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Topics
- Antibiotics (1)
- Cancer (1)
- Cardiovascular Conditions (1)
- (-) Children/Adolescents (21)
- Chronic Conditions (1)
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- Healthcare-Associated Infections (HAIs) (11)
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- Patient-Centered Outcomes Research (1)
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- Practice Patterns (1)
- Prevention (6)
- Quality of Care (2)
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- Respiratory Conditions (3)
- Risk (1)
- Surgery (1)
- Surveys on Patient Safety Culture (1)
- Vulnerable Populations (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 21 of 21 Research Studies DisplayedCrook S, Dragan K, Woo JL
Long-term health care utilization after cardiac surgery in children covered under Medicaid.
The purpose of this study was to examine the long-term burden of health care expenditures and utilization after pediatric cardiac surgery to improve care and reduce outcome inequities. The study compared children under the age of 18 undergoing cardiac surgery from 2006-2019 to a similar cohort of children without cardiac surgical disease. The research concluded that children after cardiac surgery have substantial long-term health care needs than noncardiac surgical comparators.
AHRQ-funded; HS000055.
Citation: Crook S, Dragan K, Woo JL .
Long-term health care utilization after cardiac surgery in children covered under Medicaid.
J Am Coll Cardiol 2023 Apr 25; 81(16):1605-17. doi: 10.1016/j.jacc.2023.02.021..
Keywords: Children/Adolescents, Healthcare Utilization, Long-Term Care, Cardiovascular Conditions, Medicaid, Surgery
Hessels AJ, Murray M, Cohen B
Patient Safety Culture Survey in pediatric complex care settings: a factor analysis.
The objective of this study was to evaluate the psychometric properties of the Nursing Home Survey on Patient Safety Culture tool slightly modified for use in the pediatric long-term care facilities (pLTC) setting. Factor analyses were performed on data collected from 239 staff at 3 pLTCs. Findings showed that this study demonstrated that the Nursing Home Survey on Patient Safety Culture, with minimal modification, may be an appropriate instrument to measure patient safety culture in pLTC settings. Recommendations included additional psychometric testing to validate further the use of this instrument in this setting, including examining the relationship to safety outcomes.
AHRQ-funded; HS021470.
Citation: Hessels AJ, Murray M, Cohen B .
Patient Safety Culture Survey in pediatric complex care settings: a factor analysis.
J Patient Saf 2020 Sep;16(3):223-31. doi: 10.1097/pts.0000000000000279..
Keywords: Children/Adolescents, Surveys on Patient Safety Culture, Patient Safety, Long-Term Care
Burgermaster M, Murray M, Saiman L
Associations between enteral nutrition and acute respiratory infection among patients in New York metropolitan region pediatric long-term care facilities.
This study investigated the outcomes of children and a subsample of infants in pediatric long-term care facilities are need enteral nutrition (EN). Those patients who need EN had a higher risk of acute pediatric infection (ARI) and a lower odds of discharge than those who did not. Infants had a particular higher risk of comorbidities and infections when they were fed using percutaneous feeding tubes.
AHRQ-funded; HS021470.
Citation: Burgermaster M, Murray M, Saiman L .
Associations between enteral nutrition and acute respiratory infection among patients in New York metropolitan region pediatric long-term care facilities.
Nutr Clin Pract 2018 Dec;33(6):865-71. doi: 10.1002/ncp.10017..
Keywords: Children/Adolescents, Healthcare-Associated Infections (HAIs), Nutrition, Outcomes, Patient-Centered Outcomes Research, Patient Safety, Respiratory Conditions, Long-Term Care
Wilmont S, Hessels AJ, Kelly AM
Family experiences and perspectives on infection prevention in pediatric long-term care.
The aims of this qualitative study were to (a) explore perspectives on infection prevention among families visiting children in pediatric long-term care facilities and (b) identify facilitators of and barriers to optimal hand hygiene using semistructured in-depth interviews with 10 family members visiting two New York City metropolitan area facilities.
