New AHRQ Study Examines Early Use of Bundled Practices to Reduce CLABSI in Emergency Departments

Electronic Newsletter, Issue 402

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

November 19, 2013


AHRQ Stats

About one-third of the U.S. adult population purchased anti-convulsants, analgesics, and other drugs for central nervous system conditions in 2010. (Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey Statistical Brief #410: Expenditures for the Top Five Therapeutic Classes of Outpatient Prescription Drugs, Adults Age 18 and Older, U.S. Civilian Noninstitutionalized Population, 2010.)

Today's Headlines

  1. New AHRQ Study Examines Early Use of Bundled Practices to Reduce CLABSI in Emergency Departments.
  2. AHRQ Report Focuses on Improving Care for Those with Complex Health Care Needs Through Health IT.
  3. New AHRQ Practice Facilitation Handbook Supports Primary Care Improvement.
  4. USHIK Has a Brand New Look.
  5. AHRQ in the professional literature.

1. New AHRQ Study Examines Early Use of Bundled Practices to Reduce CLABSI in Emergency Departments

A new study in Annals of Emergency Medicine examined issues faced by six emergency departments (EDs) that were early adopters of bundled prevention practices designed to reduce central line-associated bloodstream infections (CLABSIs). Through semi-structured interviews and focus groups conducted from 2009 to 2010 with hospital and ED staff and administrators, the researchers identified barriers and drivers for implementation of the CLABSI bundle in EDs. Although these practices have successfully been adopted in ICUs, EDs face unique barriers, such as time and space constraints, staffing, ED culture, high patient volume and acuity, and role ambiguity. Based on the experiences of these early adopters, the authors developed a list of recommendations for implementing infection prevention practices in the ED. The AHRQ-supported study and journal abstract, titled "Implementing the Central Venous Catheter Infection Prevention Bundle in the Emergency Department: Experiences Among Early Adopters," was published online in October.

2. AHRQ Report Focuses on Improving Care for Those with Complex Health Care Needs Through Health IT

A new report from AHRQ found that providing patients and clinicians with information and support using health IT was effective in improving outcomes and quality. "Findings and Lessons from the Improving Management of Individuals with Complex Health Care Needs Through Health IT Grant Initiative" documents the findings of more than 10 research projects that investigated how health IT applications can support shared decisionmaking and communication during care transitions, and facilitate secure exchange of information across multiple settings of care. Multiple studies showed positive impacts on process, health and economic outcomes.

3. New AHRQ Practice Facilitation Handbook Supports Primary Care Improvement

A new AHRQ handbook is designed to assist in the training of new practice facilitators as they begin to develop the knowledge and skills to support meaningful improvement in primary care practices. Practice facilitators are specially trained to work with primary care practices to improve the quality of care, patient experiences with care, and patient outcomes. Practice facilitation programs are burgeoning, and with that growth comes the need to train facilitators in the skills and information they need to succeed. AHRQ's Practice Facilitation Handbook is based on a demonstration program that used facilitators in safety-net practices to assist in training new practice facilitators. It consists of 21 training modules, each 30 to 90 minutes long, with varying requirements for pre-session preparation for learners.

4. USHIK Has a Brand New Look

AHRQ's USHIK website has been redesigned to provide users with improved clarity and usability. List pages have enhanced filtering functionality and searches that are easier to use. The list pages now allow users to filter or search in place across one or more columns without leaving the page. In addition:

  • Menu items are now on a top menu bar instead of the left side of the screen. To view the menu in any portal, hover your cursor over the portal name and the menu will appear below.
  • Draft Measures have been moved to a new Draft Measures portal that will be used specifically for Draft Measures available for public feedback. This portal contains the draft measures that were previously available in the Meaningful Use portal.
  • Several pages have subtle changes to increase accessibility and usability. The redesigned USHIK website was extensively reviewed by top accessibility experts at HHS and now better meets the requirements of Section 508 of the Rehabilitation Act of 1973.

5. AHRQ in the Professional Literature

You WB, Chandrasekaran S, Sullivan J, et al. Validation of a scoring system to identify women with near-miss maternal morbidity. Am J Perinatol. 2013 Jan;30(1):21-4. Epub 2012 July 13. Select to access the abstract on PubMed®.

Cimino JJ, Jing X, Del Fiol G. Meeting the electronic health record 'meaningful use' criterion for the HL7 infobutton standard using OpenInfobutton and the Librarian Infobutton Tailoring Environment (LITE). AMIA Annu Symp Proc. 2012;2012:112-20. Epub 2012 Nov 3. Select to access the abstract on PubMed®.

Dale JA, Behkami NA, Olsen GS, et al. A multi-perspective analysis of lessons learned from building an Integrated Care Coordination Information System (ICCIS). AMIA Annu Symp Proc. 2012;2012:129-35. Epub 2012 Nov 3. Select to access the abstract on PubMed®.

Kawamoto K, Jacobs J, Welch BM, et al. Clinical information system services and capabilities desired for scalable, standards-based, service-oriented decision support: consensus assessment of the Health Level 7 Clinical Decision Support Work Group. AMIA Annu Symp Proc. 2012;2012:446-55. Epub 2012 Nov 3. Select to access the abstract on PubMed®.

Paterno MD, Goldberg HS, Simonaitis L, et al. Using a service oriented architecture approach to clinical decision support: performance results from two CDS Consortium demonstrations. AMIA Annu Symp Proc. 2012;2012:690-8. Epub 2012 Nov 3. Select to access the abstract on PubMed®.

Nkoy FL, Stone BL, Fassl BA, et al. Development of a novel tool for engaging children and parents in asthma self-management. AMIA Annu Symp Proc. 2012;2012:663-72. Epub 2012 Nov 3. Select to access the abstract on PubMed®.

Zhou L, Mahoney LM, Shakurova A, et al. How many medication orders are entered through free-text in EHRs? A study on hypoglycemic agents. AMIA Annu Symp Proc. 2012;2012:1079-88. Epub 2012 Nov 3. Select to access the abstract on PubMed

Terasawa T, Trikalinos NA, Djulbegovic B, et al. Comparative efficacy of first-line therapies for advanced-stage chronic lymphocytic leukemia: a multiple-treatment meta-analysis. Cancer Treat Rev. 2013 Jun;39(4):340-9. Epub 2012 Jun 14. Select to access the abstract on PubMed®.


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Current as of November 2013
Internet Citation: New AHRQ Study Examines Early Use of Bundled Practices to Reduce CLABSI in Emergency Departments: Electronic Newsletter, Issue 402. November 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/402.html