New AHRQ Publications Summarize Evidence on Treatments for Two Mental Health Disorders
AHRQ Stats: Potentially Avoidable Hospitalizations
From 2005 to 2013, the rate of potentially avoidable hospitalizations for all conditions, excluding chronic obstructive pulmonary disease, fell about 23 percent. The rate was highest among African Americans and lowest among Asians and Pacific Islanders. (Source: Agency for Healthcare Research and Quality, 2015 National Healthcare Quality and Disparities Report Chartbook on Care Coordination.)
- New AHRQ Publications Summarize Evidence on Treatments for Two Mental Health Disorders.
- AHRQ Chartbook Tracks Progress of Prevention and Treatment Practices.
- AHRQ Study Estimates Frequency of Errors When Speech Recognition Technology Is Used To Enter Patient Data.
- New Research and Evidence From AHRQ.
- Register Now: Sept. 28 AHRQ Research Summit on Diagnostic Safety.
- Featured Case Study: Virginia Clinic Uses TeamSTEPPS To Train Emergency Department Nurses.
- AHRQ in the Professional Literature.
New evidence-based publications from AHRQ can help clinicians, patients and their families make informed decisions about treating major depressive disorder as well as disruptive behavior disorders in children and adolescents:
- Nonpharmacological Versus Pharmacological Treatment for Patients With Major Depressive Disorder: Current State of the Evidence is a clinician publication based on an AHRQ systematic review that found cognitive behavioral therapy is as effective as second-generation antidepressants in relieving symptoms of mild to severe major depressive disorder. Second-generation antidepressants generally lead to a higher risk of adverse events (including nausea, vomiting, diarrhea, fatigue, headache, insomnia and weight gain) when compared with behavioral therapy. A plain-language companion publication, Comparing Talk Therapy and Other Depression Treatments With Antidepressant Medicines – A Review of the Research for Adults, is available for consumers.
- Psychosocial and Pharmacologic Interventions for Disruptive Behavior Disorders in Children and Adolescents: Current State of the Evidence is a clinician publication based on an AHRQ-funded evidence review that found psychosocial interventions improved disruptive behaviors in children. Programs that include parent involvement more effectively reduced disruptive behaviors compared with interventions that included only a child component or compared with control interventions. Very few studies support the effectiveness of medications for children with disruptive disorders, but small studies of antipsychotics and stimulants report positive effects in the very short term. A companion publication, Treating Disruptive Behavior Disorders in Children and Teens, is available for parents and caregivers.
AHRQ's new Chartbook on Effective Treatment provides updated information about national efforts to improve prevention and treatment of eight health conditions that are leading causes of mortality and morbidity: cardiovascular disease, cancer, chronic kidney disease, diabetes, HIV and AIDS, mental health and substance abuse, musculoskeletal diseases and respiratory diseases. Among the highlights:
- Performance measures for cardiovascular disease indicated that from 2000 to 2012, the percentage of adults with hypertension who had their blood pressure under control improved from about 30 percent to more than 50 percent.
- Between 2001 and 2013, the percentage of diabetes-related hospital admissions decreased more for blacks (from about 88 percent to 45 percent) than for whites (from about 18 percent to 10 percent)
- From 2008 to 2013, the annual rate of HIV diagnoses declined by 9 percent, but the progress was uneven across different groups. In 2011, 14 percent of people with HIV were unaware of their infection.
- Among problem areas shown through performance measures: increasing suicide deaths for both sexes and all racial groups; a lower percentage of adults with diagnosed diabetes who had their feet checked for sores or irritation; and a lower percentage of adults with asthma who take preventive medicine daily or almost daily.
This chartbook is part of a family of documents and tools that support the 2015 National Healthcare Quality and Disparities Report and 5th Anniversary Update on the National Quality Strategy. That report provides an overview of the quality of U.S. health care as well as disparities in care for various racial, ethnic and socioeconomic groups.
