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Research Activities March 2013, No. 391

March 2013, No. 391

Contents

About Research Activities

Feature Story

Intensive care units for newborns in nine States see sharp drop in bloodstream infections
From the Director
AHRQ director stepping down later this year

Patient Safety and Quality

Standard written checklists can improve patient safety during surgical crises
Physicians face diagnostic difficulties in primary care for a variety of reasons
Complications after kidney cancer surgery are linked with decreased long-term survival

Chronic Disease

Sulfonylurea medication linked to kidney function decline among patients with diabetes
Self-management programs for patients with diabetes have a positive impact
Low-income women with breast cancer are less likely to initiate chemotherapy
Hepatitis C infection does not increase the risk for heart attack
Retention in HIV care is a problem for many patients

Emergency Care

Overcrowding in emergency departments increases the risk of preventable medical errors
Trauma patients often receive repeat CT imaging that increases radiation exposure and costs
Admission rates from emergency departments vary widely

Child/Adolescent Health

Heart block in children following heart surgery increases length of hospital stay and total costs
Use of standardized feeding evaluation following surgery for congenital heart defect improves growth in affected newborns
Care process model to treat feverish infants with possible serious bacterial infections improves outcomes, lowers costs
Modifying pediatric quality care measures may capture more care services
Having a usual source of care is as important as having insurance in reducing children’s unmet health care needs 
Pediatricians need to make greater efforts to screen and counsel overweight adolescent

Women's Health

Low-income women with breast cancer are less likely to initiate chemotherapy
Characteristics of care facilities may influence when elderly breast cancer patients receive radiation therapy

Disparities/Minority Health

Cultural myths may prevent low-income black women from exercising during pregnancy
Hospitals serving large minority populations have higher ambulance diversion rates
Disparities in adherence to blood pressure medications exist among older minorities
Race linked to lower use of shared electronic medical records by patients with diabetes
Education and income influence the black–white crossover in mortality at advanced ages
Same-sex couples report more barriers to care and poorer interactions with providers than those in heterosexual marriages
Hispanics settling in "new" destinations are more likely to have unmet health needs than those settling in traditional areas
South Asians may not perceive themselves as being overweight or obese

Mental Health

Having poor family relationships increases the risk for depression

Elderly Health/Long-Term Care

Seasonal influenza has a substantial impact on activities of daily living in nursing home residents

Primary Care

Primary care physicians feel responsible for assessing patients’ medication adherence, but rarely ask older patients about it directly
Experienced primary care physicians want to know about your clinical status while you are in the hospital

Health Information Technology

Patient-centered interactive health records can improve use of preventive services
Web-based patient portal improves perceptions of patient-centeredness and receipt of preventive services
Electronic health record tools help physicians identify and counsel overweight patients
Studies identify patients most and least likely to communicate with physicians using a secure Internet-based portal
Behavioral health providers are generally positive about health information exchanges
Electronic alerts do not increase risk-appropriate care for patients with chest pain
Clinical quality measures useful in estimating quality across different electronic health records

News and Notes

AHRQ Stats
New children’s electronic health record format announced
AHRQ reviews highlight treatment options for rheumatoid and psoriatic arthritis

Announcements

TeamSTEPPS® training module for primary care practices now available
AHRQ report reveals use of Medicaid home and community-based services
Experts propose new Health Literate Care Model
AHRQ reports summarize quality gaps across health care
Launch of open-access journal on electronic clinical data
Save May date for two AHRQ data user workshops

Research Briefs

Research Briefs

Healthcare 411
Follow AHRQ news on Twitter

Page last reviewed March 2013
Internet Citation: Research Activities March 2013, No. 391: March 2013, No. 391. March 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/research-activities/13mar/index.html