AHRQ-funded; HS021470.
Citation: Wilmont S, Hessels AJ, Kelly AM .
Family experiences and perspectives on infection prevention in pediatric long-term care.
Children/Adolescents, Healthcare-Associated Infections, Long-term Care, Pediatrics, Prevention Practices.
Keywords: Children/Adolescents, Healthcare-Associated Infections (HAIs), Long-Term Care, Prevention, Patient Safety
Hessels AJ, Murray MT, Cohen B
Perception of patient safety culture in pediatric long-term care settings.
Patient safety culture (PSC) is an emerging construct in adult long-term care settings. No measures are validated to quantify PSC in pediatric long-term care (pLTC) settings despite the importance of safety for this vulnerable population. The objectives of this study were to (1) describe PSC in pLTC; (2) assess the relationship of PSC to facility recommendation and overall safety rating; and (3) test the stability and reliability of the PSC survey over time.
AHRQ-funded; HS021470.
Citation: Hessels AJ, Murray MT, Cohen B .
Perception of patient safety culture in pediatric long-term care settings.
J Healthc Qual 2018 Nov/Dec;40(6):384-91. doi: 10.1097/jhq.0000000000000134..
Keywords: Children/Adolescents, Long-Term Care, Patient Safety, Children/Adolescents
Murray MT, Johnson CL, Cohen B
Use of antibiotics in paediatric long-term care facilities.
The authors sought to describe antibiotic use in three pediatric long-term care (LTC) facilities and to describe the factors associated with use. They found that the use of antibiotics in pediatric LTC facilities is widespread. They recommended further assessment of antibiotic use in pediatric LTC facilities.
AHRQ-funded; HS021470.
Citation: Murray MT, Johnson CL, Cohen B .
Use of antibiotics in paediatric long-term care facilities.
J Hosp Infect 2018 Jun;99(2):139-44. doi: 10.1016/j.jhin.2017.10.019.
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Keywords: Antibiotics, Children/Adolescents, Healthcare-Associated Infections (HAIs), Long-Term Care, Practice Patterns
Larson EL, Murray MT, Cohen B
Behavioral interventions to reduce infections in pediatric long-term care facilities: the keep it clean for kids trial.
Researchers examined the success of behavioral interventions to reduce infections in pediatric long-term care facilities. The intervention, called Keep it Clean for Kids, included leadership commitment, frequent hand-washing, and electronic monitoring of hand hygiene. Improvements were show in infection reduction in two sites, fewer hospitalizations in all sites, and varied outcomes in the number of outbreaks/cases.
AHRQ-funded; HS021470.
Citation: Larson EL, Murray MT, Cohen B .
Behavioral interventions to reduce infections in pediatric long-term care facilities: the keep it clean for kids trial.
Behav Med 2018 Apr-Jun;44(2):141-50. doi: 10.1080/08964289.2017.1288607..
Keywords: Children/Adolescents, Long-Term Care, Healthcare-Associated Infections (HAIs), Patient Safety, Prevention
Hessels AJ, Darby SW, Simpser E
National testing of the nursing-kids intensity of care survey for pediatric long-term care.
The purpose of this study is to test the Nursing-Kids Intensity of Care, a measure of the intensity of nursing care needs, defined as the quantity and type of direct and indirect care activities performed by caregivers in a national sample. The authors concluded that additional testing to further establish psychometric sufficiency and expanded use to quantify the intensity of nursing care needs of children with complex medical conditions in pediatric long-term care settings is recommended.
AHRQ-funded; HS021470.
AHRQ-funded; HS021470.
AHRQ-funded; HS021470.
Citation: Hessels AJ, Darby SW, Simpser E .
National testing of the nursing-kids intensity of care survey for pediatric long-term care.
J Pediatr Nurs 2017 Nov/Dec;37:86-90. doi: 10.1016/j.pedn.2017.08.026..
