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AHRQ Research Studies Date
Topics
- Behavioral Health (1)
- Children/Adolescents (3)
- Clinician-Patient Communication (1)
- Communication (1)
- COVID-19 (2)
- Critical Care (1)
- Diagnostic Safety and Quality (1)
- Disparities (1)
- (-) Education: Continuing Medical Education (17)
- Education: Curriculum (3)
- Elderly (2)
- Evidence-Based Practice (1)
- Health Information Technology (HIT) (1)
- Intensive Care Unit (ICU) (1)
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- Newborns/Infants (1)
- Nursing Homes (1)
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- Prevention (1)
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- Provider: Health Personnel (1)
- Provider: Physician (6)
- Provider Performance (2)
- Quality Improvement (1)
- Quality of Care (1)
- Racial and Ethnic Minorities (2)
- Sepsis (1)
- Simulation (3)
- Surgery (5)
- Teams (1)
- Training (6)
- Transitions of Care (2)
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 17 of 17 Research Studies DisplayedPurnell TS, Bignall ONR, Norris KC
Centering anti-racism and social justice in nephrology education to advance kidney health equity.
This article discusses actions necessary to effectively prepare a new generation of nephrology thought leaders who understand the roles of structural racism and social determinants of health (SDOH) in continuing racial disparities as critical issues in efforts that promote kidney health equity. The authors provide their recommendations for centering antiracism and social justice in nephrology education to advance kidney health equity, including: 1 Acknowledging and adopting evidence-based strategies to address implicit biases and explicit acts of interpersonal racism in healthcare encounters that may perpetuate kidney health disparities; 2) Strive to remove structural racism at the societal and health system levels that systematically introduce inequities in kidney care; 3) incorporate research training inclusive of methodologic and content areas that are vital to health equity; 4) foster role modeling within nephrology education through faculty mentorship and professional networking opportunities. The authors conclude that to effectively advance kidney research and practice, sustainable solutions to eradicate disparities must be developed and a prepared nephrology workforce must be trained, one that centers antiracism and social justice in sustained efforts to advance kidney health equity.
AHRQ-funded; HS024600.
Citation: Purnell TS, Bignall ONR, Norris KC .
Centering anti-racism and social justice in nephrology education to advance kidney health equity.
J Am Soc Nephrol 2022 Nov;33(11):1981-84. doi: 10.1681/asn.2022040432..
Keywords: Racial and Ethnic Minorities, Kidney Disease and Health, Disparities, Education: Continuing Medical Education, Education: Curriculum
Cohen TN, Anger JT, Kanji FF
A novel approach for engagement in team training in high-technology surgery: the Robotic-Assisted Surgery Olympics.
The purpose of this study was to develop the “Robotic-Assisted Surgery (RAS) Olympics,” a “serious game”-based educational competition to improve the skills required to successfully perform RAS. The pilot study was conducted at an academic medical center in Southern California. Sixteen operating room members participated in the event, reporting that they preferred the RAS Olympics to traditional training, enjoyed the activity, would recommend all staff participate, felt that it was relevant to their work, and believed that they practiced and learned new techniques that would improve their practice. The participants’ confidence in their skills did not change. The researchers concluded that new information was gained about new possibilities for simultaneously engaging and training surgical staff while emphasizing RAS safety and efficiency.
AHRQ-funded; HS026491.
Citation: Cohen TN, Anger JT, Kanji FF .
A novel approach for engagement in team training in high-technology surgery: the Robotic-Assisted Surgery Olympics.
J Patient Saf 2022 Sep 1;18(6):570-77. doi: 10.1097/pts.0000000000001056..
Keywords: Surgery, Training, Education: Continuing Medical Education, Simulation, Teams
Laverriere EK, Fiadjoe JE, McGowan N
A prospective observational study of video laryngoscopy-guided coaching in the pediatric intensive care unit.
The primary goal of this study was to evaluate whether implementation of video laryngoscopy-guided coaching for tracheal intubation in pediatric patients is feasible with a high level of compliance and associated with a reduction in adverse tracheal intubation-associated events. Findings showed that implementation of video laryngoscopy as a supervising device with standardized coaching language was feasible with a high level of adherence, yet was not associated with an increased occurrence of any adverse tracheal intubation-associated events and oxygen desaturation.
AHRQ-funded; HS024511; HS021583; HS022464.
Citation: Laverriere EK, Fiadjoe JE, McGowan N .
A prospective observational study of video laryngoscopy-guided coaching in the pediatric intensive care unit.
Paediatr Anaesth 2022 Sep;32(9):1015-23. doi: 10.1111/pan.14505..
Keywords: Children/Adolescents, Intensive Care Unit (ICU), Critical Care, Education: Continuing Medical Education
Cross WF, West JC, Crean HF
Measurement of primary care providers' suicide prevention skills following didactic education.
