Study: Urgent Action Needed To Optimize Dental Antibiotic Prescribing Worldwide
Issue Number
761
April 27, 2021
AHRQ Stats
Access more data on this topic in the associated statistical brief.
Today's Headlines:
- Study: Urgent Action Needed To Optimize Dental Antibiotic Prescribing Worldwide.
- AHRQ Study Examines Affordable Care Act’s Impact on Medicaid Enrollment.
- Highlights From AHRQ’s Patient Safety Network.
- Now Available: AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices.
- New Research and Evidence From AHRQ.
- AHRQ in the Professional Literature.
Study: Urgent Action Needed To Optimize Dental Antibiotic Prescribing Worldwide
Urgent action is needed by the international dental community to collaboratively identify ways to optimize antibiotic prescriptions and improve patient safety, according to an AHRQ-funded study published in Infection Control and Hospital Epidemiology. Antibiotic stewardship programs, if feasible, would only be a part of the efforts necessary; other factors include improving data capture, updating guidelines, understanding locally relevant factors and performing educational outreach. Significant differences in antibiotic prescribing were found among dentists in Australia, England, the United States and British Columbia (Canada) in 2017. U.S. dentists had the highest antibiotic prescribing (73 antibiotic items per 1,000 population) while Australian dentists had the lowest (33 antibiotic items). The penicillins, led by amoxicillin, were the most frequently prescribed class of antibiotics for all countries. Clindamycin, the second most frequently prescribed antibiotic by U.S. dentists—typically prescribed for those who are allergic to penicillin—was closely associated with a significant number of nonfatal and fatal adverse drug reactions as well as Clostridoides difficile infections. Access the abstract.
AHRQ Study Examines Affordable Care Act’s Impact on Medicaid Enrollment
Differences in Medicaid eligibility, not participation, explained the differences in enrollment among states that did and did not expand Medicaid coverage under the Affordable Care Act (ACA), according to an AHRQ study published in Medical Care Research and Review. Researchers used simulation modeling to examine Medicaid eligibility and participation from 2014 to 2017. More than one in five adults were eligible for Medicaid in states that expanded coverage under the ACA, compared with one in 30 adults who were eligible in states that did not expand coverage. Although those eligibility rates differed substantially, researchers found similar participation rates among Medicaid-eligible adults in both sets of states—46 percent in expansion states and 44 percent in nonexpansion states. Access the abstract.
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:
- Identifying errors and safety considerations inpatient s undergoing thrombolysis for acute ischemic stroke.
- Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids.
- The impact of power on health care team performance and patient safety: a review of the literature.
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).
Now Available: AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices
The new AHRQ Survey on Patient Safety™ (SOPS®) Diagnostic Safety Supplemental Items and Pilot Study Results are now available. The supplemental items assess the extent to which a medical office’s culture supports the diagnostic process, accurate diagnoses, and communication around diagnoses. Medical offices can administer the items at the end of the SOPS Medical Office Survey, and submit data from the Diagnostic Safety Supplemental Items with their SOPS Medical Office Survey data during the SOPS Database submission September 1 to October 20, 2021. Learn more.
New Research and Evidence From AHRQ
- White paper: Improving the Utility of Evidence Synthesis for Decision Makers in the Face of Insufficient Evidence.
AHRQ in the Professional Literature
Computable phenotype implementation for a national, multicenter pragmatic clinical trial: lessons learned from ADAPTABLE. Ahmad FS, Ricket IM, Hammill BG, et al. Circ Cardiovasc Qual Outcomes 2020 Jun;13(6):e006292. Epub 2020 May 29. Access the abstract on PubMed®.
"This is how hard it is". Family experience of hospital-to-home transition with a tracheostomy. Amar-Dolan LG, Horn MH, O'Connell B, et al. Ann Am Thorac Soc 2020 Jul;17(7):860-8. Access the abstract on PubMed®.
Developing the disorders of consciousness guideline and challenges of integrating shared decision-making into clinical practice. Armstrong MJ. J Head Trauma Rehabil 2019 May/Jun;34(3):199-204. Access the abstract on PubMed®.
What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS. Baloh J, Zhu X, Ward MM. Med Care Res Rev 2021 Apr;78(2):146-56. Epub 2019 May 16. Access the abstract on PubMed®.
Organizational integration, practice capabilities, and outcomes in clinically complex Medicare beneficiaries. Colla C, Yang W, Mainor AJ, et al. Health Serv Res 2020 Dec;55(Suppl 3):1085-97. Epub 2020 Oct 26. Access the abstract on PubMed®.
Evaluation of intraoperative hand-off frequency, duration, and context: a mixed methods analysis. Frasier LL, Pavuluri Quamme SR, Wiegmann D, et al. J Surg Res 2020 Dec;256:124-30. Epub 2020 Jul 17. Access the abstract on PubMed®.
Provider specialty and receipt of metabolic monitoring for children taking antipsychotics. Shenkman E, Thompson L, Bussing R, et al. Pediatrics 2021 Jan;147(1):e20200658. Epub 2020 Dec 1. Access the abstract on PubMed®.
Trends in user-initiated health information exchange in the inpatient, outpatient, and emergency settings. Rahurkar S, Vest JR, Finnell JT, et al. J Am Med Inform Assoc 2021 Mar;28(3):622-7. Access the abstract on PubMed®.