| August 23, 2016, Issue #530 From 2005 to 2013, the rate of potentially avoidable hospitalizations for all conditions, excluding chronic obstructive pulmonary disease, fell about 23 percent. Rates of potentially avoidable hospitalizations for all conditions in 2013 were highest among African-Americans and lowest among Asians and Pacific Islanders. (Source: Agency for Healthcare Research and Quality, 2015 National Healthcare Quality and Disparities Report Chartbook on Care Coordination.) Hospitals with poor patient safety performance tended to have higher all-cause mortality and unplanned readmission rates for Medicare patients who were discharged following a heart attack, an AHRQ-funded study found. Researchers used 2009–2013 patient safety data from AHRQ's Medicare Patient Safety Monitoring System, along with Centers for Medicare & Medicaid Services hospital mortality and readmission data, to conduct an analysis of heart attack patients in 793 acute-care hospitals. Hospitals' patient safety ratings are based on 21 in-hospital adverse event measures. Researchers found that a 1 percent increase in adverse events was associated with average 4.9 percent increase in mortality and a 3.4 percent increase in unplanned readmission rates. The study, "Association Between Hospital Performance on Patient Safety and 30-Day Mortality and Unplanned Readmission for Medicare Fee-for-Service Patients With Acute Myocardial Infarction," and abstract appeared in the July issue of the Journal of the American Heart Association. Register now for a Sept. 9 webinar from 3 to 4:30 p.m. EDT to preview AHRQ's revised guide, Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions. This resource provides guidance on how to develop and implement an array of evidence-based strategies to decrease readmissions while addressing the clinical, social and behavioral needs of Medicaid patients. Join the webinar for an orientation of the guide and its tools as well as evaluation findings from its implementation with safety-net hospitals. Registration is open for an Aug. 31 webinar from noon to 12:30 p.m. EDT to highlight a new National Quality Forum (NQF) handbook that supports community efforts to address poor health outcomes, high health care costs, persistent health disparities and other challenges. Improving Population Health by Working with Communities: Action Guide 3.0 is the result of a three-year project led by AHRQ, NQF and other federal partners. Funded by the Department of Health and Human Services, the guide identifies best practices and resources for leaders from local businesses, community service organizations, health care institutions, health plans, public health departments and other entities. When registering, webinar attendees should select AHRQ in the drop-down box of member organizations. The new NQF guide is aligned with goals of the National Quality Strategy, which was established by the Affordable Care Act to provide a national focus on quality improvement and quality measurement. Join AHRQ experts and industry leaders at a Sept. 28 AHRQ research summit to discuss the state of the science on diagnostic safety and strategies to improve diagnosis in health care. AHRQ Research Summit: Improving Diagnosis in Health Care will build on the 2015 National Academy of Medicine report and will discuss diagnostic safety issues related to using data and measurement, health information technology and organizational factors. Access the agenda and register to attend via webcast or in-person at AHRQ in Rockville, MD. In-person registration is limited. An Aug. 9 AHRQ Stats item that identified bike riding as the leading cause of hospitalizations in 2013 neglected to specify that the ranking was among sports-related injuries. | AHRQ in the Professional Literature
Rationale and study protocol for a multi-component health information technology (HIT) screening tool for depression and post-traumatic stress disorder in the primary care setting. Biegler K, Mollica R, Sim SE, et al. Contemp Clin Trials. 2016 Jul 6;50:66-76. [Epub ahead of print.] Access the abstract in PubMed®. Testing the use of practice facilitation in a cluster randomized stepped-wedge design trial to improve adherence to cardiovascular disease prevention guidelines: HealthyHearts NYC. Shelley DR, Ogedegbe G, Anane S, et al. Implement Sci. 2016 Jul 4;11(1):88. Access the abstract in PubMed®. Communicating findings of delayed diagnostic evaluation to primary care providers. Meyer AN, Murphy DR, Singh H. J Am Board Fam Med. 2016 Jul-Aug;29(4):469-73. Access the abstract in PubMed®. Descriptions and correlates of medication adherence, attitudes, and self-efficacy in outpatients with schizophrenia spectrum disorders (SSDs). Beebe LH, Smith K, Phillips C. Arch Psychiatr Nurs. 2016 Jun;30(3):400-5. Epub 2016 Jan 21. Access the abstract in PubMed®. A socio-technical approach to preventing, mitigating, and recovering from ransomware attacks. Sittig DF, Singh H. Appl Clin Inform. 2016 Jun 29;7(2):624-32. eCollection 2016. Access the abstract in PubMed®. A comparative observational study of inpatient clinical note-entry and reading/retrieval styles adopted by physicians. Rizvi RF, Harder KA, Hultman GM, et al. Int J Med Inform. 2016 Jun;90:1-11. Epub 2016 Mar 2. Access the abstract in PubMed®. The number of tracheal intubation attempts matters! A prospective multi-institutional pediatric observational study. Lee JH, Turner DA, Kamat P, et al. BMC Pediatr. 2016 Apr 29;16:58. Access the abstract in PubMed®. Style guide: an interdisciplinary communication tool to support the process of generating tailored infographics from electronic health data using EnTICE3. Arcia A, Velez M, Bakken S. EGEMS (Wash DC). 2015 Jan 26;3(1):1120. eCollection 2015. Access the abstract in PubMed®. Contact Information Please address comments and questions about the AHRQ Electronic Newsletter to Bruce Seeman at: (301) 427-1998 or Bruce.Seeman@ahrq.hhs.gov. |
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