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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 7 of 7 Research Studies Displayed
Baughman AW, Triantafylidis LK, O'Neil N
Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled nursing facility.
This study described a quality improvement (QI) approach to improve medication reconciliation in a skilled nursing facility (SNF) setting as part of the Multi-Center Medication Reconciliation Quality Improvement Study 2 (MARQUIS2). Findings showed that SNFs represent a critical setting for medication reconciliation efforts due to challenges completing the reconciliation process and the concomitant high risk of adverse drug events in this population. Initial baseline assessments effectively identified existing problems and can be used to guide targeted interventions.
Citation: Baughman AW, Triantafylidis LK, O'Neil N . Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled nursing facility. Jt Comm J Qual Patient Saf 2021 Oct;47(10):646-53. doi: 10.1016/j.jcjq.2021.06.001..
Keywords: Medication, Veterans, Quality Improvement, Quality of Care
Dworsky JQ, Shenoy R, Childers CP
Older veterans undergoing inpatient surgery: what is the compliance with best practice guidelines?
This study’s objective was to determine the documented compliance with best practice guidelines for optimal perioperative care for the older adult surgical patient that were created by the American College of Surgeons Quality Improvement Program and the American Geriatrics Society. The guidelines include 38 measures. A retrospective chart review was conducted on 86 older adults undergoing elective inpatient coronary artery bypass graft, prostatectomy, or colectomy over a 2-year period at a single Veterans Affairs hospital. Mean reported compliance across measures was 41% ± 4%. Of the 38 analyzed measures, 10 measures were achieved for 0 patients, and only 1 patient for 7 measures. Future work is needed to understand barriers for implementation.
Citation: Dworsky JQ, Shenoy R, Childers CP . Older veterans undergoing inpatient surgery: what is the compliance with best practice guidelines? Surgery 2021 Feb;169(2):356-61. doi: 10.1016/j.surg.2020.08.033..
Keywords: Elderly, Veterans, Surgery, Guidelines, Evidence-Based Practice, Quality Improvement, Quality of Care, Quality Measures
Than C, Chuang E, Washington DL
Understanding gender sensitivity of the health care workforce at the Veterans Health Administration.
Gender sensitivity of providers and staff has assumed increasing importance in closing historical gender disparities in health care quality and outcomes. The Department of Veterans Affairs (VA) has implemented several initiatives intended to improve gender sensitivity of its health care workforce. The current study examined practice- and individual-level characteristics associated with gender sensitivity of primary care providers (PCPs) and staff.
Citation: Than C, Chuang E, Washington DL . Understanding gender sensitivity of the health care workforce at the Veterans Health Administration. Womens Health Issues 2020 Mar-Apr;30(2):120-27. doi: 10.1016/j.whi.2020.01.001..
Keywords: Workforce, Provider, Veterans, Primary Care, Disparities, Quality of Care
Langhoff E, Siu A, Boockvar K
The VA and Non-VA experience of tracking good care.
This study compared how well Department of Veterans Affairs (VA) hospitals perform against non-VA hospitals. Three widely referenced public health care ranking models: the U.S. News America’s Best Hospitals, Truven Health Analytics, and Hospital Compare along with the VA model were examined. The authors found that the metrics used across the 4 models are neither comparable nor transparent. They found there were 6-46% reporting deficiencies in reporting hospital metrics in non-VA hospitals, while VA reporting is 100% of their metrics. VA inpatient satisfaction fell far short of the private sector, but both sets of rankings increased over time.
Citation: Langhoff E, Siu A, Boockvar K . The VA and Non-VA experience of tracking good care. Popul Health Manag 2020 Feb;23(1):92-100. doi: 10.1089/pop.2019.0039..
Keywords: Veterans, Hospitals, Provider Performance, Patient Experience, Quality of Care
Hysong SJ, Amspoker AB, Hughes AM
Impact of team configuration and team stability on primary care quality.
This paper discusses an upcoming study on the impact of team configurations on primary care effectiveness in clinics in the Veterans Health Administration (VHA). Recommendations are based on the Patient-Centered Medical Home (PCMH) model. Researchers plan to extract data from over 7000 primary care teams in the VHA’s Team Assignment Reports (TAR).
Citation: Hysong SJ, Amspoker AB, Hughes AM . Impact of team configuration and team stability on primary care quality. Implement Sci 2019 Mar 6;14(1):22. doi: 10.1186/s13012-019-0864-8..
Keywords: Primary Care, Primary Care: Models of Care, Quality of Care, Teams, Veterans
Dworsky JQ, Castle SC, Lee CC
Gerofit prehabilitation pilot program: preparing frail older veterans for surgery.
Older Veterans are increasingly undergoing surgery and are at particularly high risk of postoperative morbidity and mortality. Prehabilitation has emerged as a method to improve postoperative outcomes by enhancing the patient's preoperative condition. IN this paper, the authors present data from their prehabilitation pilot project and plans for expansion and dissemination of a nationwide quality improvement effort.
Citation: Dworsky JQ, Castle SC, Lee CC . Gerofit prehabilitation pilot program: preparing frail older veterans for surgery. J Healthc Qual 2019 Mar/Apr;41(2):91-98. doi: 10.1097/jhq.0000000000000185..
Keywords: Elderly, Patient Safety, Quality of Care, Quality Improvement, Surgery, Veterans
Watkins KE, Smith B, Akincigil A
The quality of medication treatment for mental disorders in the department of Veterans Affairs and in private-sector plans.
The objective of this paper was to compare the quality of mental health care provided by the U.S. Department of Veterans Affairs (VA) with care provided to a comparable population treated in the private sector. The researchers found that VA performance was superior to that of the private sector by more than 30%. They concluded that their findings demonstrate the significant advantages that accrue from an organized, nationwide system of care and suggested that the much higher performance of the VA has important clinical and policy implications.
AHRQ-funded; HS003258; HS021112.
Citation: Watkins KE, Smith B, Akincigil A . The quality of medication treatment for mental disorders in the department of Veterans Affairs and in private-sector plans. Psychiatr Serv 2016 Apr;67(4):391-6. doi: 10.1176/appi.ps.201400537.
Keywords: Quality of Care, Health Insurance, Medication, Behavioral Health, Veterans