New Research Identifies Themes for Successful Practice Facilitation
October 6, 2022
AHRQ Stats: Rates of Hospital Stays With Operating Room Procedures by Race
In 2019, nonmaternal hospitalizations with operating room procedures for Black and White non-Hispanic patients were approximately two to three times as high as the rates for Hispanic and Asian/Pacific Islander patients. (Source: AHRQ Healthcare Cost and Utilization Project Statistical Brief #297, Differences in Hospital Stays With Operating Room Procedures by Patient Race and Ethnicity, 2019
- New Research Identifies Themes for Successful Practice Facilitation
- AHRQ Views: Patient-Centered Care Takes Center Stage in New Report From AHRQ’s Digital Healthcare Research Program
- Issue Brief Recommends Strategies for Reinforcing the Value and Roles of Nurses in Diagnostic Safety
- AHRQ Seeks More Input From Underrepresented Groups in Medicine
- Highlights From AHRQ’s Patient Safety Network
- Register Now for Oct. 14 Webinar on Nonsurgical Management of Urinary Incontinence in Women
- New Research and Evidence From AHRQ
- AHRQ in the Professional Literature.
New Research Identifies Themes for Successful Practice Facilitation
Effective practice facilitation resulted in a nearly 4 percent improvement in performance in the provision of aspirin use, blood pressure control and smoking cessation counseling (ABS) in primary care practices. An AHRQ-supported study in Annals of Family Medicine analyzed data from AHRQ’s large-scale EvidenceNOW initiative to improve ABS in small and medium-sized primary care practices by employing practice facilitators. The study found that effective practice facilitators can guide practices to think critically, provide accountability to support change and are able to describe their work in detail. Researchers found that practices working with more effective facilitators cultivated motivation by tailoring quality improvement work and addressing resistance. Access the abstract.
AHRQ Views: Patient-Centered Care Takes Center Stage in New Report From AHRQ’s Digital Healthcare Research Program
AHRQ’s support for digital healthcare research and the field’s growing impact on patient care is the subject of a new AHRQ Views blog post by Chris Dymek, Ed.D., director of AHRQ’s Digital Healthcare Research Program. The program’s newly released 2021 annual report, Improving Healthcare Through AHRQ’s Digital Healthcare Research, highlights nearly 50 completed and ongoing projects that speak to digital healthcare technology’s growing promise. In 2021, AHRQ’s $30 million investments in digital healthcare research supported 104 grants and nine research contracts at 64 institutions. The new report summarizes research in three areas: engaging and empowering patients; optimizing delivery for clinicians; and supporting care systems in advancing care delivery. Access the blog. To receive all blog posts, submit your email address and select “AHRQ Views Blog.”
Issue Brief Recommends Strategies for Reinforcing the Value and Roles of Nurses in Diagnostic Safety
A new AHRQ issue brief highlights how nursing leaders and educators are in a unique position to lead efforts to improve diagnostic safety. Although diagnostic safety is increasingly being integrated into nursing education curriculum and programs, nursing leaders and educators today require practical tools and action steps to build diagnostic safety awareness among nurses within the diagnostic team. The authors provide resources for nurse leaders and educators to use in clinical settings, including example patient cases that can help facilitate discussion and promote diagnostic problem solving. Access the new issue brief and additional AHRQ issue briefs on diagnostic safety topics.
AHRQ Seeks More Input From Underrepresented Groups in Medicine
AHRQ is accepting nominations from underrepresented populations in medicine to serve as scientific peer reviewers of the agency’s health services research and training grant applications. We are seeking nominations from the public, including minority-serving institutions, academic health centers, community-based organizations, professional societies and other state and federal agencies. Self-nominate or propose a colleague by Dec. 31. Access Federal Register notice. AHRQ is also encouraging all institutions, including minority-serving institutions, to apply for our National Research Service Award Institutional Research Training Program. It offers advanced training to predoctoral and postdoctoral fellows at eligible institutions with programs in health services research. Letters of intent are due October 14, and applications are due Dec. 1. Access more information.
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:
- Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis.
- Modes of failure in venous thromboembolism prophylaxis.
- Challenges and strategies for patient safety in primary care: a qualitative study.
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 for Oct. 14 Webinar on Nonsurgical Management of Urinary Incontinence in Women
Registration is open for a webinar on Oct. 14 from 2:30 to 4 p.m. ET to highlight AHRQ’s Managing Urinary Incontinence initiative as the newest addition to the the agency’s EvidenceNOW initiative. The initiative will disseminate and implement the latest patient-centered outcomes research evidence on nonsurgical treatments for urinary incontinence among women treated in primary care practices. Speakers will discuss urinary incontinence’s impact on women’s lives and highlight patient and provider perspectives on interventions being implemented by AHRQ grantees. Registration is open for additional AHRQ webinars:
- Oct. 19, 1–2:30 p.m. ET: Optimizing Data Visualization To Improve Care will explore how data visualization tools within a digital healthcare system can improve cognitive processes, work flows and the patient experience.
- October/November (various dates): Joining AHRQ’s MRSA Prevention Program will explain how hospital surgical teams can join AHRQ’s free 18-month program of expert coaching, online training, tools and resources to protect patients from surgical site infections, particularly methicillin-resistant Staphylococcus aureus.
New Research and Evidence From AHRQ
AHRQ in the Professional Literature
A risk model to identify Legionella among patients admitted with community-acquired pneumonia: a retrospective cohort study. Rothberg MB, Imrey PB, Guo N, et al. J Hosp Med. 2022 Aug;17(8):624-32. Epub 2022 Jul 26. Access the abstract on PubMed®.
Associations between different self-reported social risks and neighborhood-level resources in Medicaid patients. Miller-Rosales C, McCloskey J, Uratsu CS, et al. Med Care. 2022 Aug;60(8):563-9. Epub 2022 May 30. Access the abstract on PubMed®.
Adoption of patient engagement strategies by physician practices in the United States. Miller-Rosales C, Lewis VA, Shortell SM, et al. Med Care. 2022 Sep;60(9):691-9. Epub 2022 Jul 14. Access the abstract on PubMed®.
Documentation of psychosocial distress and its antecedents in children with rare or life-limiting chronic conditions. McCarthy SR, Golembiewski EH, Gravholt DL, et al. Children. 2022 May 5;9(5). Access the abstract on PubMed®.
Psychometric properties of The Perinatal Missed Care Survey and missed care during labor and birth. Lyndon A, Simpson KR, Spetz J, et al. Appl Nurs Res. 2022 Feb;63:151516. Epub 2021 Oct 19. Access the abstract on PubMed®.
Tolerance to oral anticancer agent treatment in older adults with cancer: a secondary analysis of data from electronic health records and a pilot study of patient-reported outcomes. Jiang Y, Mason M, Cho Y, et al. BMC Cancer. 2022 Sep 3;22(1):950. Access the abstract on PubMed®.
Consequences of forgoing prescription drug subsidies among low-income Medicare beneficiaries with diabetes. Glynn A, Hernandez I, Roberts ET. Health Serv Res. 2022 Oct;57(5):1136-44. Epub 2022 Apr 27. Access the abstract on PubMed®.
Changes in insurance coverage continuity after Affordable Care Act expansion of Medicaid eligibility for young adults with low income in Massachusetts. Fung V, Yang Z, Cook BL, et al. JAMA Health Forum. 2022 Jul;3(7):e221996. Epub 2022 Jul 15. Access the abstract on PubMed®.