AHRQ Analysis: Hospital-Acquired Conditions Reduced by 17 Percent From 2010 to 2013

Issue 493
AHRQ's Electronic Newsletter summarizes Agency research and programmatic activities.
November 3, 2015

AHRQ Stats: Delay in Care for Women

In 2012, 11.6 percent of women were unable to get or delayed in getting care, compared with 9.4 percent of men. (Source: Agency for Healthcare Research and Quality, 2014 National Healthcare Quality and Disparities Report, Chartbook on Women's Health Care.)

Today's Headlines

  1. AHRQ Analysis: Hospital-Acquired Conditions Reduced by 17 Percent From 2010 to 2013.
  2. New Research and Evidence From AHRQ.
  3. Adults With Schizophrenia At Risk of Cardiovascular Death.
  4. Register Now: November 11 Webinar on Customizing TeamSTEPPS® for Various Audiences.
  5. AHRQ Releases 2013 Data on Inpatient Hospital Stays.
  6. Expiration Dates Extended for Fellowship, Career Development Awards.
  7. Featured Case Study: AHRQ Research Reviews, Medical Guidelines Featured in Online Clinical Reference Tool.
  8. AHRQ in the Professional Literature.

1. AHRQ Analysis: Hospital-Acquired Conditions Reduced by 17 Percent From 2010 to 2013

Hospital patient safety substantially improved from 2010 to 2013 with a 17 percent decline in hospital-acquired conditions (HACs), according to a final data synthesis (PDF File, 756.68 KB) from AHRQ. The decline translates to 1.3 million fewer incidents of patient harm, approximately 50,000 fewer patient deaths in hospitals and $12 billion in health care cost savings. Gains were particularly strong in 2013 when 800,000 fewer patients experienced harms, 35,000 fewer patients died and $8 billion in unnecessary costs was saved compared with 2010. HACs include adverse drug events, catheter-associated urinary tract infections, central-line associated bloodstream infections, pressure ulcers and surgical site infections, and several other types of adverse events. While precise reasons for the HAC decline cannot be pinpointed, it coincided with concerted efforts among hospitals across the country to reduce adverse events. Efforts were spurred by the Affordable Care Act, which created Medicare payment incentives to improve the quality of care and by HHS's Partnership for Patients initiative. Many hospitals have used tools and resources developed by AHRQ—including the Comprehensive Unit-based Safety Program, the Re-Engineered Discharge Toolkit and TeamSTEPPS®—to improve care. AHRQ Director Richard Kronick, Ph.D., discussed these improvements in hospital care in his recent blog post.

2. New Research and Evidence From AHRQ

3. Adults With Schizophrenia At Risk of Cardiovascular Death

Adults with schizophrenia are 3.5 times as likely to die prematurely as adults in the general population, according to a new study published in JAMA Psychiatry. Cardiovascular and respiratory diseases were found to be the chief causes of mortality for adults with schizophrenia, with tobacco use identified as a modifiable risk factor, according to the study, which was partially funded by AHRQ. In the study, "Premature Mortality Among Adults With Schizophrenia in the United States," researchers examined records of more than 1.1 million Medicaid patients with schizophrenia nationwide, looking at the cause of death for the 74,003 who died. Of the 65,553 deaths with a known cause, 9,812 were due to unnatural causes, including suicide, homicide, accidents and substance abuse. The remaining 55,741 deaths were due to natural causes, primarily cardiovascular disease, lung cancer, chronic obstructive pulmonary disease and influenza and pneumonia. The authors concluded that aggressive identification of cardiovascular risk factors and steps to reduce tobacco use and substance abuse should be among the highest priorities for treating adults with schizophrenia.

4. Register Now: November 11 Webinar on Customizing TeamSTEPPS® for Various Audiences

An AHRQ webinar on November 11 from 1 to 2 p.m. ET will review best practices for providing TeamSTEPPS® training to various audiences. TeamSTEPPS, developed by AHRQ and the Department of Defense, is an evidence-based system to enhance communication and teamwork skills among health care professionals to improve care and patient safety. The webinar, "Tailoring Your TeamSTEPPS Program to Suit your Audience: One Size Does Not Fit All," will feature lessons learned from health care professionals at the North Shore-Long Island Jewish Health System in Great Neck, N.Y. There is no cost to register.