This study’s objective was to determine if didactic training by medical residents and nurse practitioner (NP) trainees increased their skills to assess and manage patients’ suicidal ideation, intent, and behaviors. Online didactic training was provided to 127 medical resident and NP trainees followed by a standardized patient interaction conducted to assess demonstrated suicide prevention skills (i.e., assessment of risk factors, protective factors, suicidal ideation and behavior, safety planning). Participants demonstrated only about half of the possible total skills in most domains and were least competent in assessing potential risk for suicide. Residents were rated significantly higher than NPs on observed skills.
AHRQ-funded; HS024224.
Citation: Cross WF, West JC, Crean HF .
Measurement of primary care providers' suicide prevention skills following didactic education.
Suicide Life Threat Behav 2022 Jun;52(3):373-82. doi: 10.1111/sltb.12827..
Keywords: Behavioral Health, Primary Care, Prevention, Education: Continuing Medical Education, Provider: Physician, Training
McCarthy DM, Formella KT, Ou EZ
There's an app for that: teaching residents to communicate diagnostic uncertainty through a mobile gaming application.
The purpose of this study was to improve doctor-patient communication by assessing the utilization of a mobile application (app) for teaching physician communication skills about diagnostic uncertainty, obtaining feedback on app utilization, and evaluating the association between app use and mastery of skills. Emergency medicine resident physicians were randomized to receive immediate or delayed access to an educational curriculum focused on diagnostic uncertainty which included a web-based interactive model and an app. Only 31.2% of the 109 participants used the app, with senior residents more likely to use the app than junior residents. Researchers report that of those who used the app, reviews were positive, with 76% indicating the app facilitated their learning. The study found that in the trial there was no significant correlation between the utilization of the app and mastery of the communication skill. The researchers concluded that without mandated use and evidence of effectiveness, apps should not be offered to physicians as an educational option and training opportunity for improving communication skills.
AHRQ-funded; HS025651.
Citation: McCarthy DM, Formella KT, Ou EZ .
There's an app for that: teaching residents to communicate diagnostic uncertainty through a mobile gaming application.
Patient Educ Couns 2022 Jun;105(6):1463-69. doi: 10.1016/j.pec.2021.09.038..
Keywords: Diagnostic Safety and Quality, Clinician-Patient Communication, Communication, Education: Continuing Medical Education, Health Information Technology (HIT)
Jindal M, Mistry KB, McRae A
AHRQ Author: Mistry KB,
"It makes me a better person and doctor": a qualitative study of residents' perceptions of a curriculum addressing racism.
The purpose of this study was to explore how pediatric residents perceive the impact of a curriculum addressing racism on their knowledge, motivation, skills and behaviors and investigate the contextual factors that promote or impede the curriculum's effectiveness. Semi structured interviews were conducted at two academic medical centers among pediatric residents. Findings showed that medical education addressing racism can facilitate the perceived acquisition of foundational knowledge regarding race and racism, motivation and skill-building to combat racism, and action planning aimed at improving patient care.
AHRQ-authored.
Citation: Jindal M, Mistry KB, McRae A .
"It makes me a better person and doctor": a qualitative study of residents' perceptions of a curriculum addressing racism.
Acad Pediatr 2022 Mar;22(2):332-41. doi: 10.1016/j.acap.2021.12.012..
Keywords: Education: Curriculum, Education: Continuing Medical Education, Racial and Ethnic Minorities, Provider: Physician
Heiderscheit EA, Schlick CJR, Ellis RJ
Experiences of LGBTQ+ residents in US general surgery training programs.
The purpose of this study was to determine the national prevalence of mistreatment and poor well-being for lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) surgery residents compared with their non-LGBTQ+ peers. A voluntary, anonymous survey was conducted for clinically active general surgery residents training in accredited general surgery programs following their American Board of Surgery In-Training Examination. Findings showed that mistreatment was a common experience for LGBTQ+ surgery residents, with attending surgeons being the most common overall source. Increased suicidality among LGBTQ+ surgery residents was associated with this mistreatment. Recommendations included multifaceted interventions to develop safer and more inclusive learning environments.
AHRQ-funded; HS000078.
Citation: Heiderscheit EA, Schlick CJR, Ellis RJ .
Experiences of LGBTQ+ residents in US general surgery training programs.
JAMA Surg 2022 Jan;157(1):23-32. doi: 10.1001/jamasurg.2021.5246..
Keywords: Provider: Physician, Surgery, Training, Education: Continuing Medical Education
Kuijpers L, Binkhorst M, Yamada NK
Validation of an instrument for real-time assessment of neonatal intubation skills: a randomized controlled simulation study.
