Research Activities, March 2014

Contents

About Research Activities

Feature Story

Moving health assessments into the future

From the Director

From the Editor

Patient Safety and Quality of Care

Patient activation level affects likelihood of 30-day rehospitalization

Strained intensive care units result in shorter stays in the units before discharge to floor

Academic detailing helps reduce antibiotic prescribing for upper respiratory infections

Little improvement in antibiotic prescribing for adults visiting the doctor for sore throats

Composite measure better for explaining hospital-level variation in bariatric surgery than procedure volume or complications

Whether patients have dementia does not greatly influence the quality of their hospice care

Emergency Care

"Bounceback" admissions not linked to emergency department crowding

Study documents racial disparity in duration of patient visits to the emergency department

Primary Care

Primary care malpractice cases are more difficult to defend

Changes are needed to improve primary care counseling about medication-induced birth defects

Chronic Disease

Neighborhood food outlets not linked to dietary intake or obesity

Start methotrexate as first-line therapy for patients with early, poor-prognosis rheumatoid arthritis

No therapy better than another for advanced-stage chronic lymphocytic leukemia

Little difference in effectiveness of drugs to prevent episodic migraine in adults

Older patients and caregivers differ in their assessments of the quality of chronic illness care

Prevention

AHRQ researchers find persistent differences in preventive services use within the U.S. population

Elderly Health/Long-Term Care

Nursing home residents whose primary care providers devote less time to nursing home care are at higher risk for potentially avoidable hospitalizations

Disparities/Minority Health

Lack of insurance and poorer health create double jeopardy for blacks and Hispanics

High unintended pregnancy rates among Hispanic women linked to poor understanding of contraception and pregnancy

Disparities still persist in surgical outcomes of low-income patients

Transgendered patients with HIV have similar care retention rates as nontransgendered patients

AHRQ Stats

AHRQ Stats

Women's Health

Women with high insurance copays are less likely to use intrauterine devices for contraception

Oral contraceptive use decreases risk of colorectal and endometrial cancer but slightly increases risk of breast cancers

Polycystic ovary syndrome increases risk of blood clots

Strategies for weight control among women at risk for or with breast cancer

Health Information Technology

Workarounds to procedures embedded in electronic health records are common, even among early adopters

Decision support tools improve antibiotic prescribing for respiratory infections

News and Notes

News and Notes

Research Briefs

Research Briefs

Page last reviewed March 2014
Internet Citation: Research Activities, March 2014. March 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/research-activities/14mar/index.html