National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
Data
- Data Infographics
- Data Visualizations
- Data Tools
- Data Innovations
- All-Payer Claims Database
- Healthcare Cost and Utilization Project (HCUP)
- Medical Expenditure Panel Survey (MEPS)
- AHRQ Quality Indicator Tools for Data Analytics
- State Snapshots
- United States Health Information Knowledgebase (USHIK)
- Data Sources Available from AHRQ
Search All Research Studies
AHRQ Research Studies Date
Topics
- Access to Care (417)
- Adverse Drug Events (ADE) (321)
- Adverse Events (737)
- Alcohol Use (61)
- Ambulatory Care and Surgery (204)
- Antibiotics (248)
- Antimicrobial Stewardship (157)
- Anxiety (48)
- Arthritis (130)
- Asthma (122)
- Autism (31)
- Back Health and Pain (58)
- Behavioral Health (699)
- Blood Clots (62)
- Blood Pressure (132)
- Blood Thinners (79)
- Brain Injury (64)
- Breast Feeding (18)
- Burnout (64)
- Cancer (788)
- Cancer: Breast Cancer (197)
- Cancer: Cervical Cancer (21)
- Cancer: Colorectal Cancer (116)
- Cancer: Lung Cancer (83)
- Cancer: Ovarian Cancer (9)
- Cancer: Prostate Cancer (108)
- Cancer: Skin Cancer (15)
- Cardiovascular Conditions (711)
- Care Coordination (104)
- Caregiving (223)
- Care Management (225)
- Case Study (101)
- Catheter-Associated Urinary Tract Infection (CAUTI) (55)
- Centers for Education and Research on Therapeutics (CERTs) (12)
- Central Line-Associated Bloodstream Infections (CLABSI) (61)
- Children's Health Insurance Program (CHIP) (40)
- Children/Adolescents (1542)
- Chronic Conditions (700)
- Clinical Decision Support (CDS) (199)
- Clinician-Patient Communication (281)
- Clostridium difficile Infections (55)
- Colonoscopy (37)
- Communication (383)
- Community-Acquired Infections (59)
- Community-Based Practice (150)
- Community Partnerships (18)
- Comparative Effectiveness (463)
- Complementary and Alternative Medicine (23)
- Comprehensive Unit-based Safety Program (CUSP) (9)
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) (85)
- COVID-19 (312)
- Critical Care (220)
- Cultural Competence (64)
- Data (174)
- Decision Making (583)
- Dementia (102)
- Dental and Oral Health (66)
- Depression (237)
- Diabetes (369)
- Diagnostic Safety and Quality (545)
- Dialysis (24)
- Digestive Disease and Health (111)
- Disabilities (73)
- Disparities (449)
- Domestic Violence (30)
- Ear Infections (5)
- Education (30)
- Education: Academic (26)
- Education: Continuing Medical Education (159)
- Education: Curriculum (23)
- Education: Patient and Caregiver (231)
- Elderly (944)
- Electronic Health Records (EHRs) (729)
- Electronic Prescribing (E-Prescribing) (26)
- Emergency Department (559)
- Emergency Medical Services (EMS) (163)
- Emergency Preparedness (26)
- Evidence-Based Practice (932)
- Eye Disease and Health (36)
- Falls (85)
- Family Health and History (71)
- Genetics (96)
- Guidelines (364)
- Healthcare-Associated Infections (HAIs) (420)
- Healthcare Cost and Utilization Project (HCUP) (368)
- Healthcare Costs (787)
- Healthcare Delivery (547)
- Healthcare Utilization (384)
- Health Information Exchange (HIE) (51)
- Health Information Technology (HIT) (1425)
- Health Insurance (434)
- Health Literacy (126)
- Health Promotion (78)
- Health Services Research (HSR) (327)
- Health Status (132)
- Health Systems (104)
- Heart Disease and Health (452)
- Hepatitis (41)
- Home Healthcare (141)
- Hospital Discharge (220)
- Hospitalization (534)
- Hospital Readmissions (323)
- Hospitals (757)
- Human Immunodeficiency Virus (HIV) (255)
- Imaging (245)
- Implementation (191)
- Infectious Diseases (260)
- Influenza (41)
- Injuries and Wounds (207)
