AHRQ Supports Patient Safety Awareness Week With Variety of Activities

Issue #558
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
March 14, 2017

AHRQ Stats: Decline in Hospital-Acquired Conditions

About 3.1 million fewer hospital-acquired conditions occurred between 2010 and 2015. Most of the decline was due to a 42 percent reduction in adverse drug events, a 23 percent drop in pressure ulcers and a 15 percent reduction in catheter-associated urinary tract infections. (Source: Agency for Healthcare Research and Quality, National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer.)

Today's Headlines:

AHRQ Supports Patient Safety Awareness Week With Variety of Activities

AHRQ is collaborating with the National Patient Safety Foundation (NPSF), which will merge with the Institute for Healthcare Improvement in May, to celebrate Patient Safety Awareness Week (March 12-18) through a series of activities recognizing the importance of keeping patients safe in all health care settings:

  • An AHRQ Views blog posted on Monday, "AHRQ and NPSF: #UnitedforPatientSafety," outlines our shared patient safety improvement goals, as well as the growing call to tackle safety challenges as a public health concern.
  • Today, from 1 to 2 p.m. ET, AHRQ will host a Twitter chat, "Patient Safety: What Patients Want (and Need) to Know." To join, use #psaw17chat.
  • Also today, AHRQ released a toolkit to reduce catheter-associated urinary tract infections (CAUTIs) and other healthcare-associated infections in long-term care settings. Learn more about the toolkit and a new AHRQ Views blog below.
  • Also today, AHRQ posted a new grantee profile of Mark Graber, M.D., who’s credited for his groundbreaking work in diagnostic safety. Learn more about Dr. Graber below.
  • On March 15, a new AHRQ Views blog, "Health IT’s Role in Patient Safety, Patient-centered Care, and Learning Health Systems," will underscore health information technology’s role in accelerating safer care.
  • On March 16, from 11:30 a.m. to 12:30 p.m. ET, AHRQ and HHS’s Health Resources and Services Administration will collaborate on "Promoting a Culture of Safety," an overview of AHRQ’s patient safety initiatives. Join online or call 877-917-7126 (participant code: 3463268).
  • On March 17, AHRQ will post a new AHRQ grantee profile of Brian Jack, M.D., a Boston University School of Medicine professor who has spent more than a decade working to reduce patients’ risks of unnecessary hospital readmissions. Access AHRQ grantee profiles.

For more information this week and beyond about AHRQ’s patient safety tools and resources, follow the agency on Twitter @AHRQNews, Facebook @AHRQ.gov and LinkedIn at linkedin.com/company-beta/61817.

AHRQ Toolkit Designed To Reduce Urinary Tract Infections in Long-Term Care

A new evidence-based toolkit from AHRQ can help long-term care facilities reduce catheter-associated urinary tract infections (CAUTIs). The toolkit uses strategies from AHRQ’s Comprehensive Unit-based Safety Program (CUSP), which has reduced CAUTI as well as central line-associated bloodstream infections in hospitals. The toolkit is based on the experiences of more than 450 long-term care facilities nationwide and resulted in a significant reduction of CAUTI rates. Toolkit modules, which are customizable to local needs, include Using the Comprehensive Long-Term Care Safety Toolkit; Senior Leader Engagement; Staff Empowerment; Teamwork and Communication; Resident and Family Engagement; and Sustainability. Access the toolkit and a new AHRQ Views blog, "Help for Nursing Homes in Fighting HAIs."

New AHRQ Grantee Profile: Mark Graber, M.D.’s, Pioneering Work in Diagnostic Safety

AHRQ’s latest grantee profile explores how Mark Graber, M.D., a professor emeritus of medicine at Stony Brook University, New York, and a senior fellow at RTI International, pioneered efforts to understand and improve diagnostic safety. Dr. Graber, founder of the Society to Improve Diagnosis in Medicine and the journal Diagnosis, established the "Diagnostic Error in Medicine" conference with AHRQ funding in 2008. He helped establish the conference as a recognized forum in which researchers and clinicians could focus on issues that intersected with diagnostic reasoning and medical error. Dr. Graber is also credited for raising the profile of patient safety in general. In 2002, he co-founded Patient Safety Awareness Week, an internationally recognized health observance that is occurring this week. Access his profile and profiles of other AHRQ grantees who have made major advances in patient safety and health services research.

New Highlights From AHRQ’s Patient Safety Network

AHRQ’s Patient Safety Network (PSNet), which highlights journal publications, books and tools related to patient safety, has featured a new set of articles including:

Review additional new publications in PSNet’s Current Issue or access recent cases and commentaries in AHRQ’s WebM&M (Morbidity and Mortality Rounds on the Web).

Register Now for April 12 TeamSTEPPS Webinar on Improving Teamwork for Stroke Response

Register now for an AHRQ webinar on April 12, from 1 to 2 p.m. ET, to learn about a Delaware health system’s use of TeamSTEPPS to improve treatment response for stroke patients. Implementation of TeamSTEPPS, which teaches increased communication and teamwork to improve patient safety, significantly shortened "door-to-procedure time" for stroke patients at Christiana Care Health System. There is no cost to attend the webinar.

AHRQ in the Professional Literature

Direct-to-consumer drug advertisements can paradoxically increase intentions to adopt lifestyle changes. Mathur MB, Gould M, Khazeni N. Front Psychol 2016 Oct 3;7:1533. Access the abstract on PubMed®.

Evaluating feasible and referable behavioral counseling interventions. Krist AH, Baumann LJ, Holtrop JS, et al. Am J Prev Med 2015 Sep;49(3 Suppl 2):S138-49. Access the abstract on PubMed®.

Occupational therapy and management of multiple chronic conditions in the context of health care reform. Leland NE, Fogelberg DJ, Halle AD, et al. Am J Occup Ther 2017 Jan/Feb;71(1):7101090010p1-10p6. Access the abstract on PubMed®.

On building an ontological knowledge base for managing patient safety events. Liang C, Gong Y.Stud Health Technol Inform 2015;216:202-6. Access the abstract on PubMed®.

A meta-analytic framework for detection of genetic interactions. Liu Y, Chen Y, Scheet P. Genet Epidemiol 2016 Nov;40(7):534-43. Epub 2016 Aug 15. Access the abstract on PubMed®.

Perspectives in implementing a primary care-based intervention to reduce alcohol misuse. Ludman EJ, Curry SJ. Am J Prev Med 2015 Sep;49(3 Suppl 2):S194-9. Access the abstract on PubMed®.

A comparison of health plan- and provider-delivered chronic care management models on patient clinical outcomes. Luo Z, Chen Q, Annis AM, et al. J Gen Intern Med 2016 Jul;31(7):762-70. Epub 2016 Mar 7. Access the abstract on PubMed®.

Racial and ethnic disparities in unmet need for pediatric therapy services: the role of family-centered care. Magnusson DM, Mistry KB. Acad Pediatr 2017 Jan-Feb;17(1):27-33. Epub 2016 Jun 29. Access the abstract on PubMed®.


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Page last reviewed March 2017
Page originally created March 2017
Internet Citation: AHRQ Supports Patient Safety Awareness Week With Variety of Activities. Content last reviewed March 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletter/e-newsletter/558.html