National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Adverse Events (2)
- Children/Adolescents (2)
- Diagnostic Safety and Quality (1)
- Health Information Technology (HIT) (1)
- Health Insurance (1)
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- (-) Medical Errors (5)
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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.
Results
1 to 5 of 5 Research Studies DisplayedSchiff GD, Puopolo AL, Huben-Kearney A
Primary care closed claims experience of Massachusetts malpractice insurers.
The researchers studied patterns of primary care malpractice types, causes, and outcomes as part of a Massachusetts ambulatory malpractice risk and safety improvement project. During a 5-year period there were 7224 malpractice claims of which 551 (7.7%) were from primary care practices. In Massachusetts, most primary care claims filed were related to alleged misdiagnosis.
AHRQ-funded; HS019508.
Citation: Schiff GD, Puopolo AL, Huben-Kearney A .
Primary care closed claims experience of Massachusetts malpractice insurers.
JAMA Intern Med 2013 Dec 9-23;173(22):2063-8. doi: 10.1001/jamainternmed.2013.11070..
Keywords: Primary Care, Medical Errors, Health Insurance, Patient Safety, Medical Liability
Starmer AJ, Sectish TC, Simon DW
Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle.
The researchers sought to determine whether introduction of a multifaceted handoff program was associated with reduced rates of medical errors and preventable adverse events, fewer omissions of key data in written handoffs, improved verbal handoffs, and changes in resident-physician workflow. They found that implementation of a handoff bundle was associated with a significant reduction in medical errors and preventable adverse events among hospitalized children.
AHRQ-funded; HS019456.
Citation: Starmer AJ, Sectish TC, Simon DW .
Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle.
JAMA 2013 Dec 4;310(21):2262-70. doi: 10.1001/jama.2013.281961..
Keywords: Medical Errors, Adverse Events, Children/Adolescents, Hospitalization, Patient Safety
Dharmar M, Kuppermann N, Romano PS
Telemedicine consultations and medication errors in rural emergency departments.
This study compared the frequency of physician-related medication errors among seriously ill and injured children receiving telemedicine consultations, similar children receiving telephone consultations, and similar children receiving no consultations in rural emergency departments (EDs). It found that the use of telemedicine to provide pediatric critical care consultations to rural EDs is associated with less frequent physician-related ED medication errors among seriously ill and injured children.
AHRQ-funded; HS013179; HS019712.
Citation: Dharmar M, Kuppermann N, Romano PS .
Telemedicine consultations and medication errors in rural emergency departments.
Pediatrics 2013 Dec;132(6):1090-7. doi: 10.1542/peds.2013-1374..
Keywords: Children/Adolescents, Medical Errors, Medication, Rural Health, Telehealth
Henriksen K, Brady J
AHRQ Author: Henriksen K, Brady J
The pursuit of better diagnostic performance: a human factors perspective.
Improving diagnostic performance is increasingly recognised as a multifaceted challenge. This paper addresses a few of these challenges, including questions that focus on who owns the problem, treating cognitive and system shortcomings as separate issues, why knowledge in the head is not enough, and what we are learning from health information technology and the use of checklists. The authors propose a systems engineering approach making use of rapid-cycle prototyping and simulation, and they call for the formation of substantive partnerships with those in disciplines beyond the clinical domain.
AHRQ-authored.
Citation: Henriksen K, Brady J .
The pursuit of better diagnostic performance: a human factors perspective.
BMJ Qual Saf 2013 Oct;22 Suppl 2:ii1-ii5. doi: 10.1136/bmjqs-2013-001827.
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Keywords: Diagnostic Safety and Quality, Health Information Technology (HIT), Medical Errors, Health Information Technology (HIT), Quality Improvement
O'Leary KJ, Devisetty VK, Patel AR
Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events.
This study compared a traditional trigger tool with an enterprise data warehouse (EDW) based screening method to detect hospital adverse events (AEs). The authors found relatively poor agreement between traditional trigger tool and EDW based screening with only approximately a third of all AEs detected by both methods. They recommended a combination of complementary methods as the optimal approach to detecting AEs among hospitalized patients.
AHRQ-funded; HS019630.
Citation: O'Leary KJ, Devisetty VK, Patel AR .
Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events.
BMJ Qual Saf 2013 Feb;22(2):130-8. doi: 10.1136/bmjqs-2012-001102.
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Keywords: Adverse Events, Hospitals, Medical Errors, Patient Safety, Quality Indicators (QIs)