- Inpatient Care (221)
- Intensive Care Unit (ICU) (267)
- Kidney Disease and Health (199)
- Labor and Delivery (106)
- Learning Health Systems (47)
- Lifestyle Changes (134)
- Long-Term Care (226)
- Low-Income (171)
- Maternal Care (182)
- Medicaid (359)
- Medical Devices (71)
- Medical Errors (205)
- Medical Expenditure Panel Survey (MEPS) (189)
- Medical Liability (26)
- Medicare (573)
- Medication (1681)
- Medication: Safety (231)
- Men's Health (54)
- Methicillin-Resistant Staphylococcus aureus (MRSA) (73)
- Mortality (397)
- Neonatal Intensive Care Unit (NICU) (43)
- Neurological Disorders (197)
- Newborns/Infants (258)
- Nursing (113)
- Nursing Homes (326)
- Nutrition (135)
- Obesity (250)
- Obesity: Weight Management (105)
- Opioids (303)
- Organizational Change (73)
- Orthopedics (106)
- Osteoporosis (30)
- Outcomes (798)
- Pain (208)
- Palliative Care (138)
- Patient-Centered Healthcare (456)
- Patient-Centered Outcomes Research (1033)
- Patient Adherence/Compliance (229)
- Patient and Family Engagement (275)
- Patient Experience (258)
- Patient Safety (1293)
- Patient Self-Management (140)
- Payment (200)
- Pneumonia (82)
- Policy (431)
- Practice-Based Research Network (PBRN) (16)
- Practice Improvement (34)
- Practice Patterns (305)
- Pregnancy (289)
- Pressure Ulcers (28)
- Prevention (794)
- Primary Care (718)
- Primary Care: Models of Care (86)
- Provider (299)
- Provider: Clinician (67)
- Provider: Health Personnel (91)
- Provider: Nurse (112)
- Provider: Pharmacist (98)
- Provider: Physician (237)
- Provider: Physician Assistant (1)
- Provider Performance (199)
- Public Health (182)
- Public Reporting (40)
- Quality Improvement (551)
- Quality Indicators (QIs) (138)
- Quality Measures (227)
- Quality of Care (990)
- Quality of Life (199)
- Racial and Ethnic Minorities (749)
- Registries (146)
- Rehabilitation (61)
- Research Methodologies (418)
- Respiratory Conditions (367)
- Risk (756)
- Rural/Inner-City Residents (23)
- Rural Health (133)
- Screening (457)
- Sepsis (140)
- Sex Factors (67)
- Sexual Health (126)
- Sickle Cell Disease (49)
- Simulation (48)
- Skin Conditions (121)
- Sleep Problems (70)
- Social Determinants of Health (355)
- Social Media (46)
- Social Stigma (52)
- Stress (71)
- Stroke (162)
- Substance Abuse (299)
- Surgery (1110)
- Surveys on Patient Safety Culture (13)
- System Design (15)
- Teams (137)
- TeamSTEPPS (17)
- Telehealth (256)
- Tobacco Use (83)
- Tobacco Use: Smoking Cessation (22)
- Tools & Toolkits (49)
- Training (143)
- Transitions of Care (192)
- Transplantation (141)
- Trauma (104)
- Treatments (185)
- U.S. Preventive Services Task Force (USPSTF) (217)
- Uninsured (80)
- Urban Health (92)
- Urinary Tract Infection (UTI) (70)
- Vaccination (158)
- Vitamins and Supplements (10)
- Vulnerable Populations (229)
- Web-Based (84)
- Women (545)
- Workflow (66)
- Workforce (89)
- Young Adults (85)
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
11226 to 11250 of 12139 Research Studies DisplayedCrowley MJ, Zullig LL, Shah BR
Medication non-adherence after myocardial infarction: an exploration of modifying factors.
The purpose of this study was to identify demographic and patient characteristics, medical comorbidities, psychosocial factors, and health belief-related factors associated with medication non-adherence among patients with known cardiovascular disease. They found that worry about having a stroke, higher life chaos, and younger age were all significantly associated with self-reported medication nonadherence in patients with cardiovascular disease and a history of myocardial infarction.
