AHRQ Releases Interim Data on a National Project to Eliminate Catheter-Associated Urinary Tract Infections
Overall, the most common adverse drug events in U.S. hospitals in 2011 were related to treatments for Clostridium difficile infection (95 per 10,000 discharges), cancer drugs, and steroids (each at a rate of 57 per 10,000 discharges). (Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project Statistical Brief #158: Origin of Adverse Drug Events in U.S. Hospitals, 2011.)
- AHRQ Releases Interim Data on a National Project to Eliminate Catheter-Associated Urinary Tract Infections.
- Experts Examine Intersection of Health IT and Quality Measurement in AHRQ Report.
- New Decision Aid Available on Treatments for Urinary Incontinence in Women.
- Register Now for October 1 AHRQ Webinar on CDS to Improve Medication Management.
- AHRQ's Innovations Exchange Focuses on Policies to Reduce Health Care Disparities.
- Request for Comments Issued on Pediatric Planned Procedure Algorithm.
- AHRQ Hosts October 29 Webinar about the Pharmacy Survey on Patient Safety Culture.
- AHRQ in the professional literature.
AHRQ has released an interim data report on a nationwide effort to promote the use of the Comprehensive Unit-based Safety Program (CUSP) to prevent catheter-associated urinary tract infection (CAUTI) in U.S. hospitals. Hospital units that have completed 14 months of CUSP implementation have achieved an average 16 percent reduction in the CAUTI rate. CUSP combines general approaches to improve safety culture, teamwork, and communications in a particular unit or hospital coupled with evidence-based interventions focusing on the technical aspects of CAUTI prevention. Eliminating CAUTI: A National Patient Safety Imperative reports on the progress of the national On the CUSP: Stop CAUTI project, which aims to reduce the CAUTI rate in participating hospital units by the end of the 4-year project. Select to access the report.
A report from AHRQ, "Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance," outlines experts' viewpoints on how information technologies are advancing the science of quality measurement. Over the course of the 2-year project, diverse perspectives were identified regarding how to operationalize quality measurement as well as how to prioritize iterative advancements in health IT-enabled quality measurement. The report contains a searchable catalog describing over 150 health IT-enabled quality measurement projects. More than 100 future activities were recommended to provide practical, prospective insight and strengthened quality measurement infrastructure. Select to access the report.
A new decision aid for women experiencing urinary incontinence is available through AHRQ's Effective Health Care Program. Urinary incontinence (UI), or the involuntary loss of urine, affects up to 75 percent of women at some point in their lives. The decision aid, Taking Control: Non-surgical Treatment Options for Urinary Incontinence in Women, is designed to better prepare women with UI to talk with their doctor about their treatment options. It includes videos on Kegel exercises and bladder training plus information on what causes UI, the different types of UI, and what questions women can ask their health care providers. Select to access the decision aid.
AHRQ is hosting a webinar on Tuesday, October 1 from 2:30 – 4:00 pm ET on using clinical decision support (CDS) systems to improve medication management at the point of care. Panelists will discuss successes and challenges using CDS to support appropriate prescribing of antibiotics for otitis media, improve medication management for people with major depressive disorders, and remind providers to order and review lab tests that determine if medication levels are within therapeutic levels. Presenters include Alexander Fiks, M.D., Co-Medical Director, The Children's Hospital of Philadelphia Pediatric Research Consortium; Madhukar Trivedi, M.D., Professor, University of Texas Southwestern Medical Center; Steven Simon, M.D., Associate Physician, Brigham and Women's Hospital; and Erin Grace, M.H.A., Senior Manager, AHRQ (Moderator). Select to register.
The latest issue of AHRQ's Health Care Innovations Exchange features three policy innovations that aim to help reduce health care disparities and ensure that vulnerable populations receive equitable health care. One of the featured profiles describes legislation the State of California passed requiring that continuing medical education (CME) courses include curricula related to cultural and linguistic competence in medical practice. The legislation and accompanying support have been successful in ensuring the inclusion of cultural and linguistic competence in educational offerings and in fostering a deeper understanding of the importance of these competencies among providers of CME services and the clinicians they serve. Select to access more innovation profiles, tools, and resources related to reducing health care disparities.
AHRQ is requesting comments from all researchers, vendors, hospitals, stakeholders, and other interested parties on an algorithm for identifying pediatric planned procedures. The algorithm will be used as part of a readmission measure developed by the Center of Excellence for Pediatric Quality Measurement at Boston Children's Hospital. To identify planned procedures, expert pediatric clinicians in 14 different procedure-oriented specialties reviewed procedures typically performed by their specialty. The comment period ends October 21. Select to participate in this public comment period.
Join AHRQ on October 29 from 2:00 – 3:00 pm ET to learn more about the Pharmacy Survey on Patient Safety Culture and find out how two organizations are using their survey results to implement patient safety and quality improvement initiatives in their pharmacies. The Pharmacy Survey on Patient Safety Culture is a measurement tool that enables pharmacies to assess areas of strength and identify areas for improvement in their patient safety culture as part of their quality improvement activities.
- Diane Cousins, R.Ph., AHRQ (Host).
- Joann Sorra, Ph.D., Project Director, User Network for Surveys on Patient Safety Culture, Westat, Rockville, MD.
- James Motz, R.Ph., Specialty Pharmacy – Program Manager, Aurora Pharmacy, Inc., Elm Grove, WI.
- Dawn Amerman, Store Manager, Dexter Pharmacy/Village Pharmacy II, Dexter, MI.
Improving the culture of safety within health care is an essential component of preventing or reducing errors and improving overall health care quality. Pharmacies that administer the survey will be able to participate in an upcoming comparative database in September 2014. Select to register.
Steinberg BA, Holmes DN, Ezekowitz MD, et al. Rate versus rhythm control for management of atrial fibrillation in clinical practice: Results from the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF) registry. Am Heart J 2013 Apr; 165(4):622-9. Select to access the abstract on PubMed®.
Bardenheier BH, Elixhauser A, Imperatore G, et al. Variation in prevalence of gestational diabetes mellitus among hospital discharges for obstetric delivery across 23 states in the United States. Diabetes Care 2013 May; 36(5):1209-14. Select to access the abstract on PubMed®.
Sitzlar B, Deshpande A, Fertelli D, Kundrapu S, Sethi AK, Donskey CJ. An environmental disinfection odyssey: evaluation of sequential interventions to improve disinfection of Clostridium difficile isolation rooms. Infect Control Hosp Epidemiol 2013 May; 34(5):459-65. Select to access the abstract on PubMed®.
Haywood C Jr, Tanabe P, Naik R, et al. The impact of race and disease on sickle cell patient wait times in the emergency department. Am J Emerg Med 2013 Apr; 31(4):651-6. Select to access the abstract on PubMed®.
Radley DC, Wasserman MR, Olsho LE. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. J Am Med Inform Assoc 2013 May 1; 20(3):470-6. Select to access the abstract on PubMed®.
Olomu AB, Corser WD, Stommel M, et al. Do self-report and medical record comorbidity data predict longitudinal functional capacity and quality of life health outcomes similarly? BMC Health Serv Res 2012 Nov 14; 12:398. Select to access the abstract on PubMed®.
Cohen MD, Hilligoss B, Kajdacsy-Balla et al. A handoff is not a telegram: an understanding of the patient is co-constructed. Crit Care 2012 Feb 8; 16(1):303. Select to access the abstract on PubMed®.
Stoler A, Meltzer D. Mortality and morbidity risks and economic behavior. Health Econ 2013 Feb; 22(2):132-43. Select to access the abstract on PubMed®.
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