In a study of seven geographically diverse states, AHRQ found a 32 percent increase in the rate of hospitalizations for septicemia (blood infection) between 2005 and 2010. (Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project Statistical Brief #161: Trends in Septicemia Hospitalizations and Readmissions in Selected HCUP States, 2005 and 2010.)
A report on an AHRQ-funded project published in the October issue of Infection Control and Hospital Epidemiology (ICHE) identifies key components of a national project to reduce catheter-associated urinary tract infection (CAUTI) in more than 1,500 participating hospital units. The report and an abstract of a journal article, titled “Implementing a National Program to Reduce Catheter-Associated Urinary Tract Infection: A Quality Improvement Collaboration of State Hospital Associations, Academic Medical Centers, Professional Societies, and Governmental Agencies,” explain how the project has leveraged the expertise of different organizations to reduce catheter-related harm. Key components of the national project are centralized coordination of the effort and dissemination of information, data collection based on established definitions and approaches, focused guidance on the technical practices that will prevent CAUTI, emphasis on understanding program socio-adaptive aspects, and partnering with specialty organizations and governmental agencies that have expertise in reducing healthcare-associated infections. In addition to the ICHE article, AHRQ recently released an interim data report on the progress so far in this national project of hospital units that are implementing the Comprehensive Unit-based Safety Program to prevent CAUTI.
AHRQ will host a one-hour Webinar on December 11 from 1:00 p.m. to 2:00 p.m. ET on the use of the Agency's teamwork training program, TeamSTEPPS®, and how Johns Hopkins implemented the program in the current health care climate. Michael Rosen, Ph.D., assistant professor at the Armstrong Institute for Patient Safety and Quality at the Johns Hopkins University School of Medicine; and Sallie J. Weaver, Ph.D., assistant professor in the Department of Anesthesiology and Critical Care Medicine and the Armstrong Institute for Patient Safety and Quality at the Johns Hopkins University School of Medicine, will discuss the following objectives:
A new report from AHRQ found that appropriate implementation and use of health IT systems such as electronic health records, personal health records, and health information exchange systems can support the delivery of ambulatory care. “Findings and Lessons from the AHRQ Ambulatory Safety and Quality Program” documents the findings of more than 50 research projects that investigated how health IT applications can improve quality, enable quality measurement, enhance care delivery for people living with complex care needs, and enhance patient-centered care. Multiple studies showed positive impacts on process, intermediate, health, and economic outcomes.
A new research review from AHRQ finds that in both emergency and primary care settings, the biomarkers B-type natriuretic peptide (BNP) and N-terminal proBNP (NT-proBNP) have good diagnostic performance to rule out, but lesser performance to rule in, the diagnosis of heart failure because of a high sensitivity and low specificity of the test. The review, titled “Use of Natriuretic Peptide Measurement in the Management of Heart Failure,” finds that in patients with decompensated or chronic stable heart failure, higher levels of BNP and NT-proBNP are associated with a greater risk of morbidity and mortality. The majority of studies assessing prognosis showed associations between BNP and NT-proBNP and mortality, morbidity, and outcomes across different time intervals in patients with decompensated and chronic stable heart failure. However, according to the review, the clinical utility of using multifactor prognostic scoring needs to be designed and evaluated before it becomes an established clinical tool.
The latest issue of the AHRQ Health Care Innovations Exchange features three innovation profiles describing programs that increased access and improved mental health care for individuals living in rural areas. One of the featured profiles describes a program at the University of Virginia Health System in Charlottesville, in which psychiatric fellows and residents use videoconferencing to serve children and adults with mental illness who live in rural parts of the state. Children gain access to this care by visiting any of three local mental health centers (known as community service boards), whereas adults visit local primary care and geriatric clinics. To facilitate the provision of care, the health system's Center for Telehealth offers technical support and other tools and services to participating mental health centers and clinics. The program has enabled thousands of patients with mental illness to receive psychiatric care who otherwise likely would not have had access to such care. The Innovations Exchange includes more than 825 searchable innovations, including more innovation profiles and tools related to mental health care in rural settings, and 1,525 QualityTools.
Lee JY, Harvey WF, Price LL, et al. Relationship of bone mineral density to progression of knee osteoarthritis. Arthritis Rheum 2013 Jun;65(6):1541-6. Select to access the abstract on PubMed®.
Sarpong EM, Miller GE. Racial and ethnic differences in childhood asthma treatment in the United States. Health Serv Res 2013 Dec;48(6 Pt 1):2014-36. Epub 2013 Jun 26. Select to access the abstract on PubMed®.
Goldin GH, Sheets NC, Meyer AM, et al. Comparative effectiveness of intensity-modulated radiotherapy and conventional conformal radiotherapy in the treatment of prostate cancer after radical prostatectomy. JAMA Intern Med 2013 Jun 24;173(12):1136-43. Select to access the abstract on PubMed®.
Thomas CP, Kim M, Kelleher SJ, et al. Early experience with electronic prescribing of controlled substances in a community setting. J Am Med Inform Assoc 2013 Jun;20(e1):e44-e51. Epub 2013 Apr 5. Select to access the abstract on PubMed®.
Abramson EL, Malhotra S, Osorio SN, et al. A long-term follow-up evaluation of electronic health record prescribing safety. J Am Med Inform Assoc 2013 Jun;20(e1):e52-e58. Epub 2013 Apr 11. Select to access the abstract on PubMed®.
Yudkowsky R, Luciano C, Banerjee P, et al. Practice on an augmented reality/haptic simulator and library of virtual brains improves residents' ability to perform a ventriculostomy. Simul Healthc 2013 Feb;8(1):25-31. Select to access the abstract on PubMed®.
Sun BC, Hsia RY, Weiss RE, et al. Effect of emergency department crowding on outcomes of admitted patients. Ann Emerg Med 2013 Jun;61(6):605-11. Epub 2012 Dec 6. Select to access the abstract on PubMed®.
Jacob MG, Wachs JP, Packer RA. Hand-gesture-based sterile interface for the operating room using contextual cues for the navigation of radiological images. J Am Med Inform Assoc 2013 Jun;20(e1):e183-e186. Epub 2012 Dec 18. Select to access the abstract on PubMed®.
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