AHRQ Study Estimates Frequency of Errors When Speech Recognition Technology Is Used To Enter Patient Data
Critical errors were found in 15 percent of data entered into patients' electronic health records by physicians using computerized speech recognition technology, according to a pilot study funded by AHRQ. The study evaluated front-end speech recognition technology that allows dictation and editing in an electronic record's text field. The study examined speech recognition errors based on 100 patient notes by attending emergency department physicians in Boston from January to June 2012. Findings showed that there were 128 errors, or 1.3 errors per note, and that of the 71 percent of notes that contained errors, 15 percent contained one or more critical errors that could potentially lead to miscommunication affecting patient care. Annunciation errors were most common, followed by deletions and added words. Study findings represent the first estimates of speech recognition errors in dictated emergency department notes, researchers said. The study, "Incidence of Speech Recognition Errors in the Emergency Department," and abstract were published in the International Journal of Medical Informatics.
- Omega-3 Fatty Acids and Cardiovascular Disease: An Updated Systematic Review.
- Preventing Hospital-Associated Venous Thromboembolism.
- Convening a Learning Community To Advance Medication Therapy Management for At-Risk Populations.
Join AHRQ experts and industry leaders at a Sept. 28 AHRQ research summit to discuss the state of the science on diagnostic safety and strategies to improve diagnosis in health care. AHRQ Research Summit: Improving Diagnosis in Health Care will build on the 2015 National Academy of Medicine report and will discuss diagnostic safety issues related to using data and measurement, health information technology and organizational factors. Access the agenda and register to attend via webcast or in person at AHRQ in Rockville, Maryland. In-person registration is limited and must be completed prior to the summit; there will be no onsite registration.
Carilion Clinic, a not-for-profit health care system based in Roanoke, Virginia, uses AHRQ's TeamSTEPPS® patient safety training program in its trauma crash course curriculum. Since 2007, every registered nurse hired to work in the emergency department has been trained in TeamSTEPPS. Emergency medicine and surgery residents are introduced to TeamSTEPPS during orientation. Access the case study.
Development and validation of a method to identify children with social complexity risk factors. Schrager SM, Arthur KC, Nelson J, et al. Pediatrics 2016 Sep;138(3). Epub 2016 Aug 11. Access the abstract in PubMed®.
Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle. Feraco AM, Starmer AJ, Sectish TC, et al. Acad Pediatr 2016 Aug;16(6):524-31. Epub 2016 Apr 16. Access the abstract in PubMed®.
Feasibility of population health analytics and data visualization for decision support in the infectious diseases domain: a pilot study. Roosan D, Del Fiol G, Butler J, et al. Appl Clin Inform 2016 Jun 29;7(2):604-23. eCollection 2016. Access the abstract in PubMed®.
Characteristics associated with patient-centered medical home capability in health centers: a cross-sectional analysis. Gao Y, Nocon RS, Gunter KE, et al. J Gen Intern Med 2016 Sep;31(9):1041-51. Epub 2016 May 23. Access the abstract in PubMed®.
Partners in care: design considerations for caregivers and patients during a hospital stay. Miller AD, Mishra SR, Kendall L, et al. CSCW 2016 Feb-Mar;2016:756-69. Access the abstract in PubMed®.
Supporting novice clinicians cognitive strategies: system design perspective. Islam R, Mayer J, Clutter J. IEEE EMBS Int Conf Biomed Health Inform 2016 Feb;2016:509-12. Access the abstract in PubMed®.
International perspectives on sharing clinical data with patients. Prey JE, Polubriaginof F, Kuperman GJ, et al. Int J Med Inform 2016 Feb;86:135-41.Epub 2015 Nov 26. Access the abstract in PubMed®.
Understanding complex clinical reasoning in infectious diseases for improving clinical decision support design. Islam R, Weir CR, Jones M, et al. BMC Med Inform Decis Mak 2015 Nov 30;15:101. Access the abstract in 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 September 2016