AHRQ Updates TeamSTEPPS® With New App and Focus on Online Training
AHRQ Stats: Medication Errors Among Seniors
The percentage of adults age 65 and older who received potentially inappropriate prescription medications declined from 19 percent in 2003 to 12 percent in 2014. (Source: AHRQ, 2016 National Healthcare Quality and Disparities Report, Chartbook on Patient Safety.)
- AHRQ Updates TeamSTEPPS® With New App and Focus on Online Training.
- AHRQ-Funded Researchers Outline Methods To Reduce Urinary Tract Infections in Nursing Homes.
- Highlights From AHRQ's Patient Safety Network.
- New AHRQ Training Program Helps Hospital Leaders, Staff and Patients Prevent Falls.
- No-Cost Resources To Help Patients Take Blood Thinners Safely .
- New AHRQ Views Blog Post—AHRQ's Role in Combating Obesity.
- AHRQ in the Professional Literature.
AHRQ is modernizing Team STEPPS®, its 10-year-old flagship teamwork and communications program, by focusing on online training, with continuing education credits and a mobile app available at no charge. While AHRQ will no longer offer in-person training, the agency offers ready-to-use curricula, including the base curriculum and specialty modules for office-based care providers, long-term care settings and rapid response teams. In addition, private-sector organizations draw from these publicly available resources for in-person training they offer to the field. This interest underscores the important contribution AHRQ and TeamSTEPPS are making to safe, high-quality care and enables AHRQ to shift attention to identifying additional ways to support better teamwork in health care. TeamSTEPPS case studies provide examples of how health systems and offices have benefitted from TeamSTEPPS to improve wait times, reduce provider burdens and improve communication among health care professional teams and patients. An AHRQ Views blog post describes how AHRQ continues to invest in research, development and evaluation to further define what works best to improve patient safety and outcomes.
Improving hand hygiene, reducing and improving catheter use, managing incontinence without catheters and increasing use of gloves and gowns appear to reduce catheter-associated urinary tract infections (CAUTIs) in nursing home residents, according to AHRQ-funded research. An article recently published in Journal of Hospital Medicine reviewed strategies to reduce CAUTIs among nursing home residents and found that many of these strategies, often implemented in bundles, could reduce UTIs, CAUTIs and catheter use. The article's authors were part of a larger team that helped develop AHRQ's Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. Access the abstract.
AHRQ's Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:
- Hospital-readmission risk—isolating hospital effects from patient effects.
- Medical malpractice lawsuits involving surgical residents.
- Inadequate hand-off communication.
A new AHRQ training program is available to help acute-care hospitals prevent patient falls, a leading cause of hospital-acquired conditions. AHRQ's evidence-based Fall Prevention in Hospitals Training Program is designed for hospital quality improvement staff, patient safety officers and others who seek to reduce falls via a structured fall prevention initiative based on quality improvement principles. Data from 10 hospitals that used the program showed a 14 percent decrease in the average number of falls and a 20 percent decrease in falls with injury during the 1-year period post implementation. Reductions were significantly greater for rehabilitation and geriatric/psychiatric units. Access the training program and implementation guide.
AHRQ's newly released 2016 National Healthcare Quality and Disparities Report, an assessment of the nation's progress toward improved care, shows warfarin-related adverse drug events continue to be a problem. In 2014, the rate for this measure was 4.8 percent, compared with 4.4 percent in 2009. Our booklet, "Blood Thinner Pills: Your Guide to Using Them Safely," and online video, "Staying Active and Healthy With Blood Thinners," can educate patients in a consistent, easy-to understand way on how to take blood thinners safely, including getting regular blood tests and knowing when to notify their doctor. These resources comply with patient safety standards that call for patient education on high-alert medications such as anticoagulants, and they are available in English and Spanish. Copies of the print brochure can be obtained at no cost from the AHRQ Publications Clearinghouse. Call 1-800-358-9295 or email AHRQPubs@ahrq.hhs.gov.
A new AHRQ Views blog post highlights the agency's ongoing efforts to curb childhood obesity, which HHS Secretary Tom Price, M.D., has identified as one of the nation's most pressing health challenges. The U.S. Preventive Services Task Force recently used an AHRQ-funded evidence review as the basis for its recommendation statement that encourages health providers to screen for obesity in children and teenagers. In addition, a number of measures in the Pediatric Quality Measures Program focus on addressing the issue of childhood obesity. Access the blog post, "AHRQ's Role in Combating Obesity," by Iris Mabry-Hernandez, M.D., M.P.H., senior advisor of childhood obesity initiatives at AHRQ.
Using social media, online social networks, and internet search as platforms for public health interventions: a pilot study. Huesch MD, Galstyan A, Ong MK, et al. Health Serv Res 2016 Jun;51 Suppl 2:1273-90. Epub 2016 May 10. Access the abstract on PubMed®.
Shared decision making among clinicians and Asian American and Pacific Islander sexual and gender minorities: an intersectional approach to address a critical care gap. Tan JY, Xu LJ, Lopez FY, et al. LGBT Health 2016 Oct;3(5):327-34. Epub 2016 May 9. Access the abstract on PubMed®.
Intersectionality and shared decision making in LGBTQ health. Ng HH. LGBT Health 2016 Oct;3(5):325-6. Epub 2016 Sep 12. Access the abstract on PubMed®. Access the abstract on PubMed®.
Personal and professional challenges confronted by hospital staff following Hurricane Sandy: a qualitative assessment of management perspectives. Morris AM, Ricci KA, Griffin AR, et al. BMC Emerg Med 2016 May 5;16(1):18. Access the abstract on PubMed®.
Longitudinal follow-up of lung cancer resection from the Society of Thoracic Surgeons General Thoracic Surgery Database in patients 65 years and older. Fernandez FG, Furnary AP, Kosinski AS, et al. Ann Thorac Surg 2016 Jun;101(6):2067-76. Epub 2016 May 5. Access the abstract on PubMed®.
Discharge planning and hospital readmissions. Henke RM, Karaca Z, Jackson P, et al. Med Care Res Rev. 2016 May 4. [Epub ahead of print.] Access the abstract on PubMed®.
Annual report on children's health care: dental and orthodontic utilization and expenditures for children, 2010-2012. Berdahl T, Hudson J, Simpson L, et al. Acad Pediatr 2016 May-Jun;16(4):314-26. Access the abstract on PubMed®.
Strategies to prevent MRSA transmission in community-based nursing homes: a cost analysis. Roghmann MC, Lydecker A, Mody L, et al. Infect Control Hosp Epidemiol 2016 Aug;37(8):962-6. Epub 2016 May 13. Access the abstract on PubMed®.
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Page originally created September 2017