5. AHRQ Releases 2013 Data on Inpatient Hospital Stays

AHRQ's  Healthcare Cost and Utilization Project (HCUP) has released the 2013 National (Nationwide) Inpatient Sample (NIS). Researchers and policymakers can use the NIS to identify, track and analyze national trends in health care utilization, access, charges, quality and outcomes. The vast size of the NIS enables analyses of infrequent conditions, uncommon treatments and special patient populations. The 2013 NIS is available for purchase through the HCUP Central Distributor, and select statistics can be accessed via HCUPnet. Earlier years of the NIS are also available. The HCUP family of health care databases and related software tools and products is made possible by a federal-state-industry partnership sponsored by AHRQ. For more information, visit HCUP User Support.

6. Expiration Dates Extended for Fellowship, Career Development Awards

AHRQ has extended the expiration of funding opportunity announcements for Individual Awards for Postdoctoral Fellows (F32) National Research Service Awards (NRSA) (extended from Dec. 9, 2015, to May 24, 2016) and for Mentored Clinical Scientist Research Career Development Awards (K08) (extended from Feb. 13, 2016, to May 24, 2016).

7. Featured Case Study: AHRQ Research Reviews, Medical Guidelines Featured in Online Clinical Reference Tool

AHRQ’s comparative effectiveness reviews and its online National Guideline ClearinghouseTM (NGC) are among resources used by DynaMed, an online clinical reference tool providing evidence-based information to physicians, medical schools and hospitals. Nearly 140 of AHRQ's comparative effectiveness reviews and about 3,000 practice guidelines from the Agency’s NGC are referenced in DynaMed. Read the case study.

8. AHRQ in the Professional Literature

Allen LaPointe NM, Dai D, Thomas L, et al. Antiarrhythmic drug use in patients <65 years with atrial fibrillation and without structural heart disease. Am J Cardiol 2015 Feb 1;115(3):316-22. Epub 2014 Nov 13. Select to access the abstract on PubMed®.

Hsuan C, Rodriguez HP. The adoption and discontinuation of clinical services by local health departments. Am J Public Health. 2014 Jan;104(1):124-33 Epub 2013 Nov 14. Select to access the abstract on PubMed®.

Pershing S, Enns EA, Matesic B, et al. Cost-effectiveness of treatment of diabetic macular edema. Ann Intern Med 2014 Jan 7;160(1):18-29. Select to access the abstract on PubMed®.

Earley A, Persson R, Garlitski AC, et al. Effectiveness of implantable cardioverter defibrillators for primary prevention of sudden cardiac death in subgroups a systematic review. Ann Intern Med 2014 Jan 21;160(2):111-21. Select to access the abstract on PubMed®.

Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. BMJ Qual Saf 2015 Feb;24(2):103-10. Epub 2015 Jan 14. Select to access the abstract on PubMed®.

Paddock SM, Adams JL, Hoces de la Guardia F. Better-than-average and worse-than-average hospitals may not significantly differ from average hospitals: an analysis of Medicare Hospital Compare ratings. BMJ Qual Saf 2015 Feb;24(2):128-34. Epub 2014 Nov 13. Select to access the abstract on PubMed®.

Kutcher MA, Brennan JM, Rao SV, et al. Comparative effectiveness of drug-eluting stents on long-term outcomes in elderly patients treated for in-stent restenosis: a report from the National Cardiovascular Data Registry. Catheter Cardiovasc Interv 2014 Feb;83(2):171-81. Epub 2013 Aug 31. Select to access the abstract on PubMed®.

Mello MM, Senecal SK, Kuznetsov Y, et al. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Health Aff. 2014 Jan;33(1):30-8. Select to access the abstract on PubMed®.

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Page last reviewed November 2015
Page originally created November 2015
Internet Citation: AHRQ Analysis: Hospital-Acquired Conditions Reduced by 17 Percent From 2010 to 2013. Content last reviewed November 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/493.html