Procedure, Communication Errors at Heart of Imaging Safety Events: AHRQ Study

Issue 645
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
December 18, 2018

Editor’s Note: Due to the holidays, AHRQ News Now will not publish on Dec. 25 or Jan. 1. Our next issue will be Jan. 8. Have a safe and happy New Year!

AHRQ Stats: Children With ADHD

The percentage of children ages 5 to 12 diagnosed with attention deficit hyperactivity disorder (ADHD) increased from 8.5 percent to 10.4 percent between 2008 and 2015. Meanwhile, the rate of ADHD remained stable at 13 percent for children ages 13 to 17. (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.)

Today's Headlines:

Procedure, Communication Errors at Heart of Imaging Safety Events: AHRQ Study

A new AHRQ-funded study of more than 11,500 safety reports found that 7 percent were related to diagnostic imaging. The study, published in the Journal of the American College of Radiology, found that more than half of the imaging-related safety reports, submitted in 2015 from a single medical center, came from the imaging procedure itself, but errors involving communication of results were more serious. Access the abstract. AHRQ is the lead federal agency investing in improving diagnostic safety. Access AHRQ’s diagnostic safety page to learn about the agency’s diagnostic safety summit, its tools and resources, and funding support for research. 

Apply Now: Grant Funding for Health Services Research Conferences

AHRQ is seeking applications from institutions for single-year or multiple-year grants to support conferences related to health services research. Conference topics must support AHRQ’s mission to produce evidence to make health care safer, higher quality and more accessible, equitable and affordable. Applications are accepted four times a year; the next deadline is Feb. 1, 2019. Applicants are strongly encouraged to speak with an AHRQ program official about their proposed conference topic prior to submission. Access the Funding Opportunity Announcement (PA-16-453) and additional information in a new R13 Conference Grants flyer. Please email your questions to R13Conf@AHRQ.HHS.GOV.

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).

Register Now: Jan. 10 and Jan. 17 Webinars To Support Users of AHRQ’s Surveys on Patient Safety Culture

Registration is open for two webinars on how organizations can use AHRQ’s Surveys on Patient Safety Culture (SOPS) to assess their culture of patient safety. A webinar on Jan. 10 from 11:30 a.m. to 12:30 p.m. ET will provide an overview of SOPS’ Ambulatory Surgery Center Survey and will introduce the new SOPS ambulatory survey center database, an important resource for patient safety culture improvement. A webinar on Jan. 17 from noon to 1 p.m. ET will highlight SOPS’ Action Planning Tool, which can be used by all SOPS survey users (hospitals, medical offices, nursing homes, community pharmacies and ambulatory surgery centers) to develop action plans to improve patient safety culture. For questions, email SafetyCultureSurveys@westat.com or call 1-888-324-9749.

New Research and Evidence From AHRQ

AHRQ in the Professional Literature

Effects of cognition, function, and behavioral and psychological symptoms on out-of-pocket medical and nursing home expenditures and time spent caregiving for persons with dementia. Jutkowitz E, Kuntz KM, Dowd B, et al. Alzheimers Dement 2017 Jul;13(7):801-9. Epub 2017 Feb 1. Access the abstract on PubMed®.

Educational attainment and health outcomes: data from the Medical Expenditures Panel Survey. Kaplan RM, Fang Z, Kirby J. Health Psychol 2017 Jun;36(6):598-608.  Epub 2017 Apr 6. Access the abstract on PubMed®.

Challenges in developing U.S. Preventive Services Task Force child health recommendations. Kemper AR, Krist AH, Tseng CW, et al. Am J Prev Med 2018 Jan;54(1S1):S63-9. Access the abstract on PubMed®.

Changes in case-mix and health outcomes of Medicare fee-for-service beneficiaries and managed care enrollees during the years 1992-2011. Koroukian SM, Basu J, Schiltz NK, et al. Med Care 2018 Jan;56(1):39-46. Access the abstract on PubMed®.

Social determinants, multimorbidity, and patterns of end-of-life care in older adults dying from cancer. Koroukian SM, Schiltz NK, Warner DF, et al. J Geriatr Oncol 2017 Mar;8(2):117-24. Epub 2016 Oct 28. Access the abstract on PubMed®.

Advancing the methods of the U.S. Preventive Services Task Force. Krist AH, Bibbins-Domingo K, Wolff TA, et al. Am J Prev Med 2018 Jan;54(1S1):S1-S3. Access the abstract on PubMed®. 

Comparison of physician implicit racial bias toward adults versus children. Johnson TJ, Winger DG, Hickey RW, et al. Acad Pediatr 2017 Mar;17(2):120-6. Epub 2016 Sep 13. Access the abstract on PubMed®.    

Does caregiver participation in decision making within child welfare agencies influence children's primary and mental health care service use? Jolles MP, Wells R. Child Care Health Dev 2017 Mar;43(2):192-201. Epub 2016 July 28. Access the abstract on PubMed®.

Contact Information

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Page last reviewed December 2018
Page originally created December 2018
Internet Citation: Procedure, Communication Errors at Heart of Imaging Safety Events: AHRQ Study. Content last reviewed December 2018. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/645.html
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