Keywords: Children/Adolescents, Health Services Research (HSR), Long-Term Care, Nursing, Children/Adolescents
Saiman L, Maykowski P, Murray M
Incidence, risks, and types of infections in pediatric long-term care facilities.
The researchers described the types of infections diagnosed in residents of pediatric long-term care facilities, calculate infection rates, and identified risk factors for respiratory tract infections (RTIs). RTIs were the most common infections diagnosed, but modifiable risk factors for RTIs were not identified. Also included in the study were skin and soft-tissue infections; chronic comorbid conditions, including neurologic and respiratory disorders; and device use.
AHRQ-funded; HS021470.
Citation: Saiman L, Maykowski P, Murray M .
Incidence, risks, and types of infections in pediatric long-term care facilities.
JAMA Pediatr 2017 Sep;171(9):872-78. doi: 10.1001/jamapediatrics.2017.1482.
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Keywords: Healthcare-Associated Infections (HAIs), Long-Term Care, Patient Safety, Children/Adolescents, Risk
Hessels AJ, Agarwal M, Saiman L
Measuring patient safety culture in pediatric long-term care.
The purpose of this study was to test the reliability, feasibility and utility of a modified patient safety survey for use in pediatric long term care (pLTC) settings and describe patient safety culture in a sample of providers from pLTC facilities. Highest ratings were given to overall perceptions of safety, feedback and incident communication, supervisors' expectations and actions and management support.
AHRQ-funded; HS021470.
Citation: Hessels AJ, Agarwal M, Saiman L .
Measuring patient safety culture in pediatric long-term care.
J Pediatr Rehabil Med 2017 May 17;10(2):81-87. doi: 10.3233/prm-170432.
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Keywords: Children/Adolescents, Long-Term Care, Patient Safety, Quality of Care
Cohen B, Murray M, Jia H
Is hand hygiene frequency associated with the onset of outbreaks in pediatric long-term care?
The authors studied the possibility of a correlation between hand hygiene and viral outbreak reduction in pediatric long-term care facilities. Contrary to findings in adult long-term care facilities, they found no association between hand hygiene frequency and subsequent outbreak onset in pediatric long-term care facilities.
AHRQ-funded; HS021470.
Citation: Cohen B, Murray M, Jia H .
Is hand hygiene frequency associated with the onset of outbreaks in pediatric long-term care?
Am J Infect Control 2016 Dec;44(12):1492-94. doi: 10.1016/j.ajic.2016.06.022.
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Keywords: Prevention, Children/Adolescents, Long-Term Care, Healthcare-Associated Infections (HAIs), Patient Safety, Children/Adolescents
Murray MT, Heitkempber E, Jackson O
Direct costs of acute respiratory infections in a pediatric long-term care facility.
Acute respiratory tract infections (ARI) are a major burden in pediatric long-term care. The researchers analyzed the financial impact of ARI in 2012-2013. Costs associated with ARI during the respiratory viral season were ten times greater than during the non-respiratory viral season, $31,224 and $3,242 per 1000 patient-days, respectively.
AHRQ-funded; HS021470.
Citation: Murray MT, Heitkempber E, Jackson O .
Direct costs of acute respiratory infections in a pediatric long-term care facility.
Influenza Other Respir Viruses 2016 Jan;10(1):34-6. doi: 10.1111/irv.12350.
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Keywords: Children/Adolescents, Respiratory Conditions, Long-Term Care, Healthcare Costs, Children/Adolescents
Muray MT, Jackson O, Cohen B
Impact of infection prevention and control initiatives on acute respiratory infections in a pediatric long-term care facility.
Researchers evaluated the collective impact of several infection prevention and control initiatives aimed at reducing acute respiratory infections (ARIs) in a pediatric long-term care facility. ARIs did not decrease overall, though the proportion of infections associated with outbreaks and average number of cases per outbreak decreased. Influenza rates decreased significantly.
