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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