Detecting 20 Percent of Bacterial Carriers Could Significantly Reduce Infection Spread

Issue 677
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
August 20, 2019

AHRQ Stats: Opioid Hospitalizations Among Women

The rate of opioid-related hospitalizations was higher among women (302 stays per 100,000 people) than men (291 stays per 100,000) in 2016. (Source: AHRQ, Healthcare Cost and Utilization Project Fast Stats: Opioid Related Hospital Use.)

Today's Headlines:

Detecting 20 Percent of Bacterial Carriers Could Significantly Reduce Infection Spread

Identifying at least 20 percent of hospitalized patients who carry carbapenem-resitant Enterobacteriaceae
(CRE)—drug-resistant bacteria that can lead to a dangerous healthcare-associated infection—could help prevent spread of the organism, according to an AHRQ-funded study published in the Journal of Infectious Diseases. Researchers developed a computer model to understand the impact of detecting an increasing number of carriers of CRE in adult inpatient healthcare facilitiesin Orange County, California. They determined that detecting one out of every five carriers of CRE and using contact precautions during care of theidentified carriers would be sufficient to significantly reduce the spread of the bacteria in a large population. Researchers also noted that eliminating all CRE carriage would be ideal but is not feasible. Access the abstract.

AHRQ Views Blog: AHRQ Social Determinants of Health Challenge Enters Exciting Second Phase!

A new AHRQ Views blog post by Director Gopal Khanna, M.B.A., highlights the 12 semifinalists selected in phase 1 of the Visualization Resources of Community-Level Social Determinants of Health Challenge. Social determinants of health are factors that impact a person’s well-being, such as education, income level, access to transportation options and healthy food, and social support. The challenge asked participants to produce innovative online tools to present and encourage the use of free, publicly available social determinants of health data to better understand and predict communities’ unmet healthcare needs. Phase 1 participants submitted concept abstracts and prototype designs of data visualization methods. The 12 semifinalists, chosen among 40 entrants, will receive $10,000 each and will compete in phase 2 for additional prizes, including a $50,000 grand prize. Access the blog post on the challenge. To receive all blog posts, submit your email address and select “AHRQ Views Blog.”

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: Sept. 26 Webinar on Health IT’s Role in Improving Care Transitions

Registration is open for a webinar on Sept. 26 from 2 to 3:30 p.m., ET, on the potential of health information technology to improve care transitions for patients with complex conditions. Presenters will discuss their work on smartphone-based applications to improve care coordination, an interactive patient-centered discharge toolkit to promote self-management, and the role of clinical decision support in improving care transitions for patients with multiple chronic diseases. Eligible providers can earn up to 1.5 continuing education/continuing medical education credit hours for participating in the live webinar.

AHRQ Study: Trauma Registries Ineffective Data Sources for Evaluating Care of Injured Older Adults

Nearly 80 percent of registry-eligible serious injuries among adults age 65 years or older were not recorded in two state trauma registries commonly used for evaluating and improving patient care, according to a new AHRQ-funded study published in the July issue of JAMA Surgery. Researchers examined the medical records for 51 medical centers in Washington and Oregon during 2011. They identified 8,161 older patients with serious injuries that required surgery or resulted in death, qualifying them for recording in trauma registries. However, only 1,720 of these patients, or 21 percent, had a matching trauma registry record. Researchers discovered that registries missed 93 of 188 in-hospital deaths and 178 of 553 major eligible injuries. In addition, 81 percent of all deaths after injury (1,531 of 1,887 cases) were not recorded in the registry. Researchers concluded that trauma registries are failing to effectively capture, track and evaluate older injured patients. Access the abstract

AHRQ in the Professional Literature

Performance in the Medicare Shared Savings Program after accounting for nonrandom exit: an instrumental variable analysis. Markovitz AA, Hollingsworth JM, Ayanian JZ, et al. Ann Intern Med 2019 Jun 18. [Epub ahead of print.] Access the abstract on PubMed®.

Comparing methods of grouping hospitals. Everson J, Hollingsworth JM, Adler-Milstein J. Health Serv Res 2019 Jun 13. [Epub ahead of print.] Access the abstract on PubMed®.

Association between alcohol use disorders and outcomes of patients hospitalized with community-acquired pneumonia. Gupta NM, Lindenauer PK, Yu PC, et al. JAMA Netw Open 2019 Jun 5;2(6):e195172. Access the abstract on PubMed®.

Prevalence and cost of care cascades after low-value preoperative electrocardiogram for cataract surgery in fee-for-service Medicare beneficiaries. Ganguli I, Lupo C, Mainor AJ, et al. JAMA Intern Med 2019 Jun 3.  [Epub ahead of print.] Access the abstract on PubMed®.

Adverse effects of pharmacologic treatments of major depression in older adults. Sobieraj DM, Martinez BK, Hernandez AV, et al. J Am Geriatr Soc 2019 Aug;67(8):1571-81. Epub 2019 May 29. Access the abstract on PubMed®.

Association between high discharge rates of vulnerable patients and skilled nursing facility copayments. Chatterjee P, Qi M, Coe NB, et al. JAMA Intern Med 2019 May 28. [Epub ahead of print.] Access the abstract on PubMed®.

Adaptations of the evidence-based Transitional Care Model in the U.S. Naylor MD, Hirschman KB, Toles MP, et al. Soc Sci Med 2018 Sep;213:28-36. Epub 2018 Jul 17. Access the abstracton PubMed®.

Internet access influences community clinic portal use. Bush RA, Barlow H, Pérez A, et al. Health Equity 2018 Aug 1;2(1):161-6. eCollection 2018. Access the abstract on PubMed®.

Contact Information

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Page last reviewed August 2019
Page originally created August 2019
Internet Citation: Detecting 20 Percent of Bacterial Carriers Could Significantly Reduce Infection Spread. Content last reviewed August 2019. Agency for Healthcare Research and Quality, Rockville, MD.
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