AHRQ Safety Expert To Co-Chair New National Committee To Reduce Patient Harm

Issue 616
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
May 22, 2018

AHRQ Stats: Decreasing Pressure Ulcers Among Hospital Patients

The average rate of hospital-associated pressure ulcers fell 23 percent from 2011 to 2014. (Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #237: Patient Safety and Adverse Events, 2011 and 2014.)

Today's Headlines:

AHRQ Safety Expert To Co-Chair New National Committee To Reduce Patient Harm

Jeffrey Brady, M.D., director of AHRQ’s Center for Quality Improvement and Patient Safety, has been named co-chair of a new steering committee charged with reducing harm to patients through increased coordination among organizations nationwide. The National Steering Committee for Patient Safety will create a National Action Plan for the Prevention of Health Care Harm to support the quest to eliminate patient harm and affirm safety as a national priority. Brady will be joined by co-chair Tejal Gandhi, M.D., chief clinical and safety officer for the Institute for Healthcare Improvement (IHI), along with nearly two dozen representatives from the health care, policy, regulatory and advocacy communities. The committee met for the first time today in Boston ahead of the 20th Annual IHI/National Patient Safety Foundation’s Patient Safety Congress. Access a video of Dr. Brady and the AHRQ press release.

Counseling and Medication Offer Help for PTSD and Related Symptoms

A new AHRQ evidence review conducted in partnership with the Patient-Centered Outcomes Research Institute (PCORI) identified several therapies that decrease post-traumatic stress disorder (PTSD) and depression symptoms. Those therapies include psychotherapies, such as cognitive behavioral exposure therapies and cognitive behavioral therapies with mixed components, and certain medications, such as paroxetine, fluoxetine and venlafaxine. According to the report, however, most studies had limited information about adverse events related to therapy or medications. Evidence was insufficient on how treatments compare with each other or to determine how treatment choices might be guided by the type of trauma experienced. About 8 million adults have PTSD during a given year, according to data from the National Center for PTSD at the Department of Veterans Affairs. Access the report, which was funded by PCORI.

AHRQ Seeks Input on Library of Patient-Centered Outcomes Research Resources

AHRQ is seeking feedback by June 11 from researchers, clinicians, policymakers, consumers and others on its comprehensive Web-based Library of Patient-Centered Outcomes Research (PCOR) resources. The resource, developed through investments by public, private, nonprofit and academic organizations, includes PCOR findings and evidence-based tools that have appeared in the published literature, as well as studies and projects in progress. As outlined in a recent Federal Register notice, AHRQ seeks input on how well the library of PCOR resources and its materials meet the needs of users. Feedback will be used to assess and potentially revise the layout, design and content of the library of resources.

Updated Database Provides Access to Full Inventory of AHRQ-Funded Research Findings

A recently updated AHRQ Research Studies database provides links to nearly 4,000 AHRQ-funded studies published since 2014 on research topics ranging from opioid misuse to prevention of healthcare-associated infections. The studies, searchable by keyword, showcase the breadth of the agency’s research endeavors and the diversity of academic journals that have published AHRQ-sponsored research findings. Each database entry includes a title, a brief summary of the research and a link to an abstract on the National Library of Medicine Web site.

Highlights From AHRQ’s Patient Safety Network

AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:

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).

Abstracts Due June 29 for Diagnostic Error in Medicine Conference

Abstracts are being accepted for the 11th International Diagnostic Error in Medicine Conference Nov. 4 to 6 in New Orleans. The deadline for abstract submission is June 29. The conference, which highlights data, research and tools for improving diagnosis, will focus this year on trends and quality improvement activities that are driving innovation in diagnostic safety. Access more information about the conference, which is sponsored by the Society to Improve Diagnosis in Medicine.

AHRQ in the Professional Literature

Hospice enrollment in patients with advanced heart failure decreases acute medical service utilization. Yim CK, Barrón Y, Moore S, et al. Circ Heart Fail 2017 Mar;10(3). Access the abstract on PubMed®.

Improved rates of immediate breast reconstruction at safety net hospitals. Ballard TNS, Zhong L, Momoh AO, et al. Plast Reconstr Surg 2017 Jul;140(1):1-10. Access the abstract on PubMed®.

Age-related differences in antihypertensive medication adherence in Hispanics: a cross-sectional community-based survey in New York City, 2011-2012. Bandi P, Goldmann E, Parikh NS, et al. Prev Chronic Dis 2017 Jul 13;14:E57. Access the abstract on PubMed®.

A systematic review of the processes used to link clinical trial registrations to their published results. Bashir R, Bourgeois FT, Dunn AG. Syst Rev 2017 Jul 3;6(1):123. Access the abstract on PubMed®.

Association of baseline steroid use with long-term rates of infection and sepsis in the REGARDS cohort. Chaudhary NS, Donnelly JP, Moore JX, et al. Crit Care 2017 Jul 13;21(1):185. Access the abstract on PubMed®.

Racial differences and disparities in osteoporosis-related bone health: results from the PAADRN randomized controlled trial. Cram P, Saag KG, Lou Y, et al. Med Care 2017 Jun;55(6):561-8. Access the abstract on PubMed®.

All-cause versus complication-specific readmission following total knee arthroplasty. D'Apuzzo M, Westrich G, Hidaka C, et al. J Bone Joint Surg Am 2017 Jul 5;99(13):1093-1103. Access the abstract on PubMed®.

Factors contributing to food insecurity among women living with HIV in the Dominican Republic: a qualitative study. Derose KP, Payán DD, Fulcar MA, et al. PLoS One 2017 Jul 25;12(7):e0181568. Access the abstract on PubMed®.

Contact Information

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Page last reviewed May 2018
Page originally created May 2018
Internet Citation: AHRQ Safety Expert To Co-Chair New National Committee To Reduce Patient Harm. Content last reviewed May 2018. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/news/newsletters/e-newsletter/616.html
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