AHRQ Study Finds Decline in Adverse Events for Heart Attack, Heart Failure Patients

Electronic Newsletter, Issue 410

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

January 28, 2014


AHRQ Stats

Prescription drugs represented 21.4 percent of all medical expenditures in 2010. (Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey Statistical Brief #413: Prescription Drug Expenditures in the 10 Largest States, 2010.)

Today's Headlines

  1. AHRQ Study Finds Decline in Adverse Events for Heart Attack, Heart Failure Patients.
  2. Researchers Study Impact of Diabetes Telemonitoring in Patient-Centered Medical Homes.
  3. Register Now: February 19 Webinar on Evidence-Based Resources for Advanced-Practice Nurses.
  4. Now Available: Webcast of CAHPS® Online Reporting Demonstration.
  5. AHRQ in the professional literature.

1. AHRQ Study Finds Decline in Adverse Events for Heart Attack, Heart Failure Patients

Adverse events for patients being treated for heart attack and heart failure have declined, according to a new study published in the January 23 issue of the New England Journal of Medicine (NEJM). However, the AHRQ-funded analysis used to develop the NEJM study found no significant decrease in adverse events for patients being treated for pneumonia and those who received surgery. The study, "National Trends in Patient Safety for Four Common Conditions, 2005 to 2011," compared the rate of 21 adverse events that occurred among hospital patients in 2005-2006 with those that happened in 2010-2011. Researchers from AHRQ and the Harvard School of Public Health's Department of Biostatistics found that from 2005 to 2011, the rate of heart attack patients experiencing one or more adverse events fell from 26.0 percent to 19.4 percent and the rate for heart failure patients experiencing adverse events fell from 17.5 percent to 14.2 percent. A preview of the study is available on the NEJM Web site.

2. Researchers Study Impact of Diabetes Telemonitoring in Patient-Centered Medical Homes

New AHRQ-funded research uncovered important implementation considerations for telemonitoring of blood glucose and blood pressure in diabetes patients receiving care in patient-centered medical homes. The article and abstract, "Implementing Home Blood-Glucose and Blood-Pressure Telemonitoring in Primary Care Practices for Patients With Diabetes: Lessons Learned," appeared online December 18 in Telemedicine and E-Health. Researchers gathered perspectives from stakeholders, including patients, nurse care coordinators, and physicians, to understand the impact of using information technology to monitor diabetes patients from a distance. Stakeholders emphasized the need to involve and prepare physicians and patients about how to effectively use telemonitoring. They also stressed the importance of considering workflows, flow of information, and human factors to optimize use of the technology.

3. Register Now: February 19 Webinar on Evidence-Based Resources for Advanced-Practice Nurses

AHRQ in collaboration with the American Association of Nurse Practitioners (AANP), is hosting a Webinar on February 19 from 1:00 to 2:00 p.m. ET, on the use of evidence-based recommendations to inform clinical practice. After participating in this Webinar, advanced-practice nurses will be able to:

  • Describe the five major steps in conducting a systematic review.
  • List the evidence-based resources available on the AHRQ Web site, including those available through the Effective Health Care (EHC) Program.
  • Locate the resources available on the U.S. Preventive Services Task Force (USPSTF) Web site, including the Electronic Preventive Services Selector (ePSS) tool.
  • Explain how the EHC Program resources, USPSTF recommendations, and the ePSS tool can be integrated into clinical decisionmaking by advanced-practice nurses.
  • Download the ePSS application to a personal digital assistant or mobile device.

Select to register.

This program was planned in accordance with AANP CE Standards and Policies and AANP Commercial Support Standard and is approved for 1 contact hour of continuing education.

4. Now Available: Webcast of CAHPS Online Reporting Demonstration

People who were unable to participate in the January 15 Webinar about AHRQ's Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Database and online reporting can now view the session online. AHRQ has posted a recorded Webcast of the event, "Using the CAHPS Database to Compare, Report, and Improve Organization Performance." During the Webinar, speakers presented an overview of the CAHPS Database, including a demonstration of the CAHPS Database's Online Reporting System, two examples of organizations that have been using the CAHPS Database and Online Reporting System, and an explanation of how survey users can participate in this free, voluntary program. Visit the registration page to access the recorded Webcast.

5. AHRQ in the Professional Literature

Weiss JM, Smith MA, Pickhardt PJ, et al. Predictors of colorectal cancer screening variation among primary-care providers and clinics. Am J Gastroenterol 2013 Jul;108(7):1159-67. Epub 2013 May 14. Select to access the abstract on PubMed®.

Campbell JD, Zerzan J, Garrison LP Jr, et al. Comparative-effectiveness research to aid population decision making by relating clinical outcomes and quality-adjusted life years. Clin Ther 2013 Apr;35(4):364-70. Epub 2013 Mar 9. Select to access the abstract on PubMed®.

Pakyz AL, Edmond MB. Influence of state laws mandating reporting of healthcare-associated infections: the case of central line-associated bloodstream infections. Infect Control Hosp Epidemiol 2013 Aug;34(8):780-4. Epub 2013 Jun 18. Select to access the abstract on PubMed®.

Rantz MJ, Skubic M, Abbott C, et al. In-home fall risk assessment and detection sensor system. J Gerontol Nurs 2013 Jul;39(7):18-22. Epub 2013 May 15. Select to access the abstract on PubMed®.

Holmer HK, Ogden LA, Burda BU, et al. Quality of clinical practice guidelines for glycemic control in type 2 diabetes mellitus. PLoS One 2013;8(4):e58625. Epub 2013 Apr 5. Select to access the abstract on PubMed®.

Hattori A, An R, Sturm R. Neighborhood food outlets, diet, and obesity among California adults, 2007 and 2009. Prev Chronic Dis 2013;10:E35. Epub 2013 Mar 14. Select to access the abstract on PubMed®.

Wang JJ, Sebek KM, McCullough CM, et al. Sustained improvement in clinical preventive service delivery among independent primary care practices after implementing electronic health record systems. Prev Chronic Dis 2013 Aug 1;10:E130. Select to access the abstract on PubMed®.

Hernandez SE, Conrad DA, Marcus-Smith MS, et al. Patient-centered innovation in health care organizations: a conceptual framework and case study application. Health Care Manage Rev 2013 Apr-Jun;38(2):166-75. Select to access the abstract on PubMed®.


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Current as of January 2014
Internet Citation: AHRQ Study Finds Decline in Adverse Events for Heart Attack, Heart Failure Patients: Electronic Newsletter, Issue 410. January 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/410.html