AHRQ-funded; HS021092.
Citation: Crowley MJ, Zullig LL, Shah BR .
Medication non-adherence after myocardial infarction: an exploration of modifying factors.
J Gen Intern Med 2015 Jan;30(1):83-90. doi: 10.1007/s11606-014-3072-x..
Keywords: Medication, Heart Disease and Health, Patient Adherence/Compliance, Cardiovascular Conditions
Abramson RG, Burton KR, Yu JP
Methods and challenges in quantitative imaging biomarker development.
In this article, the Association of University Radiologists Radiology Research Alliance Quantitative Imaging Task Force reviews current issues in quantitative imaging (QI) biomarker research, discusses motivations for advancing QI, defines key terms, presents a framework for QI biomarker research, and outlines challenges in QI biomarker development.
AHRQ-funded; 290201200007I.
Citation: Abramson RG, Burton KR, Yu JP .
Methods and challenges in quantitative imaging biomarker development.
Acad Radiol 2015 Jan;22(1):25-32. doi: 10.1016/j.acra.2014.09.001.
.
.
Keywords: Imaging, Quality Improvement, Research Methodologies
Butler KA, Mercer E, Bahrami A
Model checking for verification of interactive health IT systems.
The authors proposed to formalize the relationship between HIT and the conceptual work that increasingly typifies modern care. They demonstrated the method on a patient contact system to show that model checking is effective for interactive systems and that much of it can be automated.
AHRQ-funded; HS021233.
Citation: Butler KA, Mercer E, Bahrami A .
Model checking for verification of interactive health IT systems.
AMIA Annu Symp Proc 2015;2015:349-58.
.
.
Keywords: Decision Making, Health Information Technology (HIT), Health Information Technology (HIT), Patient Safety, Workflow
Anderson HD, Pace WD, Brandt E
Monitoring suicidal patients in primary care using electronic health records.
The objective of this study was to estimate the use of diagnostic codes in EHRs to document suicidal ideation and attempt among patients seen in primary care. It found that few cases of suicidal ideation and suicide attempt as documented in a primary care setting using a clinician’s notes field or a patient-reported PHQ-9 were also documented in the patient’s EHR using diagnostic codes.
AHRQ-funded; HS019464.
Citation: Anderson HD, Pace WD, Brandt E .
Monitoring suicidal patients in primary care using electronic health records.
J Am Board Fam Med 2015 Jan-Feb;28(1):65-71. doi: 10.3122/jabfm.2015.01.140181..
Keywords: Behavioral Health, Primary Care, Electronic Health Records (EHRs), Health Information Technology (HIT)
Xie A, Carayon P, Cartmill R
Multi-stakeholder collaboration in the redesign of family-centered rounds process.
This study explores the experience of multiple stakeholders with collaboration in a healthcare system redesign project. A model of collaborative healthcare system redesign was developed, which defined four phases (i.e., setup of the redesign team, preparation for meetings, collaboration in meetings, follow-up after meetings) and two outcomes (i.e., team outcomes, redesign outcomes) of the collaborative process.
AHRQ-funded; HS018680.
Citation: Xie A, Carayon P, Cartmill R .
Multi-stakeholder collaboration in the redesign of family-centered rounds process.
Appl Ergon 2015 Jan;46 Pt A:115-23. doi: 10.1016/j.apergo.2014.07.011..
Keywords: System Design, Health Systems, Healthcare Delivery
Madubata CC, Olsen MA, Stwalley DL
Neurofibromatosis type 1 and chronic neurological conditions in the United States: an administrative claims analysis.
The researchers’ objective was to assess whether specific neurological conditions occur more frequently in individuals with neurofibromatosis type 1 versus those without neurofibromatosis type 1. They found that compared with the nonneurofibromatosis group, the neurofibromatosis group had significantly more health insurance claims for epilepsy, Parkinson disease, headache, multiple sclerosis, and sleep disturbances/disorder.
AHRQ-funded; HS019455.