This study’s aim was to evaluate the construct validity and reliability of real-time assessment of a previously developed neonatal intubation scoring instrument (NIST). This randomized controlled simulation study was performed at a simulation-based research and training facility. Twenty-four experienced clinicians and 11 medical students performed two identical elective intubations on a neonatal patient simulation. The subjects were randomly assigned to either the intervention group, who received predefined feedback between the two intubations, or the control group who received no feedback. There was a statistically significant different median change in percentage scores between the intervention and control groups between the first and second intubations. Construct validity was proven for the neonatal scoring instrument.
AHRQ-funded; HS023506.
Citation: Kuijpers L, Binkhorst M, Yamada NK .
Validation of an instrument for real-time assessment of neonatal intubation skills: a randomized controlled simulation study.
Am J Perinatol 2022 Jan;39(2):195-203. doi: 10.1055/s-0040-1715530..
Keywords: Newborns/Infants, Simulation, Education: Continuing Medical Education
Thelen AE, Kendrick DE, Chen X
Novel method to link surgical trainee performance data to patient outcomes.
A significant roadblock in surgical education research has been the inability to compare trainee performance to the outcomes of those surgeons after they enter independent practice. In this study, the investigators described the feasibility of an innovative method to link trainee performance data with patient outcomes. They indicated that this innovation could enable future research investigating the relationship between surgical trainee performance and patient outcomes in independent practice.
AHRQ-funded; HS027653.
Citation: Thelen AE, Kendrick DE, Chen X .
Novel method to link surgical trainee performance data to patient outcomes.
Am J Surg 2021 Dec;222(6):1072-78. doi: 10.1016/j.amjsurg.2021.10.018..
Keywords: Surgery, Education: Continuing Medical Education, Provider Performance, Provider: Physician, Outcomes
Limes J, Callister C, Young E
A cross-sectional survey of internal medicine residents' knowledge, attitudes, and current practices regarding patient transitions to post-acute care.
This study’s aim was to assess internal medicine residents’ knowledge, attitudes, and current practice regarding patient transitions to post-acute care (PAC). The authors conducted a multi-site cross-sectional 36-question survey at 3 university-based Internal Medicine training programs in the United States. Of 482 residents, almost half (49%) responded. Only 31% of residents know how often patients received skilled therapists at skilled nursing facilities (SNFs) and 23% knew how frequently nursing services are provided. The majority of residents (79%) identified the discharge summary as the main way to communicate care instructions to the SNF, but only 55% reported always completing it prior to discharge. Upper-level residents were more likely to know how much therapy patients received at an SNF, but other resident knowledge about PAC did not vary by residency year. Residents who experienced a clinical rotation at a SNF had higher levels of knowledge compared to those who did not.
AHRQ-funded; HS024569.
Citation: Limes J, Callister C, Young E .
A cross-sectional survey of internal medicine residents' knowledge, attitudes, and current practices regarding patient transitions to post-acute care.
J Am Med Dir Assoc 2021 Nov;22(11):2344-49. doi: 10.1016/j.jamda.2021.02.011..
Keywords: Transitions of Care, Education: Continuing Medical Education, Provider: Physician
Feldman AG, Squires JE, Hsu EX
The current state of pediatric transplant hepatology fellowships: a survey of recent graduates.
This study’s goal was to describe the clinical, didactic, procedural, and research experiences of recent pediatric transplant hepatology (PTH) fellowship graduates. Findings showed that there is variability in the didactic, clinical, and procedural training among PTH fellowship programs. Although uniformly viewed as a beneficial fellowship year, there is an opportunity to collaborate to create a more standardized training experience.
AHRQ-funded; HS026510.
Citation: Feldman AG, Squires JE, Hsu EX .
The current state of pediatric transplant hepatology fellowships: a survey of recent graduates.
Pediatr Transplant 2021 Nov;25(7):e14065. doi: 10.1111/petr.14065..
Keywords: Children/Adolescents, Provider: Physician, Education: Continuing Medical Education, Training
Baughman AW, Renton M, Wehbi NK
Building community and resilience in Massachusetts nursing homes during the COVID-19 pandemic.
Researchers discuss the partnership of the Massachusetts Senior Care Association and Hebrew SeniorLife with AHRQ ECHO National Nursing Home COVID-19 Action Network (the Network). This educational program provided 16 weeks of free weekly virtual sessions to 295 eligible nursing homes. The Network weekly meetings were a source of connection, emotional support, and validation and may be a valuable mechanism to support resilience and wellbeing for nursing home staff.
AHRQ-funded; 75Q80120C00003.
Citation: Baughman AW, Renton M, Wehbi NK .
Building community and resilience in Massachusetts nursing homes during the COVID-19 pandemic.
J Am Geriatr Soc 2021 Oct;69(10):2716-21. doi: 10.1111/jgs.17389..
