AHRQ Study: Benefits of Family Presence During Pediatric Intubation Often Outweigh Risks
April 5, 2016
AHRQ Stats: Hospital-Acquired Conditions
Patient safety in hospitals improved nationwide between 2010 and 2014, including a 17 percent decline in hospital-acquired conditions such as surgical site infections, catheter-associated urinary tract infections, central line-associated bloodstream infections, adverse drug events and pressure ulcers. (Source: Agency for Healthcare Research and Quality, National Healthcare Quality and Disparities Report, Chartbook on Patient Safety.
- AHRQ Study: Benefits of Family Presence During Pediatric Intubation Often Outweigh Risks.
- New From AHRQ: Continuing-Education Module on Diagnosis and Management of Gout.
- New Research and Data From AHRQ.
- Register Now: April 13 Webinar on Strategies for Improving Health Plan Survey Scores.
- Issue Brief on Patient Safety Launches New Series From the National Quality Strategy.
- Register Now: April 21 AHRQ Webinar on Health Information Exchange Systems.
- Clinical, Socioeconomic Factors May Have More Influence Than Quality of Care on Hospital Readmission Rates: AHRQ Study.
- AHRQ in the Professional Literature.
The benefits of having a family member present during invasive pediatric procedures far outweigh the risks, which include a potential increase in stress for clinicians and family members, according to an AHRQ-funded study. The study examined whether the presence of a family member during tracheal intubation was associated with a successful first attempt at the procedure, adverse events associated with tracheal intubation, oxygen desaturation and higher team stress levels. Researchers reviewed data from 22 pediatric intensive care units between July 2010 and March 2014, which included 4,030 tracheal intubations, to evaluate the association of family presence and procedure and provider outcomes. They found no significant negative effect of documented family presence on provider performance, team stress or patient outcomes during the procedures. These findings suggested that tracheal intubation can safely be implemented with a child’s family present as part of a family-centered care model. Read the abstract of the article, “Family Presence During Pediatric Tracheal Intubations,” published in the journal JAMA Pediatrics.
A new continuing-education module from AHRQ, Diagnosis and Management of Gout, summarizes evidence on the safety and accuracy of diagnostic tests for gout while also discussing dietary and lifestyle strategies and pharmacologic options for managing this painful condition. The module also summarizes evidence about the relationship between management of serum urate levels and risk of acute gout attacks depending on treatment duration and disease severity. Factors impacting treatment monitoring and medication discontinuation also are covered. The module is based on two recently released AHRQ evidence reports: Diagnosis of Gout and Management of Gout. Gout is one of the most common forms of arthritis, disproportionately affecting males and early menopausal females. It is also associated with family history and advancing age.
- Noninvasive Testing for Coronary Artery Disease.
- Improving Cultural Competence To Reduce Health Disparities.
A webinar on April 13 from noon to 1 p.m. ET will highlight innovative strategies used by two Medicaid health plans to significantly improve scores on the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey. Speakers from health plans in Ohio and Oregon will highlight improvement strategies they implemented, barriers they addressed, results they achieved and key lessons they learned. The webinar also will feature a newly revised version of the CAHPS Ambulatory Care Improvement Guide, a comprehensive and free resource for medical groups, health plans and other providers seeking to improve their scores on the CAHPS ambulatory care surveys. Register now. For questions or comments, contact the CAHPS User Network at email@example.com or 1-800-492-9261.
Priorities in Focus—Patient Safety is the first in a series of issue briefs from the National Quality Strategy (NQS). The Priorities in Focus series spotlights current issues, recent federal initiatives to improve care quality and recent data demonstrating relevant improvement in each of the six NQS priority areas. Priorities in Focus—Patient Safety features new data from AHRQ’s National Healthcare Quality and Disparities Report (QDR) that show a trend of national improvement in patient safety measures linked to Partnership for Patients, a public-private partnership aimed at improving quality, safety and affordability of health care. A 17 percent decline in hospital-acquired conditions resulted in about 2 million harmful events being avoided from 2010 to 2014, saving an estimated 87,000 lives and $20 billion in health care costs. This brief is released in concert with the new QDR Chartbook on Patient Safety, which highlights nationally representative data on individual patient safety-related measures from the QDR. In addition to the Priority in Focus Series, the NQS has developed a toolkit in recognition of its five-year anniversary. The toolkit is available for organizations to showcase their alignment with and support of the NQS.
Registration is open for a webinar on April 21 from 12:30 to 2 p.m. ET to highlight the use of Health Information Exchange (HIE) systems to support collaboration and promote care improvement in health organizations. This webinar also will include a discussion on the role geography plays in both defining service areas and HIE membership. The webinar is free and continuing education/continuing medical education credits are available at no charge to eligible professionals.
Hospital readmission rates appear to be more influenced by clinical and socioeconomic factors than the quality of care that patients receive, according to an AHRQ-funded study. Using data from four state inpatient databases that are part of AHRQ’s Healthcare Cost and Utilization Project, researchers examined the relationship between inpatient quality of care and all-cause, hospitalwide 30-day readmission rates. Quality of care was measured by AHRQ’s Patient Safety Indicator (PSI) Composite, which indicates potential in-hospital complications and adverse events. The study found that the risk-adjusted PSI composite was not significantly associated with 30-day readmission rates after controlling for structural and sociodemographic factors. The findings suggest that the composite measure of hospital patient safety could be enhanced with the capture of more complications, both inpatient and post-discharge. The authors called for more research to better understand the social factors related to transitional care and the reasons communities with lower socioeconomic status have higher readmission rates. The study, “Hospital-Level Factors Related to 30-Day Readmission Rates,” and abstract appeared in the American Journal of Medical Quality.
The burden of inbox notifications in commercial electronic health records. Murphy DR, Meyer AN, Russo E, et al. JAMA Intern Med 2016 Apr 1;176(4):559-60. Epub 2016 March 14. Access the abstract in PubMed®.
The cost to successfully apply for level 3 medical home recognition. Halladay JR, Mottus K, Reiter K, et al. J Am Board Fam Med 2016 Jan-Feb;29(1):69-77. Access the abstract in PubMed®.
Measuring Medicaid physician participation rates and implications for policy. Sommers BD, Kronick R. J Health Polit Policy Law 2016 Jan 5 [Epub ahead of print]. Access the abstract in PubMed®.
Stakeholder engagement in a patient-reported outcomes (PRO) measure implementation: a report from the SAFTINet practice-based research network (PBRN). Kwan BM, Sills MR, Graham D, et al. J Am Board Fam Med 2016 Jan-Feb;29(1):102-15. Access the abstract in PubMed®.
Clinicians' reports in electronic health records versus patients' concerns in social media: a pilot study of adverse drug reactions of aspirin and atorvastatin. Topaz M, Lai K, Dhopeshwarker N, et al. Drug Saf 2016 Mar;39(3):241-50. Access the abstract in PubMed®.
Health IT-assisted population-based preventive cancer screening: a cost analysis. Levy DE, Munshi VN, Ashburner JM, et al. Am J Manag Care 2015 Dec;21(12):885-91. Access the abstract in PubMed®.
Outcomes from health information exchange: systematic review and future research needs. Hersh WR, Totten AM, Eden KB, et al. JMIR Med Inform 2015 Dec 15;3(4):e39. Access the abstract in PubMed®.
Prehospital transportation to therapeutic hypothermia centers and survival from out-of-hospital cardiac arrest. DeLia D, Wang HE, Kutzin J, et al. BMC Health Serv Res 2015 Dec 2;15:533. Access the abstract in PubMed®.