Study Shows 54 Percent Drop in Infections Among Nursing Home Patients
AHRQ Stats: Outpatient Cardiac Surgeries
In 2014, 53 percent of hospital-based surgeries involving the insertion, revision, replacement or removal of a cardiac pacemaker or cardioverter/defibrillator were performed in an outpatient setting. (Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #223, Surgeries in Hospital-Based Ambulatory Surgery and Hospital Inpatient Settings, 2014.)
- Study Shows 54 Percent Drop in Infections Among Nursing Home Patients.
- Affordable Care Act Coverage Expansions Associated With Economic, Health Benefits.
- Highlights From AHRQ's Patient Safety Network.
- AHRQ's Online Fast Stats Tool Provides Updated Data on Opioid-Related Hospitalizations.
- New AHRQ Views Blog Post.
- New Research and Evidence From AHRQ.
- Register Now for TeamSTEPPS® Summer Online Master Training Courses.
- AHRQ in the Professional Literature.
Rates of catheter-associated urinary tract infection (CAUTI) dropped by 54 percent across more than 400 nursing homes that participated in an AHRQ-funded patient safety project, according to a new study in JAMA Internal Medicine. CAUTI, a type of healthcare-associated infection common in nursing homes, can lead to serious illness and significant expenses for antibiotics and hospitalizations. The safety project adapted AHRQ's Comprehensive Unit-based Safety Program (CUSP) for use in long-term care facilities. Previous AHRQ efforts to implement CUSP and other safety programs in hospitals have led to significant reductions in CAUTIs and bloodstream infections. As part of the project to help doctors, nurses and other leaders prevent CAUTIs in nursing homes, AHRQ has released a Toolkit To Reduce CAUTIs and Other HAIs in Long-Term Care Facilities. For more information about the reduction of CAUTIs in nursing homes, access the study abstract or AHRQ's press release.
Insurance coverage expansions under the Affordable Care Act (ACA) had measurable economic and health benefits for low-income adults and those with chronic conditions, according to research partially funded by AHRQ and published in Health Affairs. Researchers examined the status of low-income adults in three states: Arkansas, which expanded private insurance to low-income adults using the ACA-enabled federal marketplace; Kentucky, which expanded Medicaid under the ACA; and Texas, which did not expand coverage at all. Over the three-year study period ending in 2016, the uninsured rates in Arkansas and Kentucky dropped by more than 20 percentage points compared with Texas, researchers found. For previously uninsured adults, newly acquired health coverage was associated with a 41 percentage-point increase in having a usual source of care, a $337 per person reduction in annual out-of-pocket spending, significant increases in preventive health visits and glucose testing, and a 23 percentage-point increase in self reports of "excellent" health. Among adults with chronic conditions, researchers found improvements in affordability of care, regular care, medication adherence and self-reported health. Access the abstract.
AHRQ's Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:
- Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study
- Incidence of clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms: a retrospective chart review
- Leapfrog Hospital Safety Score, Magnet designation, and healthcare-associated infections in United States hospitals
AHRQ's Fast Stats database now provides updated statistics on opioid-related hospitalizations for researchers, policymakers, clinicians and others who are tackling the opioid epidemic. The opioid-related updates include 2015 inpatient data for 28 states, 2015 emergency department data for 19 states, and 2016 quarterly inpatient data for 14 states. You can use the database to find where your state ranks. For example, in 2014, data show that the three states with the highest opioid-related hospitalization rates were Maryland, Massachusetts and the District of Columbia. The three states with the lowest rates were Iowa, Nebraska and Wyoming. Go to Fast Stats, part of AHRQ's Healthcare Cost and Utilization Project.
- Comparación entre la psicoterapia y otros tratamientos para la depresión con los medicamentos antidepresivos: Revisión de la investigación para adultos (Comparing Talk Therapy and Other Depression Treatments With Antidepressant Medicines).
- Tratamientos para la incontinencia fecal: Revisión de la investigación para adultos (Treatments for Fecal Incontinence).
Register now for AHRQ's Summer TeamSTEPPS® 2.0 Online Master Trainer courses. TeamSTEPPS® is an evidence-based patient safety training system aimed at improving patient outcomes by improving communication and teamwork skills among health care professionals. The TeamSTEPPS 2.0 curriculum can help health care leaders develop and use a customized plan to train their staff in teamwork skills.
Influence of depression on utilization of cardiac rehabilitation postmyocardial infarction: A study of 158,991 Medicare beneficiaries. Zullo MD, Gathright EC, Dolansky MA, et al. J Cardiopulm Rehabil Prev 2017 Jan;37(1):22-9. Access the abstract on PubMed®.
Why did the Affordable Care Act raise coverage? Natl Bur Econ Res Bull Aging Health 2016(2):3. Access the abstract on PubMed®.
Comparing longitudinal CD4 responses to cART among non-perinatally HIV-infected youth versus adults: results from the HIVRN cohort. Agwu AL, Fleishman JA, Mahiane G, et al. PLoS One 2017 Feb 9;12(2):e0171125. Access the abstract on PubMed®.
Epidemiology of surgical site infection in a community hospital network. Baker AW, Dicks KV, Durkin MJ, et al. Infect Control Hosp Epidemiol 2016 May;37(5):519-26. Epub 2016 Feb 11. Access the abstract on PubMed®.
Implementation science workshop: implementation of an electronic referral system in a large academic medical center. Barnett ML, Mehrotra A, Frolkis JP, et al. J Gen Intern Med 2016 Mar;31(3):343-52. Access the abstract on PubMed®.
Paving the way for progress: the Agency for Healthcare Research and Quality Patient Safety and Medical Liability Demonstration Initiative. Battles JB, Reback KA, Azam I. Health Serv Res 2016 Dec;51 Suppl 3:2401-13. Access the abstract on PubMed®.
Persistent pain after motor vehicle collision: comparative effectiveness of opioids vs nonsteroidal antiinflammatory drugs prescribed from the emergency department–a propensity matched analysis. Beaudoin FL, Gutman R, Merchant RC, et al. Pain 2017 Feb;158(2):289-95. Access the abstract on PubMed®.
Strategies and partnerships toward prevention of healthcare-associated venous thromboembolism. Beckman MG, Abe K, Barnes K, et al. J Hosp Med 2016 Dec;11 Suppl 2:S5-S7. Access the abstract on PubMed®.
For comments or questions about AHRQ News Now, contact Bruce Seeman at Bruce.Seeman@ahrq.hhs.gov or (301) 427-1998.
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Page originally created May 2017