Updates to National Quality Strategy Toolkit Available

Electronic Newsletter, Issue 399

AHRQ's Electronic Newsletter summarizes Agency research and programmatic activities.

October 28, 2013


Today's Headlines

  1. Updates to National Quality Strategy Toolkit Available.
  2. Study Finds Community-Based Providers Effectively ePrescribe Controlled Substances.
  3. Innovations Exchange Focuses on Strategies to Address Frequent Emergency Department Use.
  4. New AHRQ Tools Help Assess and Improve Medication Safety in Community Pharmacies and Outpatient Settings.
  5. AHRQ's Web M&M Addresses Gender Variance in the Clinical Setting.
  6. Register Now: November 13 Webinar on TeamSTEPPS® in Critical Care Transitions .
  7. Editor's Note: URL for CHIPRA 4th Evaluation Highlight.
  8. AHRQ in the professional literature.

1. Updates to National Quality Strategy Toolkit Available

Updates to the National Strategy for Quality Improvement in Health Care Toolkit are now available on the Working for Quality website. The toolkit contains briefing slides, a fact sheet, logos and graphics, and other information that can be used to explain this national effort to improve the health and health care of all Americans. The information can be tailored to suit an organization’s messaging about its involvement in the National Quality Strategy, which sets priorities to achieve better care, healthy people/healthy communities, and more affordable care. Select to access the toolkit.

2. Study Finds Community-Based Providers Effectively ePrescribe Controlled Substances

Research supported by AHRQ suggests that electronic prescribing of controlled substances is acceptable to prescribers working in community settings, according to a recent study. An article entitled “Early Experience with Electronic Prescribing of Controlled Substances in a Community Setting,” appeared in the June issue of the Journal of the American Medical Informatics Association. The authors surveyed 102 clinicians who had been enabled to prescribe controlled substances electronically. The majority of the prescribers had sent at least one prescription for a controlled substance electronically, and expressed satisfaction with workflow, accuracy of the prescription, and ability to monitor use of the prescription. Select to access the abstract on PubMed®.

3. Innovations Exchange Focuses on Strategies to Address Frequent Emergency Department Use

The latest issue of AHRQ’s Health Care Innovations Exchange features three programs that implemented various strategies to provide, manage, and coordinate care and social services for individuals who are frequent emergency department (ED) users, leading to improved outcomes and reductions in ED use. The featured Quality Tools include a campaign in Washington State to help reduce preventable ED visits and redirect care to the most appropriate setting, information and tools for ED staff in managing care for specific groups of ED “super users,” and a toolkit to help organizations and advocates plan, develop, and sustain medical respite programs. Select to access more innovation profiles and tools related to reducing ED use.

4. New AHRQ Tools Help Assess and Improve Medication Safety in Community Pharmacies and Outpatient Settings

Three new online resources funded by AHRQ and developed by the Institute for Safe Medication Practices can help community pharmacies and outpatient settings improve medication safety and protect patients from the adverse effects of medication errors:

  • High-Alert Medications Consumer Leaflets – Patient education checklists developed during a study of the impact of community pharmacies that counseled consumers who picked up prescriptions for certain high-alert medications including warfarin, fentanyl patches, and more.
  • Assessing Barcode Verification System Readiness in Community Pharmacies – A free tool that helps community pharmacies assess their readiness and prepare for future implementation of a barcode product verification system.
  • High-Alert Medication Modeling and Error-Reduction Scorecards (HAMMERS™) – A free tool designed to help community pharmacies identify their unique set of system and behavioral risks associated with dispensing certain high-alert medications and use a series of scorecards to estimate how often prescribing and dispensing errors reach patients and how the frequency will change if certain interventions are implemented.

Select to access the tools.

5. AHRQ's Web M&M Addresses Gender Variance in the Clinical Setting

The current issue of AHRQ Web M&M features a Spotlight Case describing an 8-year-old child, born male, who identified and expressed externally (e.g. clothing, haircut and behavior) as a girl. The child’s mother had alerted the clinic of the child’s preferred name in making the appointment, but the medical staff was not aware of the preference and called for the patient in the waiting room using the child’s masculine name instead. The clinician apologized for the error and suggested that the mother contact the ombudsperson’s office to comment on how communication could be improved in the future care of her child. The Perspectives on Safety section of the issue features an interview about safety in radiology with Rebecca Smith-Bindman, M.D., a national leader on the impact of radiologic testing on patient outcomes and the safety of radiographic imaging. Safety in radiology is also the topic of an article by Antonio Pinto, M.D., Ph.D., Cardarelli Hospital, Naples, Italy, who explores how to mitigate risks associated with radiology procedures. Select to read the current issue of AHRQ Web M&M.

6. Register Now: November 13 Webinar on TeamSTEPPS® in Critical Care Transitions

AHRQ will host a 1-hour Web conference on November 13 from 1:00 to 2:00 p.m. ET on the use of the Agency’s teamwork training program, TeamSTEPPS®, and how to incorporate the tools and resources in transitions of critical care patients within and across facilities. Kenneth M. Miller, C.C.R.N., Assistant Unit Director for the Critical Care Transport Team at Ronald Reagan UCLA Medical Center, will discuss the following:

  • Rationale for implementing the Situation – Background Assessment- Recommendation (SBAR) tool within Critical Care Transport
  • Planning and implementation process of the project
  • Preliminary outcomes and evaluation
  • Take-home points and challenges

Select to register.

7. Editor's Note: URL for CHIPRA 4th Evaluation Highlight

Our October 23 issue featured an item about the 4th Evaluation Highlight from the national evaluation of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant Program. The item included a nonfunctioning URL for the highlight. Select to access the 4th Evaluation Highlight.

8. AHRQ in the Professional Literature

Navar-Boggan AM, Shah BR, Boggan JC, et al. Variability in performance measures for assessment of hypertension control. Am Heart J 2013 May; 165(5):823-7. Select to access the abstract on PubMed®.

Beukelman T, Xie F, Baddley JW, et al. Brief report: incidence of selected opportunistic infections among children with juvenile idiopathic arthritis. Arthritis Rheum 2013 May; 65(5):1384-9. Select to access the abstract on PubMed®.

Mohammed N, Jiang X, Chen R, Fung BC, Ohno-Machado L. Privacy-preserving heterogeneous health data sharing. J Am Med Inform Assoc 2013 May 1; 20(3):462-9. Select to access the abstract on PubMed®.

Morris AH, Ioannidis JP. Limitations of medical research and evidence at the patient-clinician encounter scale. Chest 2013 Apr; 143(4):1127-35. Select to access the abstract on PubMed®.

Levit KR, Friedman B, Wong HS. Estimating inpatient hospital prices from state administrative data and hospital financial reports. Health Serv Res 2013 May 13. Select to access the abstract on PubMed®.

Edwards JD, Houtrow AJ, Vasilevskis EE, et al. Multi-institutional profile of adults admitted to pediatric intensive care units. JAMA Pediatr 2013 May; 167(5):436-43. Select to access the abstract on PubMed®.

Vawdrey DK, Hripcsak G. Publication bias in clinical trials of electronic health records. J Biomed Inform 2013 Feb; 46(1):139-41. Select to access the abstract on PubMed®.

Press VG, Arora VM, Shah LM, et al. Teaching the use of respiratory inhalers to hospitalized patients with asthma or COPD: a randomized trial. J Gen Intern Med 2012 Oct; 27(10):1317-25. Select to access the abstract on PubMed®.


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Current as of October 2013
Internet Citation: Updates to National Quality Strategy Toolkit Available: Electronic Newsletter, Issue 399. October 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/399.html