National Healthcare Quality and Disparities Report
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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.
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1 to 2 of 2 Research Studies DisplayedGidengil 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.
AHRQ-funded; HS018419.
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
Gidengil CA, Linder JA, Hunter G
The volume-quality relationship in antibiotic prescribing: when more isn't better.
The researchers examined the impact of volume on more common medical conditions such as acute respiratory infections (ARIs). They found that higher ARI volume physicians had lower quality across a number of domains, including higher antibiotic prescribing rates, higher broad-spectrum antibiotic prescribing, and lower guideline concordance. When they prescribed an antibiotic for a diagnosis for which an antibiotic may be indicated, they were less likely to prescribe guideline-concordant antibiotics.
AHRQ-funded; HS018419.
Citation: Gidengil CA, Linder JA, Hunter G .
The volume-quality relationship in antibiotic prescribing: when more isn't better.
Inquiry 2015 Feb 10;52. doi: 10.1177/0046958015571130..
Keywords: Quality of Care, Medication, Respiratory Conditions, Guidelines