Veterans Administration Nursing Homes Implement Robust Surveillance of Urinary Tract Infections

Issue #554
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
February 14, 2017

AHRQ Stats: Insurance for Young Adults

As of mid-2015, young adults ages 18 to 29 were the most likely to gain health insurance coverage since January 2010. The uninsured rate for this group declined from 31 percent to 15 percent. (Source: Agency for Healthcare Research and Quality, 2015 National Healthcare Quality and Disparities Report and 5th Anniversary Update on the National Quality Strategy.)

Today's Headlines:

Veterans Administration Nursing Homes Implement Robust Surveillance of Urinary Tract Infections

An AHRQ-funded study found that catheter-associated urinary tract infection (CAUTI) surveillance practices within Veterans Administration (VA) nursing homes were more robust than those at non-VA nursing homes. Researchers who surveyed 47 VA and 306 non-VA facilities in 41 states found that 94 percent of VA nursing homes conduct CAUTI surveillance compared with 66 percent of non-VA nursing homes. VA nursing homes devoted, on average, 31 hours per week to infection-prevention activities compared with 12 hours by non-VA nursing homes, the study found. Non-VA nursing homes, however, were more likely to have policies concerning appropriate catheter use or catheter insertion. The authors concluded that the centralized infrastructure of the VA, increased numbers and training of staff, as well as the use of national VA benchmarks and leadership engagement, likely accounted for their findings. The study, "Comparing Catheter-Associated Urinary Tract Infection Prevention Programs Between Veterans Affairs Nursing Homes and Non-Veterans Affairs Nursing Homes," and abstract appeared in Infection Control and Hospital Epidemiology.

New Highlights from AHRQ's Patient Safety Network

AHRQ's Patient Safety Network (PSNet), which highlights journal publications, books and tools related to patient safety, has featured a new set of articles including:

Review additional new publications in PSNet's Current Issue or access recent cases and commentaries in AHRQ's WebM&M (Morbidity and Mortality Rounds on the Web).

New Research and Evidence From AHRQ

Register Now for March 8 Webinar on Use of TeamSTEPPS® Safety Program in Simulation Labs

Registration is open for an AHRQ webinar on March 8 from 1 to 2 p.m. ET to highlight lessons learned by health system leaders who used standardized patients in a simulation lab to teach the principles of AHRQ’s TeamSTEPPS curriculum. Presenters will discuss TeamSTEPPS' potential to contribute to high-reliability organizations, defined as those that reward efforts to improve safety while recognizing errors and near-misses as valuable learning opportunities. AHRQ’s evidence-based TeamSTEPPS program is designed to improve patient outcomes through increased communication and teamwork among health professionals.

AHRQ Webinars on Feb. 21 and Feb. 23 Seek Input on Repository of Patient Registry Performance Measures

Registration is open for two AHRQ webinars to obtain input on the design and content of an online repository of standardized patient registry outcome performance measures. Comparing, aggregating and reporting clinical care data can be difficult due to variations in the types and definitions of outcome measures used in patient registries. To reduce these variations, AHRQ developed the Outcome Measures Framework as a generic model to develop harmonized outcome performance measures in specific disease areas. AHRQ is using the framework to develop standardized libraries of outcome measures for five conditions. Webinar participants will be asked for feedback on the proposed process for submitting new measures and the system's search capabilities for existing measures. Register for the webinar on Feb. 21 from 2 to 3 p.m. ET, or register for the webinar on Feb. 23 from 11 a.m. to noon ET. Contact with questions.

AHRQ in the Professional Literature

Changing labor and delivery practice: focus on achieving practice and documentation standardization with the goal of improving neonatal outcomes. Burstein PD, Zalenski DM, Edwards JL, et al. Health Serv Res 2016 Dec;51 Suppl 3:2472-86. Epub 2016 Oct 21. Access the abstract to PubMed®.

Perceived effectiveness, self-efficacy, and social support for oral appliance therapy among older veterans with obstructive sleep apnea. Carballo NJ, Alessi CA, Martin JL, et al. Clin Ther 2016 Nov;38(11):2407-15. Epub 2016 Oct 15. Access the abstract on PubMed®.

National rules for drug-drug interactions: are they appropriate for tertiary hospitals? Cho I, Lee JH, Choi J, et al. J Korean Med Sci 2016 Dec;31(12):1887-96. Access the abstract on PubMed®.

Screening for impaired visual acuity in older adults: updated evidence report and systematic review for the U.S. Preventive Services Task Force. Chou R, Dana T, Bougatsos C, et al. JAMA 2016 Mar 1;315(9):915-33. Access the abstract on PubMed®.

At federally funded health centers, Medicaid expansion was associated with improved quality of care. Cole MB, Galárraga O, Wilson IB, et al. Health Aff 2017 Jan 1;36(1):40-8. Access the abstract on PubMed®.

Characterization of mineralocorticoid receptor antagonist therapy initiation in high-risk patients with heart failure. Cooper LB, Hammill BG, Peterson ED, et al. Circ Cardiovasc Qual Outcomes 2017 Jan;10(1). Access the abstract on PubMed®.

Behavioral counseling interventions expert forum: overview and primer on U.S. Preventive Services Task Force methods. Curry SJ, Whitlock EP. Am J Prev Med 2015 Sep;49(3 Suppl 2):S129-37. Access the abstract on PubMed®.

Effectiveness of a medical vs revascularization intervention for intermittent leg claudication based on patient-reported outcomes. Devine EB, Alfonso-Cristancho R, Yanez ND, et al. JAMA Surg 2016 Oct 19;151(10):e162024. Epub 2016 Oct 19. Access the abstract on PubMed®.

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Page last reviewed May 2018
Page originally created February 2017
Internet Citation: Veterans Administration Nursing Homes Implement Robust Surveillance of Urinary Tract Infections. Content last reviewed May 2018. Agency for Healthcare Research and Quality, Rockville, MD.