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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 5 of 5 Research Studies Displayed
Vranas KC, Golden SE, Mathews KS
The influence of the COVID-19 pandemic on ICU organization, care processes, and frontline clinician experiences: a qualitative study.
The COVID-19 pandemic resulted in unprecedented adjustments to intensive care unit (ICU) organization and care processes globally. The investigators examined if hospital emergency responses to the COVID-19 pandemic differed depending on hospital setting and explored which strategies worked well to mitigate strain as perceived by intensivists. The investigators concluded that their study demonstrated the importance of trust and transparency between frontline staff and hospital leadership as key components of effective emergency responses during public health crises.
Citation: Vranas KC, Golden SE, Mathews KS . The influence of the COVID-19 pandemic on ICU organization, care processes, and frontline clinician experiences: a qualitative study. Chest 2021 Nov;160(5):1714-28. doi: 10.1016/j.chest.2021.05.041..
Keywords: COVID-19, Intensive Care Unit (ICU), Critical Care, Healthcare Delivery, Workforce, Public Health
Daniel VT, Ayturk D, Kiefe CI
The current State of the acute care surgery workforce: a boots on the ground perspective.
Acute care surgery (ACS) was proposed to address a general surgery workforce crisis; however, the ACS workforce composition is unknown. A national survey was conducted to determine the differences in the emergency general surgery (EGS) workforce between ACS and non-ACS hospitals. The investigators concluded that ACS and non-ACS hospitals differ in their surgical workforce. It is clear that ACS hospitals have more human capital, which suggests that ACS hospitals may require more dedicated resources compared to non-ACS hospitals.
Citation: Daniel VT, Ayturk D, Kiefe CI . The current State of the acute care surgery workforce: a boots on the ground perspective. Am J Surg 2018 Dec;216(6):1076-81. doi: 10.1016/j.amjsurg.2018.08.023..
Keywords: Critical Care, Emergency Department, Hospitals, Workforce
Costa DK, Moss M
The cost of caring: emotion, burnout, and psychological distress in critical care clinicians.
This paper comments on emotion, burnout, and psychological distress in critical care clinicians. It stresses that the current management approaches for burnout and other forms of psychological distress are insufficient and discusses possibilities for improvement.
Citation: Costa DK, Moss M . The cost of caring: emotion, burnout, and psychological distress in critical care clinicians. Ann Am Thorac Soc 2018 Jul;15(7):787-90. doi: 10.1513/AnnalsATS.201804-269PS..
Keywords: Burnout, Critical Care, Provider, Workforce
Scott KW, Orav EJ, Cutler DM
Changes in hospital-physician affiliations in U.S. hospitals and their effect on quality of care.
This study examined changes in U.S. acute care hospitals that reported employment relationships with their physicians and to determine whether quality of care improved after the hospitals switched to this integration model. It concluded that during the past decade, hospitals have increasingly become employers of physicians. The study's findings suggest that physician employment alone probably is not a sufficient tool for improving hospital care.
Citation: Scott KW, Orav EJ, Cutler DM . Changes in hospital-physician affiliations in U.S. hospitals and their effect on quality of care. Ann Intern Med 2017 Jan 3;166(1):1-8. doi: 10.7326/m16-0125.
Keywords: Hospitals, Quality of Care, Critical Care, Workforce
Gabler NB, Ratcliffe SJ, Wagner J
Mortality among patients admitted to strained intensive care units.
A study of 264,401 patients admitted to 155 U.S. intensive care units (ICUs) found several factors associated with small increases in mortality: ICU census on the day of a patient’s admission, the presence of higher acuity patients, and the proportion of new admissions. These sources of ICU strain were associated with mortality increases particularly in ICUs employing closed staffing models.
Citation: Gabler NB, Ratcliffe SJ, Wagner J . Mortality among patients admitted to strained intensive care units. Am J Respir Crit Care. 2013 Oct 1;188(7):800-6. doi: 10.1164/rccm.201304-0622OC..
Keywords: Mortality, Intensive Care Unit (ICU), Critical Care, Patient Safety, Workforce