Citation: Madubata CC, Olsen MA, Stwalley DL .
Neurofibromatosis type 1 and chronic neurological conditions in the United States: an administrative claims analysis.
Genet Med 2015 Jan;17(1):36-42. doi: 10.1038/gim.2014.70..
Keywords: Chronic Conditions, Neurological Disorders
McMullen CK, Safford MM, Bosworth HB
Patient-centered priorities for improving medication management and adherence.
The goal of the workshop was to identify and prioritize opportunities to advance PCMM by convening diverse stakeholders involved in prescribing and/or medication taking. A major conclusion was that engaging multiple stakeholders in setting a patient-centered research agenda and broadening the scope of adherence interventions to include other aspects of medication management resulted in priorities outside the traditional scope of adherence research.
AHRQ-funded; HS021093; HS021094; HS021107.
Citation: McMullen CK, Safford MM, Bosworth HB .
Patient-centered priorities for improving medication management and adherence.
Patient Educ Couns 2015 Jan;98(1):102-10. doi: 10.1016/j.pec.2014.09.015..
Keywords: Centers for Education and Research on Therapeutics (CERTs), Chronic Conditions, Medication, Patient Adherence/Compliance, Patient-Centered Healthcare
Mowrer JL, Tapp H, Ludden T
Patients' and providers' perceptions of asthma and asthma care: a qualitative study.
The primary goal of this qualitative study was to further explore patient and provider perceptions of asthma and asthma care as part of a larger Asthma Comparative Effectiveness Study. Three overarching themes, with a variety of subthemes, emerged as the main findings of this study. The three main themes were Cost/Economic Barriers/Process, Self-Governance/Adherence and Education.
AHRQ-funded; HS019946.
Citation: Mowrer JL, Tapp H, Ludden T .
Patients' and providers' perceptions of asthma and asthma care: a qualitative study.
J Asthma 2015;52(9):949-56. doi: 10.3109/02770903.2015.1010731..
Keywords: Asthma, Comparative Effectiveness, Patient Adherence/Compliance, Chronic Conditions
Abdelsattar ZM, Krapohl G, Alrahmani L
Postoperative burden of hospital-acquired Clostridium difficile infection.
This study of 35,363 surgical patients found that 0.51 percent developed a clostridium difficile infection (CDI), with the highest rates occurring after lower-extremity amputation, bowel resection or repair, and gastric or esophageal operations. Post-operative CDI was also associated with higher rates of extended length of stay, emergency room presentations, and readmissions.
AHRQ-funded; HS000053
Citation: Abdelsattar ZM, Krapohl G, Alrahmani L .
Postoperative burden of hospital-acquired Clostridium difficile infection.
Infect Control Hosp Epidemiol. 2015 Jan;36(1):40-6. doi: 10.1017/ice.2014.8..
Keywords: Clostridium difficile Infections, Patient Safety, Surgery, Hospitalization
Abdelsattar ZM, Krapohl G, Alrahmani L
Postoperative burden of hospital-acquired Clostridium difficile infection.
The researchers studied clostridium dificile infection (CDI) across diverse surgical settings. They found that incidence of postoperative CDI varied by surgical procedure and was associated with higher rates of extended length of stay, emergency room presentations, and readmissions, placing a potentially preventable burden on hospital resources.
AHRQ-funded; HS000053.
Citation: Abdelsattar ZM, Krapohl G, Alrahmani L .
Postoperative burden of hospital-acquired Clostridium difficile infection.
Infect Control Hosp Epidemiol 2015 Jan;36(1):40-6. doi: 10.1017/ice.2014.8.
.
.
Keywords: Surgery, Clostridium difficile Infections, Healthcare-Associated Infections (HAIs), Adverse Events, Hospitals
Feinstein J, Dai D, Zhong W
Potential drug-drug interactions in infant, child, and adolescent patients in children's hospitals.
This study assessed the prevalence and characteristics of potential drug-drug interactions (PDDI) among pediatric patients treated in children’s hospitals. It found that exposure to “major” potential drug2drug interactions occurs in 41 percent of pediatric hospitalizations in children’s hospitals. One-half of all these exposures were due to less common specific drug pairs (3 percent of patients exposed per hospital day).
