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Research Activities, September 2013

Contents

About Research Activities

Feature Story

Dr. Clancy bids farewell to AHRQ
From the Director
Dr. Richard Kronick is new AHRQ director

Patient Safety and Quality

Most primary care diagnostic errors stem from process breakdowns during the clinical encounter
How nurses keep patients safe may be better understood through risk management theory
More intensive pediatric resident training called for to improve performance of tracheal intubations in children
Automated tool to determine medication regimen complexity may help identify patients at high risk of adverse events
Some transitional care interventions reduce 30-day readmissions and emergency department visits
Multicomponent intervention programs are effective in preventing delirium in older hospital patients
Study reviews patient safety strategies targeting diagnostic error and identifies promising interventions

Health Care Costs and Financing

The proportion of middle-income families with health insurance coverage declined from 2003 to 2008
Information on assets should be incorporated when measuring the financial burdens of health
Managed care continued to exert observable effects on hospital cost and quality in the post-managed care era
Declines seen in direct-to-consumer promotion of drugs
Having dental coverage boosts the use of preventive and restorative dental services

Acute Care/Hospitalization

Early discharge planning at hospital admission can lower mortality after a heart attack
Adults with childhood-onset illnesses are a small, but high-risk group of users of pediatric intensive care units

Emergency Care

Hospitals that collaborate with emergency medical services have fewer heart attack deaths
Study reveals differences in mortality rates of patients transported to trauma centers by private car versus those transported by ambulance
Expanded National Emergency Airway Registry for Children has the potential to improve safety in pediatric intensive care units

Chronic Disease

Several rheumatoid arthritis drugs are associated with gastrointestinal perforation
Surgical rates for intractable epilepsy remain flat while monitoring for epilepsy increases
Adherence to osteoporosis medications decreases fracture risk
Agent to combat anemia in patients with bone marrow neoplasms is not used according to clinical guidelines

Disparities/Minority Health

Lower consent rates for organ donation found among racial and ethnic minorities and older donors
South Asians face several barriers when it comes to promoting cardiovascular lifestyle changes

Child/Adolescent Health

Pediatric leukemia patients are among the childhood cancer patients most likely to develop central line-associated bloodstream infections when hospitalized
Highly educated mothers spend more time in active child care than less-educated mothers

Elderly Health/Long-Term Care

Before Nursing Home Compare, most nursing home selections were made on accommodation quality, not clinical care quality
Pharmacy-based program improves flu immunization rates among health care workers in long-term care settings

Comparative Effectiveness Research

Effectiveness of pressure ulcer treatment strategies unclear
New review examines pressure ulcer risk and prevention
Evidence lacking on effectiveness of most hay fever treatments

Women's Health

Women with polycystic ovary syndrome taking combined oral contraceptives have greater risk of blood clots

Health Information Technology

Clinical decision support system can reduce inappropriate prescribing of antibiotics for acute respiratory infections
Study outlines physicians’ difficulties in transitioning from older to newer electronic health records for e-prescribing
Health care professionals devise ways to get around using electronic health record systems
Intensive care unit clinicians moderately satisfied with computerized provider order entry

News and Notes

News and Notes

Healthcare 411

Healthcare 411

Research Briefs

Research Briefs

Follow AHRQ news on Twitter

Follow AHRQ news on Twitter

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