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Research Activities, February 2014

Contents

About Research Activities

Feature Story

AHRQ study finds a decline in adverse events for heart attack, heart failure patients
From the Director

Patient Safety and Quality of Care

30-day rehospitalization is a poor indicator of outcomes and resource use in patients with heart failure
Computer reads surgeon's hand gestures to manipulate radiological image without breaking operating room sterility
Outpatient antimicrobial stewardship program lowers use of broadspectrum antibiotics by pediatricians
Large for-profit dialysis chains use significantly more injectable medications compared to non-profits
AHRQ health literacy tools help pharmacists identify opportunities to improve communication
Lessons from the U.S. educational system for the health care system

Health Information Technology

Electronic health records can lower prescribing errors
Health information exchange reduces use of repeated diagnostic imaging for back pain
Resident, attending faculty physicians find patient portal experiences not what they expected

Chronic Disease

Hospitalization rates for chronic obstructive pulmonary disease declined between 1999 and 2006
Increased use of noninvasive ventilation could save more lives for patients with chronic obstructive pulmonary disease
Cholesterol increases when methotrexate is given to patients with early rheumatoid arthritis
Tumor necrosis factor inhibitors not shown to raise short-term cancer risk of patients with chronic inflammatory disorders
Study compares rate versus rhythm control in management of atrial fibrillation
New model of primary care for patients with multiple chronic conditions shows mixed results

Emergency Care

Emergency department patients with heart attack, respiratory conditions, or sepsis at risk of unplanned transfer to the ICU
Simulation training in the hospital unit improves the quality of emergency response teams

Health Insurance

Children gain health insurance while parents lose

AHRQ Stats

AHRQ Stats

Women's Health

Simulation study evaluates the trade-offs in lifetime risks and benefits of management strategies for ductal carcinoma in situ of the breast

Elderly Health/Long-Term Care

Very few nursing homes are accredited by the Commission on Accreditation of Rehabilitation Facilities

Mental Health

Primary care physicians slower to adopt new second-generation antipsychotic drugs than psychiatrists
Clozapine's superior effectiveness relative to other antipsychotic drugs is confirmed
Some meditation programs beneficial for psychological stress

Prevention

Combined clinician- and family-focused interventions are most effective in increasing HPV vaccination rates
Personalized diet and physical activity counseling plus environmental changes is key to preventing weight gain

Comparative Effectiveness Research

New review evaluates BNP and NT-proBNP biomarkers in heart failure diagnosis
Treatment approaches for chronic venous ulcers reviewed
Intensity-modulated radiotherapy no better than less costly conformal radiotherapy for treating prostate cancer after surgery

News and Notes

News and Notes

Research Briefs

Research Briefs

Current as of February 2014
Internet Citation: Research Activities, February 2014. February 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/research-activities/14feb/index.html