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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 6 of 6 Research Studies Displayed
Fenton JJ, Jerant A, Franks P
Watchful waiting as a strategy to reduce low-value spinal imaging: study protocol for a randomized trial.
This paper describes the protocol that will be used for an upcoming randomized control trial to determine the effectiveness of teaching clinicians how to advise watchful waiting when patients request low-value spinal imaging for acute low back pain. The authors will recruit 8-10 primary care and urgent care clinics in Sacramento, California. The study will last 3-6 months and during this time clinicians in the intervention group with receive 3 visits with standardized patient instructors (SPIs) portraying patients with acute back pain. The SPIs will instruct clinicians in a 3-step model emphasizing trust, empathic communication, and negotiation of a watchful waiting approach. The primary outcome looked for will a decreased post-intervention rate of spinal imaging among actual patients with acute back pain compared to the rate of imaging during the baseline period. Secondary outcomes will include use of targeted communication techniques during a follow-up visit with an SP.
Citation: Fenton JJ, Jerant A, Franks P . Watchful waiting as a strategy to reduce low-value spinal imaging: study protocol for a randomized trial. Trials 2021 Feb 27;22(1):167. doi: 10.1186/s13063-021-05106-x..
Keywords: Back Health and Pain, Pain, Chronic Conditions, Imaging, Diagnostic Safety and Quality, Clinician-Patient Communication, Communication
Hammer MM, Kapoor N, Desai SP
Adoption of a closed-loop communication tool to establish and execute a collaborative follow-up plan for incidental pulmonary nodules.
The purpose of this study was to assess radiologists' adoption of a closed-loop communication and tracking system, Result Alert and Development of Automated Resolution (RADAR), for incidental pulmonary nodules and to measure its effect on the completeness of radiologists' follow-up recommendations. Results showed that a closed-loop communication system that enables establishing and executing a collaborative follow-up plan for incidental pulmonary nodules can be adopted and improves the quality of radiologists' follow-up recommendations.
Citation: Hammer MM, Kapoor N, Desai SP . Adoption of a closed-loop communication tool to establish and execute a collaborative follow-up plan for incidental pulmonary nodules. AJR Am J Roentgenol 2019 May;212(5):1077-81. doi: 10.2214/ajr.18.20692..
Keywords: Diagnostic Safety and Quality, Imaging, Communication
Hong MK, Feustel C, Agnihotri M
Supporting families in reviewing and communicating about radiology imaging studies.
Diagnostic radiology reports are increasingly being made available to patients and their family members. However, these reports are not typically comprehensible to lay recipients, impeding effective communication about report findings. In this paper, the investigators present three studies informing the design of a prototype to foster patient-clinician communication about radiology report content.
Citation: Hong MK, Feustel C, Agnihotri M . Supporting families in reviewing and communicating about radiology imaging studies. Proc SIGCHI Conf Hum Factor Comput Syst 2017 May 2;2017:5245-56. doi: 10.1145/3025453.3025754..
Keywords: Communication, Family Health and History, Imaging, Clinician-Patient Communication
Sabbatini AK, Merck LH, Froemming AT
Optimizing patient-centered communication and multidisciplinary care coordination in emergency diagnostic imaging: a research agenda.
This article summarizes findings reached during the patient-centered outcomes session of the 2015 Academic Emergency Medicine consensus conference "Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization." The primary objective was to develop a research agenda focused on 1) defining component parts of the emergency diagnostic imaging care coordination process, 2) identifying gaps in communication that affect emergency diagnostic imaging, and 3) defining optimal methods of communication.
Citation: Sabbatini AK, Merck LH, Froemming AT . Optimizing patient-centered communication and multidisciplinary care coordination in emergency diagnostic imaging: a research agenda. Acad Emerg Med 2015 Dec;22(12):1427-34. doi: 10.1111/acem.12826.
Keywords: Communication, Emergency Department, Health Services Research (HSR), Imaging, Patient-Centered Healthcare, Patient-Centered Outcomes Research
Al-Mutairi A, Meyer AN, Chang P
Lack of timely follow-up of abnormal imaging results and radiologists' recommendations.
This study tested the association between information contained in radiologists’ reports and follow-up outcomes. It found that abnormal imaging results with recommendations for further imaging are more vulnerable to lack of timely follow-up. Expression of “doubt” in the radiology reports did not affect follow-up actions.
Citation: Al-Mutairi A, Meyer AN, Chang P . Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. J Am Coll Radiol 2015 Apr;12(4):385-9. doi: 10.1016/j.jacr.2014.09.031..
Keywords: Communication, Diagnostic Safety and Quality, Imaging, Clinician-Patient Communication
Lacson R, Prevedello LM, Andriole KP
Four-year impact of an alert notification system on closed-loop communication of critical test results.
The authors evaluated the impact of an alert notification system on policy adherence for communicating critical imaging test results to referring providers and assessed system adoption over the first 4 years after implementation. They concluded that an automated alert notification system for communicating critical imaging results was successfully adopted and was associated with increased adherence to institutional policy for communicating critical test results and with reduced workflow interruptions.
Citation: Lacson R, Prevedello LM, Andriole KP . Four-year impact of an alert notification system on closed-loop communication of critical test results. AJR Am J Roentgenol 2014 Nov;203(5):933-8. doi: 10.2214/ajr.14.13064.
Keywords: Communication, Decision Making, Guidelines, Health Information Technology (HIT), Imaging