AHRQ Releases First Public Database on Nation’s Health Systems
September 19, 2017
AHRQ Stats: Hospital-Acquired Conditions
The overall rate of hospital-acquired conditions, such as pressure ulcers or adverse drug events, decreased 21 percent between 2010 and 2015, from 145 to 115 per 1,000 hospital discharges. (Source: AHRQ, 2016 National Healthcare Quality and Disparity Report, Chartbook on Patient Safety.)
- AHRQ Releases First Public Database on Nation’s Health Systems.
- Highlights From AHRQ’s Patient Safety Network.
- AHRQ Releases Health Care Facility Design Safety Risk Assessment Toolkit.
- Researchers Use Novel Method To Identify Risk of Infections in Ambulatory Surgery Centers.
- AHRQ Report Highlights Agency Research on Health Information Technology.
- New AHRQ Views Blog Post: Addressing Complexity—The AHRQ Series on Complex Interventions.
- Enroll Now in TeamSTEPPS Online for Office-Based Care.
- AHRQ in the Professional Literature.
Information about the size, structure and other characteristics of 626 health care organizations is included in AHRQ’s new Compendium of U.S. Health Systems, 2016, the nation’s first publicly available database that gives researchers, policymakers and health care administrators a snapshot of the nation’s health systems. The online resource was developed by the agency’s Comparative Health System Performance (CHSP) Initiative, a collaborative to examine systems’ use of evidence-based medicine and explore factors that contribute to high performance. The new compendium defines systems as networks of at least one hospital connected via ownership to one or more groups of physicians. Hospitals in these health systems account for roughly 88 percent of U.S. hospital beds and 92 percent of U.S. hospital discharges. The compendium identifies system characteristics such as the number of hospitals, acute care beds and physicians, as well as whether a system serves children. For more information, access Deputy Director Sharon B. Arnold’s AHRQ Views blog post, "With AHRQ’s New Compendium, Researchers and Policymakers Gain Fresh Insights into Nation’s Health Systems."
AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:
- Simulation-based assessment of the management of critical events by board-certified anesthesiologists.
- Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study.
- Clinical reasoning education at US medical schools: results from a national survey of internal medicine clerkship directors.
A safety risk assessment toolkit from AHRQ can help designers ensure that new or renovated health care facilities support workflow, procedures and capability while keeping patients and staff safe from harm. The toolkit targets six areas of safety—infections, falls, medication errors, security, behavioral health, and patient handling—as required by the Facility Guidelines Institute. The toolkit addresses more than 200 potential environmental considerations for the built environment and provides a quality check tool for prioritizing risks within budget constraints.
A risk-assessment system designed to avoid harms in private industry was used by AHRQ-funded researchers to identify practices likely to pose infection risks in ambulatory surgery centers. The risk-assessment methodology, known as the Socio-Technical Probabilistic Risk Assessment (ST-PRA), identified factors that contributed to risk of surgical site infections. Researchers applying the ST-PRA identified a group of five factors that accounted for nearly 52 percent of all issues that led directly to surgical site infections. Using the methodology, researchers recommended safeguards to avoid infections and identified infection risks by reviewing data from evidence-based literature (including AHRQ’s State Ambulatory Surgery, Nationwide Inpatient Sample, and State Emergency Department databases for three states) and interviews with health care providers. The study was published in the Journal of Patient Safety. Access the abstract.
An annual report from AHRQ showcases the agency’s 2016 research in the area of health information technology (IT). AHRQ’s health IT research focuses on easing provider burden from using health IT, understanding how patient-reported outcomes can be integrated into health IT to inform practice and research, and bringing evidence from patient-centered outcomes research to the point of care for use by doctors, nurses and other providers. AHRQ’s health IT research also explores new technologies such as natural language processing and artificial intelligence.
A recent blog post by Arlene Bierman, M.D., M.S., director of AHRQ's Center for Evidence and Practice Improvement, highlights the AHRQ Series on Complex Intervention Systematic Reviews. The series provides practical tools and guidance for systematic reviews of complex interventions.
Register now for AHRQ’s no-cost TeamSTEPPS® for Office-Based Care Online course, which focuses on enhancing communication and teamwork skills among office-based professionals to improve patient safety and quality. Participants may begin pre-course work now and will earn no-cost continuing education for each activity completed. Master Trainer certificates will be awarded for completing all course requirements. Access the onboarding video to learn more or email firstname.lastname@example.org with questions.
Pharmacotherapy for diabetic peripheral neuropathy pain and quality of life: a systematic review. Waldfogel JM, Nesbit SA, Dy SM, et al. Neurology 2017 May 16;88(20):1958-67. Epub 2017 Mar 24. Access the abstract on PubMed®.
Structured data entry in the electronic medical record: perspectives of pediatric specialty physicians and surgeons. Bush RA, Kuelbs C, Ryu J, et al. J Med Syst 2017 May;41(5):75. Epub 2017 Mar 21. Access the abstract on PubMed®.
Physician activity during outpatient visits and subjective workload. Calvitti A, Hochheiser H, Ashfaq S, et al. J Biomed Inform 2017 May;69:135-49. Epub 2017 Mar 18. Access the abstract on PubMed®.
Crossing the health IT chasm: considerations and policy recommendations to overcome current challenges and enable value-based care. Adler-Milstein J, Embi PJ, Middleton B, et al. J Am Med Inform Assoc 2017 Sep 1;24(5):1036-43. Access the abstract on PubMed®.
Integrative review of clinical decision support for registered nurses in acute care settings. Dunn Lopez K, Gephart SM, Raszewski R, et al. J Am Med Inform Assoc 2017 Mar 1;24(2):441-50. Access the abstract on PubMed®.
Improving radiation oncology providers' workload and performance: can simulation-based training help? Mazur LM, Mosaly PR, Tracton G, et al. Pract Radiat Oncol 2017 Sep-Oct;7(5):e309-16. Epub 2017 Feb 17. Access the abstract on PubMed®.
Information needs of older women with early-stage breast cancer when making radiation therapy decisions. Wang SY, Kelly G, Gross C, et al. Int J Radiat Oncol Biol Phys 2017 Jul 15;98(4):733-40. Epub 2017 Feb 9. Access the abstract on PubMed®.
Validity and reliability of a new measure of nursing experience with unintended consequences of electronic health records. Gephart SM, Bristol AA, Dye JL, et al. Comput Inform Nurs 2016 Oct;34(10):436-47. Access the abstract on PubMed®.