New AHRQ Grantee Profile Highlights Work of David Bates, M.D., To Reduce Medication Errors
AHRQ Stats: Insurance Trends Among Hispanics, Blacks
The uninsured rate among Hispanics declined from 42 percent in 2010 to 26 percent in 2016. The uninsured rate for blacks during the same period declined from 28 percent to 15 percent. (Source: AHRQ, 2016 National Healthcare Quality and Disparities Report.)
- New AHRQ Grantee Profile Highlights Work of David Bates, M.D., To Reduce Medication Errors .
- Analysis Finds Significant Rise in Common Corporate Ownership Across Health Systems.
- More Children Gained Coverage Through Medicaid-Eligible Parents.
- Highlights From AHRQ’s Patient Safety Network.
- AHRQ Seeks Applications for Healthcare-Associated Infections and Antibiotic Resistance Projects.
- New AHRQ Views Blog Post: Healthcare Simulation Research Helps Lower Risks, Keep Patients Safer.
- AHRQ in the Professional Literature.
Our latest grantee profile examines how AHRQ funding has helped David Bates, M.D., chief of the division of general internal medicine and primary care at Brigham and Women’s Hospital in Boston, spark safety improvements across a wide array of health information technologies, such as computerized physician order entry, smart infusion pumps, clinical decision support and electronic health records. Access Dr. Bates’ profile and those of other AHRQ grantees who have made major advances in health services research.
Cases in which the same corporate investors have ownership stakes in multiple U.S. health systems have nearly doubled since 2005, according to an AHRQ-funded study recently published in Health Affairs. The study appears to provide the first description of common investor ownership trends in health care. Researchers used data from the Centers for Medicare & Medicaid Services’ Provider Enrollment, Chain, and Ownership System to identify common investor ownership across acute care, post-acute care and hospice providers within the same geographic markets within the United States. They found that the percentage of acute care hospitals having common investor ties to the post-acute or hospice sectors increased from about 25 percent in 2005 to 49 percent in 2015. The authors suggested that these trends have important antitrust, regulatory and policy implications. This research was funded by AHRQ’s Comparative Health System Performance Initiative, which studies how health care delivery systems promote evidence-based practices and patient-centered outcomes research in delivering care. Access the abstract.
An additional 710,000 low-income children enrolled in Medicaid after the implementation of the Affordable Care Act (ACA), according to an article by AHRQ researchers in Heath Affairs. These increases occurred among children who were already eligible for Medicaid before the ACA. Study authors used data from the American Community Survey to explore this “welcome mat” effect in Medicaid. They found that by 2015, Medicaid-eligible children in families with incomes below 138 percent of poverty were more likely to be enrolled in public coverage than in 2013. This was true among all previously Medicaid-eligible children in their study, but the effects were largest among children whose parents had gained eligibility for public insurance through the Medicaid expansion to low-income adults. Access the abstract.
AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:
- Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm.
- Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum.
- Advances in Patient Safety and Medical Liability.
AHRQ has funding available for large research projects in two areas: preventing healthcare-associated infections (HAIs) and efforts for Combating Antibiotic-Resistant Bacteria (CARB). The application deadline for both of these funding opportunities is Oct. 5. The HAI research projects should advance the knowledge of HAI detection, prevention and reduction. The CARB research projects, intended to help mitigate the public health threat of antibiotic resistance, should address ways to promote appropriate antibiotic use, reduce the transmission of resistant bacteria or prevent HAIs in the first place. These funding opportunities are open to researchers in all health care settings: long-term care, ambulatory care, acute care hospitals and those focusing on transitions between care settings. Access more information about companion funding opportunities for both HAI and CARB demonstration and dissemination projects, as well as details about AHRQ’s HAI program.
To learn more about how AHRQ and the Society for Simulation in Healthcare (SSH) have worked together to highlight simulation's impact on patient safety, access the latest AHRQ Views blog post by Jeff Brady, M.D., M.P.H., Director of AHRQ’s Center for Quality Improvement and Patient Safety, and Christine Park, M.D., President, Board of Directors, SSH.
Is everyone really breathing 20 times a minute? Assessing epidemiology and variation in recorded respiratory rate in hospitalised adults. Badawy J, Nguyen OK, Clark C, et al. BMJ Qual Saf 2017 Jun 26. [Epub ahead of print.] Access the abstract on PubMed®.
National trends in the frequency of bladder catheterization and physician-diagnosed catheter-associated urinary tract infections: results from the Medicare Patient Safety Monitoring System. Metersky ML, Eldridge N, Wang Y, et al. Am J Infect Control 2017 Aug 1;45(8):901-4. Epub 2017 Jun 16. Access the abstract on PubMed®.
The patient buddy app can potentially prevent hepatic encephalopathy-related readmissions. Ganapathy D, Acharya C, Lachar J, et al. Liver Int 2017 Jun 15. [Epub ahead of print.] Access the abstract on PubMed®.
Pathway to better patient care and nurse workforce outcomes in home care. Jarrín OF, Kang Y, Aiken LH. Nurs Outlook 2017 Jun 2. [Epub ahead of print.] Access the abstract on PubMed®.
Rates, predictors and variability of interhospital transfers: a national evaluation. Mueller SK, Zheng J, Orav EJ, et al. J Hosp Med 2017 Jun;12(6):435-42. Access the abstract on PubMed®.
Dashboard visualizations: supporting real-time throughput decision-making. Franklin A, Gantela S, Shifarraw S, et al. J Biomed Inform 2017 Jul;71:211-21. Epub 2017 Jun 1. Access the abstract on PubMed®.
Impact of an individual mandate and other health reforms on dependent coverage for adolescents and young adults. Wisk LE, Finkelstein JA, Toomey SL, et al. Health Serv Res 2017 May 30. [Epub ahead of print.] Access the abstract on PubMed®.
Patient-centered decision support: formative usability evaluation of integrated clinical decision support with a patient decision aid for minor head injury in the emergency department. Melnick ER, Hess EP, Guo G, et al. J Med Internet Res 2017 May 19;19(5):e174. Access the abstract on 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 2017