AHRQ-Funded Patient Safety Articles Featured in November Health Affairs
November 6, 2018
AHRQ Stats: ADHD Diagnoses and Family Income
In 2014–15, attention deficit hyperactivity disorder was diagnosed at a higher rate among children in lower-income families (15 percent) than children in upper-income families (9 percent). (Source: AHRQ, Medical Expenditure Panel Survey Statistical Brief #514: Reported Diagnosis and Prescription Utilization Related to Attention Deficit Hyperactivity Disorder in Children Ages 5–17, 2008–2015.)
- AHRQ-Funded Patient Safety Articles Featured in November Health Affairs.
- AHRQ Views Blog: Taking a Deep Data Dive Into Health Insurance Coverage.
- Researchers Propose Framework for Tools To Identify Diagnosis Errors.
- New AHRQ Grantee Profile Highlights Efforts by Aaron Milstone, M.D., M.H.S., To Protect Pediatric Patients From Infections.
- Highlights From AHRQ’s Patient Safety Network.
- Study Finds That Employees of Small Businesses and Their Families Still Struggle To Find Health Coverage.
- Primary Care Practices Invited To Join Initiative Aimed at Improving Opioid Management.
- AHRQ in the Professional Literature.
AHRQ-funded studies published in the November issue of Health Affairs highlight challenges and potential strategies for making health care safer. The articles explore a broad range of safety initiatives, including the use of health information technologies to reduce medication errors, emerging efforts to improve diagnoses and ways clinical teams might respond more effectively to surgical complications. Speaking today at a Health Affairs briefing, Jeff Brady, M.D., M.P.H., director of AHRQ’s Center for Center for Quality Improvement and Patient Safety, noted that some of the brightest minds in research are part of the effort to improve patient safety. “This growing momentum signals a sharpening focus on how to significantly reduce the risks of patient harm,” he said. Access AHRQ’s press release for more about the Health Affairs patient safety issue.
Joel Cohen, Ph.D., director of AHRQ’s Center for Financing, Access and Cost Trends, provides an overview of the recently released Medical Expenditure Panel Survey Insurance Component 2017 Chartbook. Produced annually by AHRQ since 1996 and based on surveys of more than 42,000 private-sector business establishments, the chartbook provides the most comprehensive national and state-level estimates on trends in employer-sponsored insurance, including offer rates, premium costs, employee eligibility and the number of employees who enroll. Among highlights in this year’s chartbook: between 2016 and 2017, premium increases for single, employee-plus-one and family coverage ranged from 4.4 percent to 5.5 percent — higher than increases in recent years. And, in 2017, 88 percent of private-sector enrollees had a deductible, up from 59 percent in 2004. Access the blog post.
A group of AHRQ-funded researchers has proposed a framework for evaluating electronic trigger tools to find diagnostic errors. E-trigger tools, which mine patient data to identify a likely error or adverse event, are considered a promising method to identify diagnostic errors efficiently. The researchers, writing in BMJ Quality & Safety, identified a framework consisting of seven elements: identification and prioritization of diagnostic error of interest; definition of criteria to detect an error; determination of potential data sources; construction of an algorithm to obtain data cohort; testing and data review; assessment of e-trigger performance; and iterative refinements. Access the abstract.
New AHRQ Grantee Profile Highlights Efforts by Aaron Milstone, M.D., M.H.S., To Protect Pediatric Patients From Infections
Our latest grantee profile examines how AHRQ funding is helping researcher Aaron Milstone, M.D., M.H.S., associate professor of pediatrics at Johns Hopkins University School of Medicine, Baltimore, reduce the infection risk for very sick children in hospital and home settings. Dr. Milstone is also exploring how to slow the spread of bacteria that have become resistant to antibiotics. Check out his profile and other AHRQ grantees who have made major advances in health services research.
AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:
- Association between patient outcomes and accreditation in US hospitals: observational study.
- Incidence and method of suicide in hospitals in the United States.
- Estimating the hospital costs of inpatient harms.
Study Finds That Employees of Small Businesses and Their Families Still Struggle To Find Health Coverage
A new analysis of AHRQ Medical Expenditure Panel Survey (MEPS) data found that one-third of lower-income employees of small employers and their families were uninsured in 2014–2015. The study, published in Health Affairs, found that the uninsurance rate for employees of these small employers and their family members did fall by 5 percentage points between 2004–2005 and 2014–2015. Using MEPS Household Component data, AHRQ researchers isolated coverage rates for those who were self-employed or worked for companies with fewer than 50 employees and their families. They found that employer-sponsored insurance was the most common coverage source, covering nearly 51 percent of the workers and their families in 2014–2015. Medicaid covered 18 percent, and other private insurance covered 11.5 percent. Access the abstract.
Get resources and guidance on how to implement effective team-based opioid management strategies in primary care by participating in the AHRQ-funded “Six Building Blocks” project. Selected practices will implement the Six Building Blocks toolkit to improve opioid prescribing and collect metrics to monitor progress. An anticipated 15 participating practices will each receive technical assistance and a $2,500 honorarium to offset costs of producing metrics required for program evaluation The estimated start date for practices is January 2019. Learn more about the project, including how to participate.
AHRQ series on complex intervention systematic reviews-paper 3: adapting frameworks to develop protocols. Butler M, Epstein RA, Totten A, et al. J Clin Epidemiol 2017 Oct;90:19-27. Epub 2017 Jul 15. Access the abstract on PubMed®.
Technology-mediated interventions and quality of life for persons living with HIV/AIDS. A systematic review. Cho H, Iribarren S, Schnall R. Appl Clin Inform 2017 Apr 12;8(2):348-68. Access the abstract on PubMed®.
Sleep disturbance in smokers with preserved pulmonary function and chronic obstructive pulmonary disease. Donovan LM, Rise PJ, Carson SS, et al. Ann Am Thorac Soc 2017 Dec;14(12):1836-43. Access the abstract on PubMed®.
Young women with acute myocardial infarction: current perspectives. Dreyer RP, Sciria C, Spatz ES, et al. Circ Cardiovasc Qual Outcomes 2017 Feb;10(2). Epub 2017 Feb 22. Access the abstract on PubMed®.
Nurse, patient, and care partner perceptions of a personalized safety plan screensaver. Duckworth M, Leung E, Fuller T, et al. J Gerontol Nurs 2017 Apr 1;43(4):15-22. Access the abstract on PubMed®.
Patient preferences for antiretroviral therapy: effectiveness, quality of life, access and novel delivery methods. Eaton EF, McDavid C, Banasiewicz MK, et al. Patient Prefer Adherence 2017 Sep 18;11:1585-90. eCollection 2017. Access the abstract on PubMed®.
Multilevel correlates of healthy BMI maintenance and return to a healthy BMI among children in Massachusetts. Fiechtner L, Cheng ER, Lopez G, et al. Child Obes 2017 Apr;13(2):146-53. Epub 2017 Jan 11. Access the abstract on PubMed®.
Using active learning to identify health information technology related patient safety events. Fong A, Howe JL, Adams KT, et al. Appl Clin Inform 2017 Jan 18;8(1):35-46. Access the abstract on PubMed®.