Keywords: COVID-19, Elderly, Nursing Homes, Evidence-Based Practice, Provider: Health Personnel, Education: Continuing Medical Education, Training
Byrnes ME, Engler ta, Greenberg CC
Coaching as a mechanism to challenge surgical professional identities.
Investigators reported on exit interviews of surgeons who participated in a coaching program and demonstrated how their narratives challenge the surgical "personality" and forge an evolving and more open professional surgical identity. They found that participation in a coaching program challenged how surgeons thought of themselves in relationship to social and peer expectations. Further, their results indicated that surgeons do feel peer and social pressures related to identity but are much more complex and nuanced than has been previously discussed.
AHRQ-funded; HS023597.
Citation: Byrnes ME, Engler ta, Greenberg CC .
Coaching as a mechanism to challenge surgical professional identities.
Ann Surg 2021 Aug 1;274(2):319-23. doi: 10.1097/sla.0000000000003707..
Keywords: Surgery, Education: Continuing Medical Education
Naderi R, Oberndorfer TA, Jordan SR
Resident perspectives on the value of interdisciplinary conference calls for geriatric patients.
The University of Colorado implemented a virtual interdisciplinary conference call, TEAM (Transitions Expectation and Management), between providers on the inpatient Acute Care of the Elder (ACE) unit and the outpatient Seniors Clinic at the University of Colorado Hospital. This study highlighted learner perspectives of the benefit of interdisciplinary conference calls between inpatient and outpatient providers to enhance transitions of care, which provided meaningful feedback and served as a vehicle for residents to recognize the impact of their care decisions in the broader spectrum of patients' experience during hospital discharge.
AHRQ-funded; HS024569.
Citation: Naderi R, Oberndorfer TA, Jordan SR .
Resident perspectives on the value of interdisciplinary conference calls for geriatric patients.
BMC Med Educ 2021 Jun 3;21(1):314. doi: 10.1186/s12909-021-02750-4..
Keywords: Elderly, Education: Continuing Medical Education, Transitions of Care
Sinz E, Banerjee A, Steadman R
Reliability of simulation-based assessment for practicing physicians: performance is context-specific.
Even physicians who routinely work in complex, dynamic practices may be unprepared to optimally manage challenging critical events. High-fidelity simulation can realistically mimic critical clinically relevant events, however the reliability and validity of simulation-based assessment scores for practicing physicians has not been established. In this study, standardised complex simulation scenarios were developed and administered to board-certified, practicing anesthesiologists who volunteered to participate in an assessment study during formative maintenance of certification activities.
AHRQ-funded; HS020415.
Citation: Sinz E, Banerjee A, Steadman R .
Reliability of simulation-based assessment for practicing physicians: performance is context-specific.
BMC Med Educ 2021 Apr 12;21(1):207. doi: 10.1186/s12909-021-02617-8..
Keywords: Simulation, Education: Continuing Medical Education, Training, Provider Performance
Williams C, Familusi OO, Ziemba J
Adapting to the educational challenges of a pandemic: development of a novel virtual urology subinternship during the time of COVID-19.
The purpose of this study was to design, implement, and evaluate learner attitudes of a virtual urologic surgery clinical rotation for medical students. The investigators concluded that virtual medical student rotations were scalable and effective at delivering surgical material and could approximate the interpersonal teaching found in clinical learning environments. The investigators suggested that they may be a useful tool to supplement or augment clinical learning in select situations.
AHRQ-funded; HS026372.
Citation: Williams C, Familusi OO, Ziemba J .
Adapting to the educational challenges of a pandemic: development of a novel virtual urology subinternship during the time of COVID-19.
Urology 2021 Feb;148:70-76. doi: 10.1016/j.urology.2020.08.071..
Keywords: Education: Curriculum, COVID-19, Surgery, Education: Continuing Medical Education
Larsen GY, Brilli R, Macias CG
Development of a quality improvement learning collaborative to improve pediatric sepsis outcomes.
Researchers developed a multicenter quality improvement learning collaborative of US children's hospitals. They created a key driver diagram (KDD) with the aim of reducing both the sepsis-attributable mortality and the incidence of hospital-onset sepsis in children. The KDD primary drivers focused on improving the following: treatment of infection; recognition, diagnosis, and treatment of sepsis; de-escalation of unnecessary care; engagement of patients and families; and methods to optimize performance. The Children's Hospital Association Improving Pediatric Sepsis Outcomes collaborative aims to improve sepsis outcomes through collaborative learning and reliable implementation of evidence-based interventions.
AHRQ-funded; HS025696.
Citation: Larsen GY, Brilli R, Macias CG .
Development of a quality improvement learning collaborative to improve pediatric sepsis outcomes.
Pediatrics 2021 Jan;147(1). doi: 10.1542/peds.2020-1434..
Keywords: Children/Adolescents, Sepsis, Outcomes, Quality Improvement, Quality of Care, Education: Continuing Medical Education