AHRQ Report Details Sharp Increase in Severe Complications Among Women Giving Birth in Hospitals
September 5, 2018
AHRQ Stats: Pediatric Emergency Care for Influenza
Among children visiting the emergency department for influenza in 2015, infants younger than 1 year old had the highest rate of visits (11.4 visits per 1,000 population) compared with children ages 1 to 4 (8.6 visits per 1,000). (Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #242: Overview of Pediatric Emergency Department Visits, 2015.)
- AHRQ Report Details Sharp Increase in Severe Complications Among Women Giving Birth in Hospitals.
- New AHRQ Grantee Profile Highlights Work of Paula Tanabe, Ph.D., To Improve Treatment for Patients With Sickle Cell Disease .
- Nationwide Antimicrobial Stewardship Programs in Outpatient Hemodialysis Facilities Would Save More Than 600 Lives per Year: Study.
- Highlights From AHRQ’s Patient Safety Network.
- Updated Database Provides Access to Full Inventory of AHRQ-Funded Research Findings.
- AHRQ in the Professional Literature.
A new AHRQ report shows that the rate of severe complications in women giving birth increased 45 percent in U.S. hospitals between 2006 and 2015. The factors most commonly associated with severe maternal morbidity in 2015 were blood transfusions, disseminated intravascular coagulation and hysterectomy. For example, nearly 80 percent of women with a severe complication in delivery had a blood transfusion. The new report, based on statistics from AHRQ’s Healthcare Cost and Utilization Project, also provides data on racial and ethnic disparities. Compared with white women, severe maternal morbidity was 110 percent more likely among black women, 40 percent more likely among Hispanic women and 20 percent more likely among Asian/Pacific Islander women in 2015. For more information, access the report, AHRQ’s press release and an infographic.
New AHRQ Grantee Profile Highlights Work of Paula Tanabe, Ph.D., To Improve Treatment for Patients With Sickle Cell Disease
Our latest grantee profile examines how AHRQ-funded research by Paula Tanabe, Ph.D., professor of nursing at Duke University, Durham, North Carolina, has helped improve patient outcomes and care processes for patients with sickle cell disease. One notable project led by Dr. Tanabe helped redesign workflow, operational systems and processes around doing triage, managing pain and identifying and referring high-risk sickle cell patients at two emergency departments. Check out her profile and other AHRQ grantees who have made major advances in health services research.
Nationwide Antimicrobial Stewardship Programs in Outpatient Hemodialysis Facilities Would Save More Than 600 Lives per Year: Study
Implementing a coordinated program to improve antimicrobial use in outpatient kidney hemodialysis facilities nationwide would result in 629 fewer infection-related deaths per year among hemodialysis patients, a new AHRQ-funded study has projected. Approximately 30 percent of antimicrobial doses administered in these facilities are considered unnecessary, leading to increased multidrug-resistant organism and Clostridium difficile infections. Using data from multiple sources, the authors modeled outcomes to be expected by instituting antimicrobial stewardship programs that would improve antimicrobial prescribing through the use of guidelines and educational outreach. The study, published in the Clinical Journal of the American Society of Nephrology, predicts that, if implementing such programs led to a 20 percent decrease in unnecessary prescriptions, the result would be 2,182 fewer infections and savings of more than $100 million annually. Access the abstract.
AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:
- Assessment of the safety of discharging select patients directly home from the intensive care unit: a multicenter population-based cohort study.
- Preventable adverse drug events among inpatients: a systematic review.
- Potential biases in machine learning algorithms using electronic health record data.
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 website.
Emergency department visits following elective total hip and knee replacement surgery: identifying gaps in continuity of care. Finnegan MA, Shaffer R, Remington A, et al. J Bone Joint Surg Am 2017 Jun 21;99(12):1005-12. Access the abstract on PubMed®.
Older adults' perceptions of and preferences for a fall risk assessment system: exploring stages of acceptance model. Galambos C, Rantz M, Back J, et al. Comput Inform Nurs 2017 Jul;35(7):331-7. Access the abstract on PubMed®.
The fifth vital sign: postoperative pain predicts 30-day readmissions and subsequent emergency department visits. Hernandez-Boussard T, Graham LA, Desai K, et al. Ann Surg 2017 Sep;266(3):516-24. Access the abstract on PubMed®.
The relationship between HR capabilities and quality of patient care: the mediating role of proactive work behaviors. Khatri N, Gupta V, Varma A. Hum Resour Manage 2017 Jul-Aug;56(4):673-91. Access the abstract on PubMed®.
Predictors of hospitalization, length of stay and costs of care among adults with dermatomyositis in the United States. Kwa MC, Ardalan K, Laumann AE, et al. Arthritis Care Res (Hoboken) 2017 Sep;69(9):1391-9. Epub 2017 Aug 8. Access the abstract on PubMed®.
Stakeholder-engaged measure development for pediatric obstructive sleep-disordered breathing: the Obstructive Sleep-Disordered Breathing and Adenotonsillectomy Knowledge Scale for Parents. Links AR, Tunkel DE, Boss EF. JAMA Otolaryngol Head Neck Surg 2017 Jan 1;143(1):46-54. 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®.
Random or predictable?: adoption patterns of chronic care management practices in physician organizations. Miake-Lye IM, Chuang E, Rodriguez HP, et al. Implement Sci 2017 Aug 24;12(1):106. Access the abstract on PubMed®.