AHRQ Analysis Finds Hospital-Acquired Conditions Declined By Nearly 1 Million From 2014 to 2017
January 29, 2019
AHRQ Stats: Opioid-Related Hospital Care for Seniors
From 2010 to 2015, the rate of opioid-related hospital stays increased between 27 and 39 percent among patients age 65 and older, depending on the age group. Non–opioid-related hospital stays decreased 17 percent for patients age 65 and older during the same period. (Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #244: Opioid-Related Inpatient Stays and Emergency Department Visits Among Patients Aged 65 Years and Older, 2010 and 2015.)
- AHRQ Analysis Finds Hospital-Acquired Conditions Declined By Nearly 1 Million From 2014 to 2017.
- AHRQ Study Updates Picture of U.S. HIV Positive Nursing Home Patients.
- Highlights From AHRQ’s Patient Safety Network.
- Applications Due May 1 for American Board of Medical Specialties Visiting Scholars Program.
- AHRQ in the Professional Literature.
National efforts to reduce hospital-acquired conditions such as adverse drug events and healthcare-associated infections helped prevent 20,500 deaths and save $7.7 billion between 2014 and 2017, according to a report released today by AHRQ and the Centers for Medicare & Medicaid Services (CMS). The AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014-2017 estimates that 910,000 hospital-acquired conditions were avoided and the rate was reduced by 13 percent from 2014 to 2017. AHRQ calculates and analyzes data on these conditions to help CMS track efforts to reduce patient harm by 20 percent from 2014 to 2019. Continuing reductions in hospital-acquired conditions are a signal that patient safety tools and resources developed by AHRQ and other initiatives by federal agencies are helping to make care safer. Access the press release.
Nearly 80 percent of nursing home residents with HIV are prescribed antiretroviral treatments, according to an AHRQ study that provides an updated snapshot of HIV positive nursing home patients in nearly 15 years. Researchers reviewed a nationwide database of Medicare claims linked to nursing home health assessments and prescription dispensing databases, comparing data from 2011-2013 and 1998-2000. Compared with statistics from 1998-2000, researchers found that patients with HIV are entering nursing homes at an average age of 60, as opposed to 44. New admissions had a higher prevalence of viral hepatitis (about 16 percent vs. 8 percent) and anemia (about 31 percent vs. 25 percent), but less pneumonia (about 11 percent vs. 14 percent) and dementia (about 9 percent vs. 21 percent). This population is expected to increase in the coming years as HIV treatments improve. Researchers believe these updated statistics will allow nursing homes to better anticipate the future health care needs of people living with HIV. Access the abstract to the study, published in the Journal of the Association of Nurses in AIDS Care.
AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:
- Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care.
- Improving resident and fellow engagement in patient safety through a graduate medical education incentive program.
- Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit.
The American Board of Medical Specialties (ABMS) is accepting applications for the 2019-2020 ABMS Visiting Scholars Program™. This is a one-year, part-time program that helps physicians develop skills to become health care leaders. It is open to early-career physicians, junior faculty, fellows, residents and others with relevant advanced degrees, and allows participants to stay in their home institutions and conduct research relevant to initial and continuing board certification. Working in collaboration with mentors from their institutions and liaisons from ABMS and its member boards, visiting scholars will have opportunities to present and disseminate their research, and expand their professional networks. Applications are due before 6 p.m. ET on May 1, 2019. Access more information about how to apply.
Exploratory mediation analysis via regularization. Serang S, Jacobucci R, Brimhall KC, et al. Struct Equ Modeling 2017;24(5):733-44. Epub 2017 Apr 25. Access the abstract on PubMed®.
A qualitative exploration of the informed consent process in hematopoietic cell transplantation clinical research and opportunities for improvement. Raj M, Choi SW, Platt J. Bone Marrow Transplant 2017 Feb;52(2):292-8. Epub 2016 Oct 17. Access the abstract on PubMed®.
Computer use, language, and literacy in safety net clinic communication. Ratanawongsa N, Barton JL, Lyles CR, et al. J Am Med Inform Assoc 2017 Jan;24(1):106-12. Epub 2016 Jun 6. Access the abstract on PubMed®.
Identifying subgroups of adult superutilizers in an urban safety-net system using latent class analysis: implications for clinical practice. Rinehart DJ, Oronce C, Durfee MJ, et al. Med Care 2018 Jan;56(1):e1-e9. Access the abstract on PubMed®.
Diabetes mellitus is associated with higher risk of developing decompensated cirrhosis in chronic hepatitis C patients. Saeed MJ, Olsen MA, Powderly WG, et al. J Clin Gastroenterol 2017 Jan;51(1):70-6. Access the abstract on PubMed®.
Trends in inferior vena cava filter placement by indication in the United States from 2005 to 2014. Saeed MJ, Turner TE, Brown DL. JAMA Intern Med 2017 Dec 1;177(12):1861-2. Access the abstract on PubMed®.
Criminal justice involvement history is associated with better HIV care continuum metrics among a population-based sample of young black MSM. Schneider JA, Kozloski M, Michaels S, et al. AIDS 2017 Jan 2;31(1):159-65. Access the abstract on PubMed®.
Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains. Schroeder SR, Salomon MM, Galanter WL, et al. BMJ Qual Saf 2017 May;26(5):395-407. Epub 2016 May 18. Access the abstract on PubMed®.