Publications by authors named "H Reisinger"
Article Synopsis
- This study focused on understanding how common diagnostic uncertainty is when critically ill children are admitted to Pediatric Intensive Care Units (PICUs) and what factors contribute to it.
- Researchers reviewed medical records from 882 pediatric patients across four hospitals to assess the presence of diagnostic uncertainty at admission and how it changed by the time of discharge.
- Key findings indicated that 25.9% of patients showed diagnostic uncertainty upon PICU admission, with significant factors being the time of admission, illness severity, atypical symptoms, and discrepancies in diagnoses between different healthcare providers.
Gaps in communication theory paradigms when conducting implementation science research: qualitative observations from interviews with administrators, implementors, and evaluators of rural health programs.
Implement Sci
September 2024
Background: Communication is considered an inherent element of nearly every implementation strategy. Often it is seen as a means for imparting new information between stakeholders, representing a Transaction orientation to communication. From a Process orientation, communication is more than information-exchange and is acknowledged as being shaped by (and shaping) the individuals involved and their relationships with one another.
View Article and Find Full Text PDFObjective: To use a practical approach to examining the use of Expert Recommendations for Implementing Change (ERIC) strategies by Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) dimensions for rural health innovations using annual reports on a diverse array of initiatives.
Data Sources And Study Setting: The Veterans Affairs (VA) Office of Rural Health (ORH) funds initiatives designed to support the implementation and spread of innovations and evidence-based programs and practices to improve the health of rural Veterans. This study draws on the annual evaluation reports submitted for fiscal years 2020-2022 from 30 of these enterprise-wide initiatives (EWIs).
Article Synopsis
- Acute kidney injury affects about 20-25% of hospital admissions and is linked to increased long-term mortality, primarily due to cardiovascular issues.
- Researchers examined data from 237,409 AKI hospitalizations, focusing on patients' SBP levels and their outcomes, while accounting for demographics, health conditions, and various laboratory values.
RE-AIM for rural health innovations: perceptions of (mis) alignment between the RE-AIM framework and evaluation reporting in the Department of Veterans Affairs Enterprise-Wide Initiatives program.
Front Health Serv
April 2024
Article Synopsis
- The Department of Veterans Affairs (VA) Office of Rural Health (ORH) aims to improve healthcare for rural Veterans through its Enterprise-Wide Initiatives (EWIs) program, using the RE-AIM framework for evaluations.
- Interviews with team members highlighted varied experiences with RE-AIM and revealed concerns about its fit for EWI work, particularly regarding differentiation and application of its dimensions.
- Despite some misconceptions, many participants acknowledged the usefulness of RE-AIM and emphasized the need for better training to enhance understanding and implementation.