AHRQ-funded; HS018425.
Citation: Feinstein J, Dai D, Zhong W .
Potential drug-drug interactions in infant, child, and adolescent patients in children's hospitals.
Pediatrics 2015 Jan;135(1):e99-108. doi: 10.1542/peds.2014-2015..
Keywords: Children/Adolescents, Patient Safety, Medication
Matthews Pillemer F, Blendon RJ, Zaslavsky AM
Predicting support for non-pharmaceutical interventions during infectious outbreaks: a four region analysis.
Non-pharmaceutical interventions (NPIs) such as quarantines and face masks are socially and economically disruptive, and usually require compliance by a significant proportion of the population to be effective. The researchers investigated the predictors of NPI support in Hong Kong, Singapore, Taiwan, and the United States. They found NPI support varies widely by region, possibly because of cultural variation and prior experience.
AHRQ-funded; HS000055; HS017587.
Citation: Matthews Pillemer F, Blendon RJ, Zaslavsky AM .
Predicting support for non-pharmaceutical interventions during infectious outbreaks: a four region analysis.
Disasters 2015 Jan;39(1):125-45. doi: 10.1111/disa.12089..
Keywords: Public Health, Prevention, Infectious Diseases, Emergency Preparedness
Gabayan GZ, Sarkisian CA, Liang LJ
Predictors of admission after emergency department discharge in older adults.
The objective of this study was to identify the incidence and predictors of admissions to nonfederal California hospitals within 7 days of ED discharge of older Medicare beneficiaries. It found that five percent of older Medicare beneficiaries have a hospital inpatient admission after discharge from the ED, with chronic disease such as renal disease and heart failure being associated with the greatest odds of admission.
AHRQ-funded; HS18098.
Citation: Gabayan GZ, Sarkisian CA, Liang LJ .
Predictors of admission after emergency department discharge in older adults.
J Am Geriatr Soc 2015 Jan;63(1):39-45. doi: 10.1111/jgs.13185..
Keywords: Elderly, Emergency Department, Hospital Discharge, Hospital Readmissions, Medicare
Moher D, Shamseer L, Clarke M
Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement.
The aim of PRISMA-P 2015 is to improve the quality of systematic review protocols, similar to the impact achieved by other reporting guidelines. PRISMA-P consists of a 17-item checklist intended to facilitate the preparation and reporting of a robust protocol for the systematic review. This Statement paper summarizes the development of the guideline and presents the PRISMA-P checklist.
AHRQ-funded; 290200710059I.
Citation: Moher D, Shamseer L, Clarke M .
Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement.
Syst Rev 2015 Jan 1;4:1. doi: 10.1186/2046-4053-4-1..
Keywords: Evidence-Based Practice, Research Methodologies, Guidelines
Mgbemena O, Westfall AO, Ritchie CS
Preliminary outcomes of a pilot physical therapy program for HIV-infected patients with chronic pain.
This paper presents the results of a pilot project to integrate a physical therapy (PT) program into the HIV pain/palliative care clinic. It provides preliminary evidence that the pilot program improved musculoskeletal pain scores in HIV-infected individuals – notably more than the difference in pain scores observed in the studies of opioids.
AHRQ-funded; HS0216940.
Citation: Mgbemena O, Westfall AO, Ritchie CS .
Preliminary outcomes of a pilot physical therapy program for HIV-infected patients with chronic pain.
AIDS Care 2015;27(2):244-7. doi: 10.1080/09540121.2014.940272..
Keywords: Human Immunodeficiency Virus (HIV), Chronic Conditions, Outcomes, Treatments
Fleisch AF, Rifas-Shiman SL, Koutrakis P
Prenatal exposure to traffic pollution: associations with reduced fetal growth and rapid infant weight gain.
The authors explored air pollution exposure implications for postnatal growth. They found that infants exposed to the highest quartile of neighborhood traffic density had lower fetal growth, more rapid 0- to 6-month weight-for-length gain, and higher odds of weight-for-length ≥95th percentile at 6 months. Neighborhood traffic density was additionally associated with an infant being in both the lowest quartile of fetal growth and the highest quartile of 0- to 6-month weight-for-length gain.
