AHRQ Names New Chief Science Officer, Looks To Expand Coordination With Federal Partners
In 2011, musculoskeletal procedures accounted for nearly one-quarter of all U.S. operating room procedures. Among these, knee replacement showed the largest growth in volume from 2001 to 2011, with a 93 percent increase, to 718,500 total procedures. There was a 70 percent growth in spinal fusion during this same period. (Source: Agency for Healthcare Research and Quality; Healthcare Cost and Utilization Project Statistical Brief #171: Trends in Operating Room Procedures in U.S. Hospitals, 2001-2011.)
- AHRQ Names New Chief Science Officer, Looks To Expand Coordination With Federal Partners.
- Study Finds ED Physicians Miss Stroke Diagnoses In Women, Minorities and Younger Patients.
- New AHRQ Publication Guides Development of Registries To Evaluate Patient Outcomes.
- AHRQ Review: More Research Needed on Effectiveness of Oral Mechanical Bowel Prep Before Colorectal Surgery.
- AHRQ Will Host Two-Part Webinar on HCUP: Registration Opens May 14.
- Register Now for May 21 Nurse Practitioner Faculty Webinar on Teaching Evidence-Based Care Tools.
- Register Now for TeamSTEPPS® In-Person Training or National Conference.
- AHRQ in the professional literature.
Robert M. Kaplan, Ph.D., has been named chief science officer at AHRQ, effective May 5. Dr. Kaplan will provide scientific oversight for research activities at the agency, especially related to AHRQ's investments in safety, quality and patient-centered outcomes. He will also work on coordinating AHRQ's research efforts with those of other federal partners. Previously, he was associate director for behavioral and social sciences, Office of the Director, and director of the Office for Behavioral and Social Sciences Research at the National Institutes of Health. Prior to his federal service, Dr. Kaplan was Distinguished Professor of Health Services at UCLA and Distinguished Professor of Medicine at UCLA's David Geffen School of Medicine. He was principal investigator of the California Comparative Effectiveness and Outcomes Improvement Center, and also led the AHRQ-funded UCLA/RAND health services training program and the UCLA/RAND Prevention Research Center. Dr. Kaplan is active in a variety of cross-governmental activities. He co-chairs the Social, Behavioral and Economic Sciences subcommittee of the Committee on Science for the U.S. National Science and Technology Council, within the U.S. Executive Office of the President. He is also a member of the National Committee on Vital and Health Statistics and the Intergovernmental Working Group on Quality of Healthcare. Dr. Kaplan is a past president of several organizations, including the American Psychological Association Division of Health Psychology. In 2005, he was elected to the Institute of Medicine of the National Academies of Sciences.
A new AHRQ-funded study suggests that emergency department physicians should be especially vigilant for the possibility of stroke in younger, female and nonwhite patients who complain of headache or dizziness. Based on AHRQ Healthcare Cost and Utilization Project data from 2008 and 2009, study authors estimated that as many as 165,000 strokes are misdiagnosed annually in the emergency department. Potential misdiagnoses were more often associated with younger, female and minority patients who had headache and dizziness. Titled "Missed Diagnosis of Stroke in the Emergency Department: A Cross-Sectional Analysis of a Large Population-Based Sample," the article was published online April 3 in Diagnosis. Co-authors included Ernest Moy, M.D., M.P.H., of AHRQ.
AHRQ's Effective Health Care Program recently released "Registries for Evaluating Patient Outcomes: A User's Guide: Third Edition," a new publication to support the design, implementation, analysis, interpretation and quality evaluation of registries created to increase understanding of patient outcomes. This project expands the second edition to address 11 new topics in registry methodology and updates existing chapters to cover new legislation and other changes in registry science. Real-world contemporary case examples are provided to illustrate key principles of registry design, operation and evaluation and to demonstrate different strategies and perspectives to address common challenges. The third edition can be downloaded for free from the Effective Health Care Program Web site and soon will be available in file formats designed to be read with eBook readers, such as Nook, Kindle and iPad.
A new AHRQ research review found there is low strength of evidence that oral mechanical bowel preparation (OMBP) has similar effectiveness when compared with no preparation with respect to all-cause mortality, anastomotic leakage, wound infection and peritonitis for patients undergoing elective surgery for colorectal cancer. OMBP, an oral preparation given prior to surgery to clear fecal material from the bowel lumen, is often prescribed for patients prior to undergoing elective colorectal surgery. However, the evidence was too weak to determine whether OMBP was beneficial or harmful. According to the review, "Oral Mechanical Bowel Preparation for Colorectal Surgery," future research—including further analysis of existing data and new comparative studies, both randomized and nonrandomized—is needed to definitively confirm or exclude the possibility of benefit or harm, especially in subgroups of patients.