AHRQ-funded; HS021470.
Citation: Muray MT, Jackson O, Cohen B .
Impact of infection prevention and control initiatives on acute respiratory infections in a pediatric long-term care facility.
Infect Control Hosp Epidemiol 2016 Jul;37(7):859-62. doi: 10.1017/ice.2016.73.
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Keywords: Healthcare-Associated Infections (HAIs), Children/Adolescents, Long-Term Care, Prevention, Respiratory Conditions
Navarra AM, Schlau R, Murray M
Assessing nursing care needs of children with complex medical conditions: The Nursing-Kids Intensity of Care Survey (N-KICS).
The researchers designed and tested the Nursing-Kids Intensity of Care Survey (N-KICS) tool and describe intensity of nursing care for children with complex medical conditions. Their psychometric evaluation confirmed an acceptable standard for reliability and validity and feasibility. Intensity scores were highest for nursing care related to infection control, medication administration, nutrition, diaper changes, hygiene, neurological and respiratory support, and standing program.
AHRQ-funded; HS021470.
Citation: Navarra AM, Schlau R, Murray M .
Assessing nursing care needs of children with complex medical conditions: The Nursing-Kids Intensity of Care Survey (N-KICS).
J Pediatr Nurs 2016 May-Jun;31(3):299-310. doi: 10.1016/j.pedn.2015.11.012.
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Keywords: Children/Adolescents, Chronic Conditions, Disabilities, Long-Term Care, Nursing, Vulnerable Populations
Loyland B, Wilmont S, Hessels AJ
Staff knowledge, awareness, perceptions, and beliefs about infection prevention in pediatric long-term care facilities.
The aims of this study were to explore direct care providers' knowledge about infection prevention and hand hygiene, attitudes regarding their own and others' hand hygiene practices, and ideas and advice for improving infection prevention efforts. Findings suggested that one essential driver of staff behavior change is having expectations that are meaningful to staff, and many staff members stated that they wanted more in-person staff meetings with education and hands-on, practical advice. Also, workflow patterns and/or the physical environment need to be carefully evaluated to identify systems and methods to minimize cross-contamination.
AHRQ-funded; HS021470.
Citation: Loyland B, Wilmont S, Hessels AJ .
Staff knowledge, awareness, perceptions, and beliefs about infection prevention in pediatric long-term care facilities.
Nurs Res 2016 Mar-Apr;65(2):132-41. doi: 10.1097/nnr.0000000000000136.
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Keywords: Children/Adolescents, Healthcare-Associated Infections (HAIs), Long-Term Care, Children/Adolescents, Prevention
Loyland B, Wilmont S, Cohen B
Hand-hygiene practices and observed barriers in pediatric long-term care facilities in the New York metropolitan area.
The authors described hand-hygiene practices in pediatric long-term care (pLTC) facilities and identified observed barriers to, and potential solutions for, improved infection prevention. They found that hand hygiene was performed for 40% of the 847 indications observed and recorded, and that adherence appeared to be influenced by individuals' knowledge, attitudes, beliefs and work setting. They concluded by offering suggestions for overcoming barriers or mitigating their effect and suggesting an adaptation of the '5 Moments for Hand Hygiene' to improve infection prevention in pLTC.
AHRQ-funded; HS021470.
Citation: Loyland B, Wilmont S, Cohen B .
Hand-hygiene practices and observed barriers in pediatric long-term care facilities in the New York metropolitan area.
Int J Qual Health Care 2016 Feb;28(1):74-80. doi: 10.1093/intqhc/mzv097.
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Keywords: Children/Adolescents, Healthcare-Associated Infections (HAIs), Long-Term Care, Children/Adolescents, Prevention
Thienprayoon R, Marks E, Funes M
Perceptions of the pediatric hospice experience among English- and Spanish-speaking families.