AHRQ-funded; HS000063.
Citation: Fleisch AF, Rifas-Shiman SL, Koutrakis P .
Prenatal exposure to traffic pollution: associations with reduced fetal growth and rapid infant weight gain.
Epidemiology 2015 Jan;26(1):43-50. doi: 10.1097/ede.0000000000000203.
.
.
Keywords: Newborns/Infants, Newborns/Infants, Obesity, Pregnancy, Risk
Ayers DC, Li W, Harrold L
Preoperative pain and function profiles reflect consistent TKA patient selection among US surgeons.
This study compared early data from a recently established US national total knee arthroplasty (TKA) cohort including patients from 123 surgeons in 22 states to evaluate preoperative variability in patient selection across surgeons. Their findings suggest that no clinical difference could be detected in the median (typical) patient across all sites.
AHRQ-funded; HS018910.
Citation: Ayers DC, Li W, Harrold L .
Preoperative pain and function profiles reflect consistent TKA patient selection among US surgeons.
Clin Orthop Relat Res 2015 Jan;473(1):76-81. doi: 10.1007/s11999-014-3716-5..
Keywords: Surgery, Pain, Healthcare Utilization, Practice Patterns
Ojard C, Donnelly JP, Safford MM
Psychosocial stress as a risk factor for sepsis: a population-based cohort study.
This study characterized the relationship between stress and future risk of sepsis and evaluated the role of depression in this relationship. It found that increased stress was associated with higher 1-year adjusted incidence of sepsis, even after accounting for depressive symptoms.
AHRQ-funded; HS013852.
Citation: Ojard C, Donnelly JP, Safford MM .
Psychosocial stress as a risk factor for sepsis: a population-based cohort study.
Psychosom Med 2015 Jan;77(1):93-100. doi: 10.1097/psy.0000000000000120..
Keywords: Risk, Depression, Stress
Chavez LJ, Ornelas IJ, Lyles CR
Racial/ethnic workplace discrimination: association with tobacco and alcohol use.
The authors examined the association between workplace discrimination and tobacco and alcohol use in a large, multistate sample of U.S. adult respondents to the Behavioral Risk Factor Surveillance System survey Reactions to Race Module (2004-2010). They found that, among Hispanics, workplace discrimination was associated with increased heavy and binge drinking, but not any alcohol use or smoking. Workplace discrimination among black non-Hispanics and white Non-Hispanics was associated with increased current and daily smoking, but not alcohol outcomes.
AHRQ-funded; HS013853; HS022408; HS022800.
Citation: Chavez LJ, Ornelas IJ, Lyles CR .
Racial/ethnic workplace discrimination: association with tobacco and alcohol use.
Am J Prev Med 2015 Jan;48(1):42-9. doi: 10.1016/j.amepre.2014.08.013.
.
.
Keywords: Alcohol Use, Lifestyle Changes, Patient-Centered Outcomes Research, Racial and Ethnic Minorities, Tobacco Use
Siddiqui M, Cooper LA, Appel LJ
Recruitment and enrollment of African Americans and Caucasians in a health promotion trial for persons with serious mental illness.
The researchers examined overall recruitment into a trial of cardiovascular disease prevention among people with serious mental illness (SMI), including the racial differences in interest, enrollment, and potential barriers to participation in a behavioral weight loss intervention aimed at adults with SMI. It found that 9.6 percent fewer African Americans enrolled due to inability to complete initial data collection.
AHRQ-funded; HS019488
Citation: Siddiqui M, Cooper LA, Appel LJ .
Recruitment and enrollment of African Americans and Caucasians in a health promotion trial for persons with serious mental illness.
Ethn Dis. 2015 Winter;25(1):72-7..
Keywords: Cardiovascular Conditions, Health Promotion, Behavioral Health, Obesity, Racial and Ethnic Minorities
Stockwell MS, Catallozzi M, Camargo S
Registry-linked electronic influenza vaccine provider reminders: a cluster-crossover trial.
