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Research Activities, May 2013

May 2013

Contents

About Research Activities

Feature Story

Medication reconciliation meets its MATCH
From the Director

Patient Safety and Quality

Quality improvement initiative reduces serious safety events in pediatric hospital patients
Use of antibiotics is common among older adults and varies across regions
Perceptions of quality and safety decline as the size of medical practices increases
Hospital stroke mortality ratings vary by type of stroke
Patients returning home after hospitalization for stroke benefit from medication coaching by telephone
Aspirin/warfarin combination reduces the risk of blood clots after aortic valve replacement surgery

Chronic Disease

Lost productivity of people with epilepsy results in significant economic burden
Dosing frequency has greater impact than pill burden on medication adherence by patients with newly diagnosed HIV
Not enough HIV patients are receiving aspirin for primary prevention of heart disease
Intrinsic alteration in immunoregulation in patients with rheumatoid arthritis has implications for treating osteolysis

Women’s Health

Clinical tool helps to estimate predicted benefit from radiation therapy for older women with breast cancer
Women less likely to undergo cesarean deliveries if their doctors listen and respond to their concerns
Combined oral contraceptives effective in treating abnormal uterine bleeding
Poor preconception mental health a major factor in pregnancy complications and adverse birth outcomes

Mental Health

Several psychological and drug treatments appear effective for improving outcomes for adults with posttraumatic stress disorder
More and stronger research needed on the effectiveness of interventions to prevent PTSD
Depressed patients who report distressing adverse events with citalopram are likely to have similar events with other kinds of antidepressants

Elderly Health/Long-Term Care

Risk of death increases in nursing home residents after exposure to typical antipsychotics
Patient-centered medical homes cost-effectively improve patient experience and quality of care for seniors

Disparities/Minority Health

Racial disparities shown in the postsurgical treatment of elderly women with early-stage breast cancer
Percentage of families with fullyear health insurance coverage for both child and parent fell during 1998 to 2008
Patients who move among medical groups have higher care costs and use than those who stay in the same group

Child/Adolescent Health

High-risk infants have better survival when delivered at hospitals with highlevel neonatal intensive care units
Quality measure compliance for children’s asthma care reduces hospital readmissions

Comparative Effectiveness Research

No consensus on efficacy, safety, and applicability of feeding and nutrition interventions for adolescents with cerebral palsy
Allergen-specific immunotherapy is safe and effective for treating nasal allergies and mild asthma
Some interventions may prevent weight gain
Review compares approaches for determining need for stenting in patients with coronary artery disease
Care processes in nursing home and residential long-term care settings may benefit people with dementia
PCA3 test may be more accurate at predicting prostate cancer than tPSA in men identified as at-risk

Health Information Technology

Electronic health records improve primary care of diabetes
Electronic standing orders help primary care practices improve screenings and immunizations
Enhancements to electronic health records can improve the diagnosis and management of depression

AHRQ Stats

AHRQ Stats

News and Notes

News and Notes

Research Briefs

Research Briefs

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