The objective of this study was to explore parental perspectives of the hospice experience in children with cancer, and to explore how race/ethnicity impacts this experience. Both English and Spanish speakers described the importance of honest, direct communication by medical providers, and anxieties surrounding the expectation of the moment of death. English-speaking families were more likely to return to the hospital because of unsatisfactory symptom management.
AHRQ-funded; HS022418.
Citation: Thienprayoon R, Marks E, Funes M .
Perceptions of the pediatric hospice experience among English- and Spanish-speaking families.
J Palliat Med 2016 Jan;19(1):30-41. doi: 10.1089/jpm.2015.0137.
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Keywords: Children/Adolescents, Palliative Care, Long-Term Care, Racial and Ethnic Minorities, Cancer
Murray MT, Neu N, Cohen B
Developing case definitions for health care-associated infections for pediatric long-term care facilities.
The researchers performed a pilot study to assess the utility of the Society for Healthcare Epidemiology of America/CDC surveillance case definitions for children in pediatric long-term care facilities (pLTCFs). They concluded that the current surveillance definitions for healthcare-acquired infections in adult long-term care appear to have limited utility for the pLTC population.
AHRQ-funded; HS021470.
Citation: Murray MT, Neu N, Cohen B .
Developing case definitions for health care-associated infections for pediatric long-term care facilities.
Clin Pediatr 2015 Dec;54(14):1380-2. doi: 10.1177/0009922815599379..
Keywords: Children/Adolescents, Healthcare-Associated Infections (HAIs), Long-Term Care, Patient Safety, Children/Adolescents
Murray MT, Pavia M, Jackson O
Health care-associated infection outbreaks in pediatric long-term care facilities.
The researchers performed a retrospective study from January 2010- December 2013 at 3 pediatric long-term care facilities to describe HAI outbreaks and associated infection control interventions. They found that there were 62 outbreaks involving 700 cases in residents and 250 cases in staff. The most common interventions were isolation precautions and education and in-services.
AHRQ-funded; HS021470.
Citation: Murray MT, Pavia M, Jackson O .
Health care-associated infection outbreaks in pediatric long-term care facilities.
Am J Infect Control 2015 Jul;43(7):756-8. doi: 10.1016/j.ajic.2015.03.010..
Keywords: Healthcare-Associated Infections (HAIs), Long-Term Care, Children/Adolescents, Children/Adolescents, Patient Safety
Carter EJ, Cohen B, Murray MT
Using workflow diagrams to address hand hygiene in pediatric long-term care facilities.
The aim of the study was to engage staff in the development of workflow diagrams, which highlighted hand hygiene (HH) practices during commonly performed patient-care activities. Facility teams developed six workflow diagrams that underwent 22 validation observations. Four main themes emerged: 1) diagram specificity, 2) wording and layout, 3) timing of HH indications, and 4) environmental hygiene.
AHRQ-funded; HS021470.
Citation: Carter EJ, Cohen B, Murray MT .
Using workflow diagrams to address hand hygiene in pediatric long-term care facilities.
J Pediatr Nurs 2015 Jul-Aug;30(4):e17-21. doi: 10.1016/j.pedn.2014.12.002..
Keywords: Patient Safety, Quality of Care, Children/Adolescents, Long-Term Care
Larson EL, Cohen B, Murray M
Challenges in conducting research in pediatric long-term care facilities.
The purposes of this article are to describe the challenges associated with conducting research in pediatric long-term care facilities (LTCFs) and to recommend approaches to build a successful collaborative relationship between the clinical and administrative staff in LTCFs and the academic research team.
AHRQ-funded; HS021470.
Citation: Larson EL, Cohen B, Murray M .
Challenges in conducting research in pediatric long-term care facilities.
Clin Pediatr 2014 Oct;53(11):1041-6. doi: 10.1177/0009922814540986..
Keywords: Children/Adolescents, Long-Term Care, Health Services Research (HSR)