AHRQ will host a two-part webinar on the Healthcare Cost and Utilization Project (HCUP) databases, product and tools. During the first one-hour session, in which the HCUP databases and related resources will be introduced, health services and policy researchers will learn how HCUP can enhance research studies. The webinar is scheduled for May 21 at 2 p.m. ET. The second one-hour session, scheduled for June 4 at 2 p.m. ET, will introduce HCUP products and tools that facilitate research, with particular emphasis on HCUPnet, the free online data query system. Registration for both webinars will open May 14 at 8 a.m. ET. Separate registration for each webinar is required. Registration details are available on the HCUP User Support Web site. Space is limited and capacity is often reached quickly.
AHRQ is hosting a webinar May 21 from 1 to 2 p.m. ET on the value of integrating the agency's tools for evidence-based care into nurse practitioner (NP) course curricula. The webinar, developed for faculty who instruct and supervise NP students, will highlight evidence-based resources available from AHRQ, including AHRQ's Effective Health Care Program, the National Guidelines ClearinghouseTM and the Electronic Preventive Services Selector tool, and will explain how these resources can be integrated into the NP and advanced practice registered nurse educational offerings. Continuing Education credits will be available to participants at no cost. Registration is free, but space is limited.
While enrollment in the first-ever TeamSTEPPS® Online Master Trainer Course has reached capacity, spaces are still available for in-person TeamSTEPPS training courses scheduled in July and August. The in-person trainings are offered at no cost, though space is limited and participants must cover their own travel expenses. To learn more or to sign up now, visit the TeamSTEPPS National Implementation Web site. In addition, the TeamSTEPPS National Conference will be held June 11-12 in Minneapolis, Minnesota. The conference will highlight program models, practical solutions, knowledge, skills and connections to help participants use TeamSTEPPS to improve health care. TeamSTEPPS is an evidence-based program for improving patient safety through enhanced teamwork and communication. For more information about in-person training or the national conference, contact the National Implementation Team via Email or phone, 312-422-2609.
Tse SM, Li L, Butler MG, et al. Statin exposure is associated with decreased asthma-related emergency department visits and oral corticosteroid use. Am J Respir Crit Care Med 2013 Nov 1; 188(9):1076-82. Select to access the abstract on PubMed®.
Lo-Ciganic WH, Boudreau RM, Gray SL, et al. Changes in cholesterol-lowering medications use over a decade in community-dwelling older adults. Ann Pharmacother 2013 Jul-Aug;47(7-8):984-92. Epub 2013 Jun 18. Select to access the abstract on PubMed®.
Martinez KA, Pollack CE, Phelan DF, et al. Gender differences in correlates of colorectal cancer screening among Black Medicare beneficiaries in Baltimore. Cancer Epidemiol Biomarkers Prev 2013 Jun;22(6):1037-42. Epub 2013 Apr 29. Select to access the abstract on PubMed®.
Fernandez R, Pearce M, Grand JA, et al. Evaluation of a computer-based educational intervention to improve medical teamwork and performance during simulated patient resuscitations. Crit Care Med 2013 Nov;41(11):2551-62. Select to access the abstract on PubMed®.
Kutney-Lee A, Sloane DM, Aiken LH. An increase in the number of nurses with baccalaureate degrees is linked to lower rates of postsurgery mortality. Health Aff 2013 Mar;32(3):579-86. Select to access the abstract on PubMed®.
Ross SE, Radcliff TA, Leblanc WG, et al. Effects of health information exchange adoption on ambulatory testing rates. J Am Med Inform Assoc 2013 Nov-Dec;20(6):1137-42. Epub 2013 May 22. Select to access the abstract on PubMed®.
Joshi A, Wilhelm S, Aguirre T, et al. An interactive, bilingual touch screen program to promote breastfeeding among Hispanic rural women: usability study. JMIR Res Protoc 2013 Nov 7;2(2):e47. Select to access the abstract on PubMed®.
Rinke ML, Milstone AM, Chen AR, et al. Ambulatory pediatric oncology CLABSIs: epidemiology and risk factors. Pediatr Blood Cancer 2013 Nov;60(11):1882-9. Epub 2013 Jul 23. Select to access the abstract on PubMed®.
Please address comments and questions regarding the AHRQ Electronic Newsletter to Jeff Hardy at Jeff.Hardy@ahrq.gov or (301) 427-1802.
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