The objective of the study was to determine the impact on vaccine administration of EHR influenza vaccination reminders that are linked to a city immunization information system. It found that a noninterruptive, immunization information system–linked influenza vaccination reminder can increase vaccination late in the winter when fewer vaccine doses are usually administered. Tailoring the reminder to clinicians’ needs can increase its use.
AHRQ-funded; HS018158.
Citation: Stockwell MS, Catallozzi M, Camargo S .
Registry-linked electronic influenza vaccine provider reminders: a cluster-crossover trial.
Pediatrics 2015 Jan;135(1):e75-82. doi: 10.1542/peds.2014-2616..
Keywords: Health Information Technology (HIT), Influenza, Vaccination, Registries
Roberts AW, Dusetzina SB, Farley JF
Revisiting the washout period in the incident user study design: why 6-12 months may not be sufficient.
The purpose of this study was to describe how washout period duration affects the size and accuracy of retrospective incident user cohorts. It found that the 6- and 12-month washouts excluded 75 and 85% of the samples, respectively. Half of subjects in the 6-month washout cohorts were actually prevalent users, and the 12-month washout period resulted in 30% misclassified.
AHRQ-funded; HS000032.
Citation: Roberts AW, Dusetzina SB, Farley JF .
Revisiting the washout period in the incident user study design: why 6-12 months may not be sufficient.
J Comp Eff Res 2015 Jan;4(1):27-35. doi: 10.2217/cer.14.53..
Keywords: Comparative Effectiveness, Evidence-Based Practice, Research Methodologies
White AA, Brock DM, McCotter PI
Risk managers' descriptions of programs to support second victims after adverse events.
The researchers surveyed US members of the American Society for Healthcare Risk Management about the presence, features, and perceived efficacy of their organization’s provider support program. The majority reported that their organization had a support program, but features varied widely and there are substantial opportunities to improve services.
AHRQ-funded; HS019531.
Citation: White AA, Brock DM, McCotter PI .
Risk managers' descriptions of programs to support second victims after adverse events.
J Healthc Risk Manag 2015;34(4):30-40. doi: 10.1002/jhrm.21169..
Keywords: Adverse Events, Patient Safety, Medical Errors, Practice Patterns
Tupper JB, Gray CE, Pearson KB
Safety of rural nursing home-to-emergency department transfers: Improving communication and patient information sharing across settings.
This paper reports on the evaluation of a demonstration in 10 rural communities to improve the safety of nursing facility (NF) transfers to hospital emergency departments by forming interprofessional teams of hospital, emergency medical service, and NF staff to develop and implement tools and protocols for standardizing critical interfacility communication pathways and information sharing. Study findings showed significant improvement in key areas, including infection status and baseline mental functioning. Accurate and consistent information sharing of advance directives and medication lists remains a challenge.
AHRQ-funded; HS019064.
Citation: Tupper JB, Gray CE, Pearson KB .
Safety of rural nursing home-to-emergency department transfers: Improving communication and patient information sharing across settings.
J Healthc Qual 2015 Jan-Feb;37(1):55-65. doi: 10.1097/01.jhq.0000460120.68190.15.
.
.
Keywords: Communication, Emergency Medical Services (EMS), Nursing Homes, Patient Safety, Transitions of Care
Lee CS, Montalmont B, O'Hara JA
Screening for methicillin-resistant Staphylococcus aureus colonization using sponges.
The researchers investigated whether the additional use of a sponge to collect skin culture samples would significantly improve the sensitivity of MRSA detection. They found that the sensitivity of nasal swab culture for screening MRSA carriage is low, but it can be improved significantly by adding a second method, either sampling the skin or the pharynx.
AHRQ-funded; HS021521.
Citation: Lee CS, Montalmont B, O'Hara JA .
Screening for methicillin-resistant Staphylococcus aureus colonization using sponges.
Infect Control Hosp Epidemiol 2015 Jan;36(1):28-33. doi: 10.1017/ice.2014.4..
Keywords: Methicillin-Resistant Staphylococcus aureus (MRSA), Healthcare-Associated Infections (HAIs), Patient Safety, Quality of Care, Screening