AHRQ Study Estimates Frequency of Hospital Admissions Following Emergency Care for Chest Symptoms

Issue #541
AHRQ's Electronic Newsletter summarizes Agency research and programmatic activities.
November 8, 2016

AHRQ Stats: Out-of-Pocket Health Care Spending

Average out-of-pocket expenses for health care services in 2014 ranged from $288 for children younger than 18 to $1,253 for people age 65 and older. (Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey Statistical Brief #495: Out-of-Pocket Health Care Expenses in the U.S. Civilian Non-Institutionalized Population by Age and Insurance Coverage, 2014.)

Today's Headlines:

AHRQ Study Estimates Frequency of Hospital Admissions Following Emergency Care for Chest Symptoms

About percent of patients treated in emergency departments (ED) with chest symptoms experienced subsequent inpatient admissions for related symptoms within 30 days, according to a recent AHRQ study. The study examined more than 1.8 million ED visits in 2012-2013 at more than 1,000 hospitals in eight states. The odds of hospital admission were higher for older patients and those living in low-income areas, but lower for females and non-white racial/ethnic groups. Privately insured patients had lower odds of admission compared with the uninsured or those covered by other programs. Authors said ED physicians and administrators can use the study's results to identify characteristics that increased the odds of subsequent admission among at-risk patients. Access the abstract for the study, "Admissions After Discharge From An Emergency Department for Chest Symptoms," published in September in Diagnosis.

In Interview With PSNet, AHRQ Director Advocates for Applying Research to Care

AHRQ Director Andy Bindman, M.D., outlined the agency's robust research agenda on health care delivery, emphasized the need to transfer research findings into the hands of clinicians and emphasized the strong potential of health information technology to improve care in a recent interview with AHRQ's Patient Safety Network (PSNet). Dr. Bindman touched on other topics as well, including physician burnout, the use of telehealth and the agency's effort to better understand the role that health systems play in generating, adopting and applying evidence in a systematic way at the frontlines of care.  Dr. Bindman, appointed as AHRQ's director in May, was previously a professor of medicine, health policy, epidemiology and biostatistics at the University of California San Francisco.

Last Chance To Register for Nov. 9 Webinar on "Just Culture" Patient Safety Initiatives

Register now for an AHRQ webinar Nov. 9 from 1 to 2 p.m. ET on "just culture," an approach to patient safety events that balances the absence of blame with appropriate accountability. The webinar will highlight just culture initiatives that helped improve scores on the Hospital Survey on Patient Safety Culture, particularly the nonpunitive response to error composite. Strategies used to implement just culture in a health care system and how these led to improved results on the survey will be discussed.

Register Now: 9th Annual Conference on the Science of Dissemination and Implementation in Health on Dec. 14-15

Join those on the front lines of dissemination and implementation science by registering for the 9th Annual Conference on the Science of Dissemination and Implementation, co-sponsored by the National Institutes of Health and AcademyHealth, along with AHRQ, the Patient-Centered Outcomes Research Insititute, the Robert Wood Johnson Foundation and United States Department of Veterans Affairs. This meeting, Dec. 14-15 in Washington D.C, will focus thinking on the highest priorities for dissemination and implementation science now and in the future to help optimize health and health care. Visit the conference website for the preliminary agenda and a full list of confirmed plenary speakers.

New Research and Evidence From AHRQ

Featured Case Study: AHRQ Resources Help New Zealand Promote Health Literacy

New Zealand's Ministry of Health used AHRQ's Health Literacy Universal Precautions Toolkit to develop a health literacy review guide to address patients' health literacy needs and reduce potential barriers to receiving care. Access the case study.

AHRQ in the Professional Literature

Screening for abdominal aortic aneurysm. Mussa FF. J Vasc Surg 2015 Sep;62(3):774-8. Epub 2015 Jul 10. Access the abstract in PubMed®.

Readmission destination and risk of mortality after major surgery: an observational cohort study. Brooke BS, Goodney PP, Kraiss LW, et al. Lancet 2015 Aug 29;386(9996):884-95. Epub 2015 Jun 17. Access the abstract in PubMed®.

Discriminatory indices of typing methods for epidemiologic analysis of contemporary Staphylococcus aureus strains. Rodriguez M, Hogan PG, Satola SW, et al. Medicine (mBaltimore) 2015 Sep;94(37):e1534. Access the abstract in PubMed®.

Nurse continuity and hospital-acquired pressure ulcers: A comparative analysis using an electronic health record "big data" set. Stifter J, Yao Y, Lodhi MK, et al. Nurs Res 2015 Sep-Oct;64(5):361-71. Access the abstract in PubMed®.

Validity of diagnostic codes and laboratory tests of liver dysfunction to identify acute liver failure events. Lo Re V, 3rd, Carbonari DM, Forde KA, et al. Pharmacoepidemiol Drug Saf 2015 Jul;24(7):676-83. Epub 2015 Apr 10. Access the abstract in PubMed®.

Connecting the dots: Health information technology expansion and health disparities. Lyles C, Schillinger D, Sarkar U. PLoS Med 2015 Jul 14;12(7):e1001852. Access the abstract in PubMed®.

Design considerations for patient portal adoption by low-income, older adults. Latulipe C, Gatto A, Nguyen HT, et al. Proc SIGCHI Conf Hum Factor Comput Syst 2015 Apr;2015:3859-68. Access the abstract in PubMed®.

A four-phase approach for systematically collecting data and measuring medication discrepancies when patients transition between health care settings. Kennelty KA, Witry MJ, Gehring M, et al. Res Social Adm Pharm 2016 Jul-Aug;12(4):548-58. Epub 2015 Sep 12. Access the abstract in PubMed®.

Contact Information

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Page last reviewed November 2016
Page originally created November 2016
Internet Citation: AHRQ Study Estimates Frequency of Hospital Admissions Following Emergency Care for Chest Symptoms. Content last reviewed November 2016. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/541.html