AHRQ Leaders Highlight Hospital Safety Gains, Note Challenges in JAMA Viewpoint

Issue 522
AHRQ's Electronic Newsletter summarizes Agency research and programmatic activities.
June 14, 2016

AHRQ Stats: Emergency Department Visits for Children Up to Age 17

Emergency department visits for children ages 17 and younger with mental health, alcohol or substance abuse problems increased from 622 per 100,000 children in 2007 to 750 per 100,000 in 2013. (Source: Agency for Healthcare Research and Quality, 2015 National Healthcare Quality and Disparities Report, Chartbook on Healthy Living.)

Today's Headlines

  1. AHRQ Leaders Highlight Hospital Safety Gains, Note Challenges in JAMA Viewpoint.
  2. AHRQ Tool Helps Improve Pressure Ulcer Healing in Nursing Homes With Electronic Medical Records.
  3. Free Resources Help Diverse Clinicians Get Recertification Credit for Support of Patient Self-Management.
  4. Funding Available for Incorporating Projects Related to Patient-Centered Outcomes Research and Clinical Decision Support Systems.
  5. AHRQ Releases Success Stories Shown to Help Engage Patients and Families in Primary Care.
  6. AHRQ in the Professional Literature.

1. AHRQ Leaders Highlight Hospital Safety Gains, Note Challenges in JAMA Viewpoint

A viewpoint article in the June 13 issue of JAMA documents improvements in hospital safety, including a decline in adverse events from 145 events per 1,000 hospitalizations in 2010 to 121 per 1,000 in 2014. The article, "Improving Safety for Hospitalized Patients: Much Progress but Many Challenges Remain," is co-authored by Richard Kronick, Ph.D., a former AHRQ director; Sharon Arnold, Ph.D., AHRQ’s deputy director; and Jeffrey Brady, M.D., M.P.H., director of AHRQ’s Center for Quality Improvement and Patient Safety. The viewpoint notes that progress was stable between 2014 and 2015, and that patient safety efforts must be expanded to nursing facilities and outpatient settings. The article identifies four activities needed to advance progress: additional evidence about what works to reduce harms, better tools to help providers provide safer care, development of less burdensome and more reliable methods for measuring adverse events and making sure that improving safety remains a high priority for hospital administrators and governing boards. Access the article.

2. AHRQ Tool Helps Improve Pressure Ulcer Healing in Nursing Homes With Electronic Medical Records

A new online resource, AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing, will help nursing homes use electronic medical records to effectively monitor and manage residents’ pressure ulcers. The program uses the On-Time Pressure Ulcer Assessment system to provide a set of structured, standardized data elements for comprehensive documentation of pressure ulcer characteristics as well as treatments and interventions. The assessment tool guides clinicians in systematically assessing residents with pressure ulcers and thus helps less-experienced clinicians assess and care for these residents. The tool also serves experienced clinicians in their pressure ulcer management practice.

3. Free Resources Help Diverse Clinicians Get Recertification Credit for Support of Patient Self-Management

Clinicians can use a new quality improvement resource from AHRQ to help their patients better self-manage chronic conditions. The Maintenance of Certification Part IV & PI-CME Recertification Activity can be customized according to chronic conditions such as asthma, obesity, depression, diabetes, heart disease, chronic obstructive pulmonary disease and arthritis. The activity, available at no charge, is useful to clinicians with pediatric and adult patients. Clinicians survey how patients or parents have experienced clinicians’ use of two self-management support techniques: shared decisionmaking about prescription medications and talking about patients’ specific health goals. Clinicians may then design and implement a quality improvement activity using measures from AHRQ’s Consumer Assessment of Healthcare Providers and Systems. Visit the National Center for Excellence in Primary Care Research to learn more about AHRQ's practice improvement efforts.

4. Funding Available for Incorporating Projects Related to Patient-Centered Outcomes Research and Clinical Decision Support Systems

AHRQ is soliciting research applications for projects aimed at exploring how patient-centered outcomes research findings can be incorporated into clinical practice through health IT-enabled clinical decision support systems. Patient-centered outcomes, defined as the results of medical care that are important to patients, can give patients and providers the power to make more informed health decisions. The funding opportunities, Scaling Established Clinical Decision Support to Facilitate the Dissemination and Implementation of Patient-Centered Outcomes Research Findings (R18) and Developing New Clinical Decision Support to Disseminate and Implement Patient-Centered Outcomes Research Findings (R18), are part of AHRQ's ongoing support of this work.

5. AHRQ Releases Success Stories Shown to Help Engage Patients and Families in Primary Care

New success stories from an ongoing AHRQ project, Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families, provide demonstrated experience for improving patient safety in primary care. The stories spotlight Beth Israel Deaconess Medical Center, which provided patients with access to their clinical notes; Bellin Health (Green Bay, WI), which implemented a comprehensive model of team-based primary care leading to improved patient and provider satisfaction; and First Street Family Health Center (Salida, CO), which formed a patient and family advisory council that transformed the way the practice functions. While the patient engagement effort is under way, project components are being released over the next year to support primary care practices in their efforts to improve patient safety.

6. AHRQ in the Professional Literature

Colorectal cancer screening rates at community health centers that use electronic Health records: a cross-sectional study. Baker DW, Liss DT, Alperovitz-Bichell K, et al. J Health Care Poor Underserved 2015 May;26(2):377–90. Access the abstract in PubMed®.

A randomized, home-based, childhood obesity intervention delivered by patient navigators. Yun L, Boles RE, Haemer MA, et al. BMC Public Health 2015 May 23;15:506. Access the abstract in PubMed®.

Short-term improvements in disability mediate patient satisfaction after epidural corticosteroid injections for symptomatic lumbar spinal stenosis. Suri P, Pashova H, Heagerty PJ, et al. Spine (Phila Pa 1976). 2015 Sep 1;40(17):1363–70. Access the abstract in PubMed®.

Trajectories of symptoms and function in older adults with low back disorders. Deyo RA, Bryan M, Comstock BA, et al. Spine (Phila Pa 1976). 2015 Sep 1;40(17):1352–62. Access the abstract in PubMed®.

Exploring perceptions and use of the electronic health record by parents of children with autism spectrum disorder: a qualitative study. Bush RA, Stahmer AC, Connelly CD. Health Informatics J 2015 May 18. [Epub ahead of print]. Access the abstract in PubMed®.

A data mining approach for examining predictors of physical activity among urban older adults. Yoon S, Suero-Tejeda N, Bakken S. J Gerontol Nurs 2015 Jul;41(7):14–20. Epub 2015 May 7. Access the abstract in PubMed®.

Treatment of ankyloglossia for reasons other than breastfeeding: a systematic review. Chinnadurai S, Francis DO, Epstein RA, et al. Pediatrics 2015 Jun;135(6):e1467–74. Epub 2015 May 4. Access the abstract in PubMed®.

Transforming patient-centered care: development of the evidence informed decision making through engagement model. Moore JE, Titler MG, Kane Low L, et al. Womens Health Issues 2015 May–Jun;25(3):276–82. Epub 2015 Apr 9. Access the abstract in PubMed®.

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Page last reviewed June 2016
Page originally created June 2016
Internet Citation: AHRQ Leaders Highlight Hospital Safety Gains, Note Challenges in JAMA Viewpoint. Content last reviewed June 2016. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/522.html