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Research Activities, June 2013

June 2013

Contents

About Research Activities

Feature Story

AHRQ’s new reports show care quality slowly improving and large disparities in access to care
From the Director
From the Editor
Q & A

Disparities/Minority Health

Perceptions of quality and access among the insured are affected by the uninsured in their community
Low-income blacks are less likely than high-income whites to receive CPR from a bystander
State Spotlight Iowa
Both patient-centered and standard collaborative care approaches improve depression among black patients
Having a patient navigator who spoke Serbo-Croatian helped increase the mammography rate of refugees/immigrants from Bosnia

Health Care Costs and Financing

Rising health care costs reduce employment-based private insurance availability, especially for middle-class families
Study finds substantial variations in health care spending at the local level

Patient Safety and Quality

Automated pharmacovigilance system finds higher rates of side effects than those reported on drug package inserts
Three algorithms are effective in assessing medications likely to have caused adverse drug reactions in intensive care units
Standardized protocol improves the transfer of cardiac surgery patients to intensive care
Hospitals rarely describe urinary tract infections as catheter-associated urinary tract infections when coding claims
Hospital admission codes are useful for identifying cases of pneumonia
Patients have a lower risk of dying in level I trauma centers
Emergency departments score well on quality of care for joint dislocation
Giving flu shots to older emergency department patients is costeffective
Certain medical conditions and Medicaid insurance predict hospital readmission for congestive heart failure
Pharmacy and coded-diagnosis information do not accurately predict tuberculosis cases in patients with rhematoid arthritis
Clinical Cases

Primary Care

Reminder stickers can boost screening for hepatitis C virus in primary care clinics
Providers are missing opportunities to show empathy for their patients
Study finds primary care providers are willing partners in long-term followup care of survivors of pediatric cancer

Mental Health

Use of second-generation antipsychotics to treat off-label conditions rises significantly among Medicaid-enrolled children
Fluoxetine and venlafaxine are effective treatments for depression

Health Information Technology

Electronic health record quality strategies may improve outpatient care for patients with coronary artery disease
Over time nurses become more satisfied with computerized provider order entry (CPOE)

Comparative Effectiveness Research

Urgent need for more research on child maltreatment
Some treatments for otitis media with effusion improve hearing in the short term
Migraine drugs generally effective, but carry side effects
Epoetin and darbepoetin reduce need for transfusions in cancer patients with anemia, but boost risk of blood clots
New report examines interventions to improve cardiovascular disease risk factors among those with serious mental illness
More research needed for pulmonary arterial hypertension screening, management, and treatment

Women’s Health

Two simple questions can help avoid prescribing of teratogenic drugs to pregnant or soon-to-be pregnant women
Pregnant women identify benefits of combining computerized and in-person screening for domestic violence
Postpartum depression screening improves some maternal outcomes

Elderly Health/Long-Term Care

Study traces effects of patent expiration on infused chemotherapy use in the elderly
Combination chemotherapy increases the risk for adverse events in elderly patients with colorectal cancer

AHRQ Stats

AHRQ Stats

News and Notes

News and Notes

Research Briefs

Research Briefs

Current as of June 2013
Internet Citation: Research Activities, June 2013: June 2013. June 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/research-activities/13jun/index.html