Research Activities January 2013, No. 389 ContentsAbout Research ActivitiesFeature StoryPlanting seeds for change in primary care practiceFrom the DirectorPatient Safety and QualityHigh rates of paper-based prescribing errors found among community-based primary care providersIncluding FDA hotline in print drug ads has small effect on adverse event reporting by consumersIntravenous fentanyl can be given safely to trauma patients for pain in the prehospital settingAldosterone antagonist therapy at hospital discharge linked to modest reduced risk of rehospitalization for heart failureSkill in estimating blood loss declines 9 months after Web-based trainingDecision modeling can demonstrate potential trade-offs between survival and quality of life in advance directivesAcute Care/Hospitalization24-hour staffing of intensive care units with intensivists has benefits as well as some tradeoffs for patients and physiciansAlcohol screening questionnaire can help identify high-risk drinkers with increased postoperative health care useMental HealthHeadache and nausea most common side effects among adults and adolescents taking antidepressantsWomen’s HealthStudy is first to show improved outcomes with postpartum depression screening and careComputerized clinical decision support may promote contraceptive counseling for women prescribed teratogenic medicationsChild/Adolescent HealthQuality improvement collaborative improves outcomes in children with inflammatory bowel diseaseNew guidelines help clinicians assess and treat maladaptive aggression in youthElderly Health/Long-Term CareBeing a caregiver linked to poor health behaviors among baby boomersElderly colon cancer patients receiving chemotherapy after surgery are at risk for various toxicitiesAntipsychotic choices in nursing homes partly influenced by nursing home’s prescribing culturePartial kidney removal offers survival advantage for elderly patients with small tumorsHealth Care Costs and FinancingDefense expenses for medical malpractice claims have risen faster than settlement amountsOccupational back injuries lead to increased financial and domestic hardship for black and young workersComputerized clinical decision support produces only modest savings for nursing home residents with impaired kidney functionHealth Information TechnologyElectronic health record-based medication monitoring improves patient compliance in primary care clinicsCareful design of personal health records can improve the delivery of preventive careProvision of personal digital assistants alone does not help providers avoid drug-drug interactionsComparative Effectiveness ResearchFour drugs to treat chronic heart failure found similarly effectiveReview examines Hepatitis C screening effects in adultsDual therapy may be slightly less effective than triple therapy for chronic infection with hepatitis C virusMany non-oral medications appear to effectively treat acute migraines in emergency department patientsNew review evaluates treatment options for plaque psoriasisAgency News and NotesCombining strategies cuts hospitals’ healthcare-associated infection ratesAHRQ report examines the effect of quality improvement interventions on palliative careAHRQ Stats: Adult asthma rates nearly doubled in past decadeAnnouncementsRegistration now open for TeamSTEPPS® training in 2013Research BriefsResearch Briefs Current as of January 2013 Internet Citation: Research Activities January 2013, No. 389. January 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/research-activities/13jan/index.html
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