TeamSTEPPS® training module for primary care practices now available
Only 58 percent of blacks living in rural areas of the United States saw a doctor in 2009 for a routine preventive care visit, compared with 70 percent of their urban counterparts. [Source: Agency for Healthcare Research and Quality, MEPS Statistical Brief #383: Preventive Health Care Utilization by Adult Residents of MSAs and non-MSAs: Differences by Race/Ethnicity, 2009].
- TeamSTEPPS® training module for primary care practices now available.
- Improving access to care, reducing acute pregnancy conditions may reduce disparities in fetal death rates.
- December issue of AHRQ Web M&M examines imaging for benign lung nodules.
- Highlights from AHRQ's Research Activities monthly newsletter.
- AHRQ in the professional literature.
1. TeamSTEPPS® Training Module for Primary Care Practices Now Available
A new TeamSTEPPS® training module for primary care practices is now available in draft form. Primary care practices can use this training curriculum to improve patient safety by teaching health care providers and staff how to communicate better, work more effectively, and make a greater commitment to teamwork. TeamSTEPPS is an evidence-based learning approach jointly developed by AHRQ and the Department of Defense. The new module applies the four TeamSTEPPS core competencies—team leadership, situation monitoring, mutual support, and communication—to the primary care setting. It also includes case studies and videos relevant to primary care to illustrate these evidence-based concepts. Select for .
2. Improving Access to Care, Reducing Acute Pregnancy Conditions May Reduce Disparities in Fetal Death Rates
Reducing high rates of extreme premature birth due to acute conditions during pregnancy and improving access to care may help reduce racial/ethnic disparities in fetal death rates, according to results of a new AHRQ-funded study. Researchers examined mediating factors, including prematurity, antepartum and intrapartum complications of pregnancy, and socioeconomic factors associated with disparities in fetal deaths. Factors that mediated disparities differed depending on racial/ethnic groups, however. The study, "Factors That Mediate Racial/Ethnic Disparities in U.S. Fetal Death Rates," was published in the October issue of the American Journal of Public Health. Select to access the abstract on PubMed®.
3. December Issue of AHRQ Web M&M Examines Imaging for Benign Lung Nodules
The December issue of AHRQ Web M&M features a Spotlight Case that describes a case involving a patient with a benign nodule on the lung who underwent more than 20 CT scans over an 8-year period. While the physical harm caused by the additional CT scans is debatable, some studies have estimated that as few as 1 in 300 patients who receive scans will develop cancer. The economic impact is more clear, with each scan costing several hundred or even thousands of dollars. A commentary, written by Alex Balekian, M.D., of the University of Southern California Keck School of Medicine, and Michael K. Gould, M.D., of Kaiser Permanente Southern California, provide best practices on management of small and larger pulmonary nodules. The Perspectives on Safety section features an interview with Sharon K. Inouye, M.D., at Harvard Medical School, on methods to prevent delirium in hospitalized patients. Physicians and nurses can receive free CME, CEU, or training certification by taking the Spotlight Quiz. Select to access AHRQ's Web M&M.
4. Highlights from AHRQ's Research Activities Monthly Newsletter
The January issue of Research Activities is available online. Key articles include:
- High rates of paper-based prescribing errors found among community-based primary care providers.
A great deal is known about the rates and types of prescribing errors in hospitals, but not in the outpatient setting. Now a new study reveals high rates of prescribing errors among community-based providers in two States. Errors resulting from illegible prescriptions were the biggest problem. Select to read this article.
Other articles include:
- Headache and nausea most common side effects among adults and adolescents taking antidepressants.
- Study is first to show improved outcomes with postpartum depression screening and care.
- Being a caregiver linked to poor health behaviors among baby boomers.
Select to read these articles and others.
5. AHRQ in the Professional Literature
Althoff KN, Buchacz K, Hall HI, et al. U.S. trends in antiretroviral therapy use, HIV RNA plasma viral loads, and CD4 T-lymphocyte cell counts among HIV-infected persons, 2000 to 2008. Ann Intern Med 2012 Sep 4; 157(5):325-35, W-81-W-84. Select to access the abstract on PubMed®.
Weng C, Appelbaum P, Hripcsak G, et al. Using EHRs to integrate research with patient care: promises and challenges. J Am Med Inform Assoc 2012 Sep; 19(5):684-7. Select to access the abstract on PubMed®.
Cooper PF, Manski RJ, Pepper JV. The effect of dental insurance on dental care use and selection bias. Med Care 2012 Sep; 50(9):757-63. Select to access the abstract on PubMed®.
Hessol NA, Odouli R, Escobar GJ, et al. Interpersonal processes of care and cesarean delivery in two health care settings. Am J Public Health 2012 Sep; 102(9):1722-8. Select to access the abstract on PubMed®.
Sawchuk CN, Roy-Byrne P, Noonan C, et al. Smokeless tobacco use and its relation to panic disorder, major depression, and posttraumatic stress disorder in American Indians. Nicotine Tob Res 2012 Sep; 14(9):1048-56. Select to access the abstract on PubMed®.
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