medication reconciliation.
BMC Health Serv Res 2019 Sep 11;19(1):659. doi: 10.1186/s12913-019-4491-5.
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Keywords: Evidence-Based Practice, Medication, Patient Safety, Quality of Care, Quality Improvement, Quality Indicators (QIs), Quality Measures, Tools & Toolkits
Dossett L, Miller J, Jagsi R
A modified communication and optimal resolution program for intersystem medical error discovery: protocol for an implementation study.
AHRQ’s Communication and Optimal Resolution (CANDOR) Toolkit facilitates transparent communication, error prevention, and achieving optimal resolution with patients and families; how medical errors should be addressed when they are discovered between systems-intersystem medical error discovery (IMED)-remains unclear. This study aims to develop and test implementation of a modified CANDOR process for application to IMED scenarios. Step 1 of aim 1 is currently underway. This work is expected to provide important insights into the potential utility of an implementation toolkit to improve transparent communication and optimal resolution of IMED scenarios.
AHRQ-funded; HS026030.
Citation: Dossett L, Miller J, Jagsi R .
A modified communication and optimal resolution program for intersystem medical error discovery: protocol for an implementation study.
JMIR Res Protoc 2019 Jul 2;8(7):e13396. doi: 10.2196/13396..
Keywords: Adverse Events, Communication, Clinician-Patient Communication, Medical Errors, Patient Safety, Tools & Toolkits
Simon KC, Munson R, Ong A
Design and implementation of structured clinical documentation support tools for treating stroke patients.
This article describes the development of a customized structured clinical documentation toolkit that standardizes patient data collection to conform to Best Practices for treating patients with stroke. The toolkit collects demographic information for patients, relevant score test measures, and information on disability, treatment, and outcomes. Basic descriptive data gathered via the toolkits is provided and their utility in collecting patient data in a manner that supports both quality clinical care and research initiatives demonstrated. Quality improvement projects and current research initiatives using the toolkit are also discussed.
AHRQ-funded; HS024057.
Citation: Simon KC, Munson R, Ong A .
Design and implementation of structured clinical documentation support tools for treating stroke patients.
J Stroke Cerebrovasc Dis 2019 May;28(5):1229-35. doi: 10.1016/j.jstrokecerebrovasdis.2019.01.011..
Keywords: Electronic Health Records (EHRs), Evidence-Based Practice, Guidelines, Health Information Technology (HIT), Stroke, Tools & Toolkits
Simon KC, Yucus C, Castle J
Building of EMR tools to support quality and research in a memory disorders clinic.
This article describes the development of a customized EMR toolkit that standardizes patient data collection with hundreds of discrete fields, supports Best Practices for treating patients with memory disorders, and also supports practice-based research. The toolkit was successfully implemented to support Best Practices in the care of patients with memory disorders. Applications are also discussed. Data collection is ongoing, but the authors anticipate that the toolkit will generate data that allows for descriptive and hypothesis-driven research as well as quality improvement among patients seen in memory clinics.
AHRQ-funded; HS024057.
Citation: Simon KC, Yucus C, Castle J .
Building of EMR tools to support quality and research in a memory disorders clinic.
Front Neurol 2019 Mar 7;10:161. doi: 10.3389/fneur.2019.00161..
Keywords: Dementia, Electronic Health Records (EHRs), Health Information Technology (HIT), Neurological Disorders, Quality of Care, Quality Improvement, Tools & Toolkits
Kwan BM, Fernald D, Ferrarone P
Implementation and evaluation of a laboratory safety process improvement toolkit.
This study evaluated the quality and usefulness of the revised version of the AHRQ toolkit “Improving Your Office Testing Process”. The toolkit is designed to help primary care practices standardize their laboratory testing processes. Researchers evaluated 2 primary practices. Nineteen clinicians and staff provided survey data. The toolkit was given a positive rating by staff who thought it was easy to use and helped improve the quality improvement (QI) infrastructure.
AHRQ-funded; 233201500025I.
Citation: Kwan BM, Fernald D, Ferrarone P .
Implementation and evaluation of a laboratory safety process improvement toolkit.
J Am Board Fam Med 2019 Mar-Apr;32(2):136-45. doi: 10.3122/jabfm.2019.02.180109..
Keywords: Primary Care, Tools & Toolkits, Diagnostic Safety and Quality, Quality Improvement, Quality of Care
Sheridan SL, Donahue KE, Brenner AT
Beginning with high value care in mind: a scoping review and toolkit to support the content, delivery, measurement, and sustainment of high value care.
The purpose of this review was to create a shared vision for the content, delivery, measurement, and sustainment of patient-centered, high-value care by creating a toolkit for system leaders. The toolkit was developed by translating included evidence into simple, actionable briefs on key topics and added resources. Although potential users have reported that the toolkit is likely to be globally useful, the authors note that it needs comparison to other approaches.
AHRQ-funded; 233201500024I.
Citation: Sheridan SL, Donahue KE, Brenner AT .
Beginning with high value care in mind: a scoping review and toolkit to support the content, delivery, measurement, and sustainment of high value care.
Patient Educ Couns 2019 Feb;102(2):238-52. doi: 10.1016/j.pec.2018.05.014..
Keywords: Healthcare Delivery, Patient-Centered Healthcare, Tools & Toolkits