AHRQ-Funded Studies Highlight Benefits of Postpartum Care Strategies
August 15, 2023
- AHRQ-Funded Studies Highlight Benefits of Postpartum Care Strategies.
- AHRQ Grantee Profile Highlights Innovative Work of Louis Halamek, M.D., To Advance Perinatal Care.
- Digital Recruitment Strategies Can Lead to Inequity in Clinical Trial Enrollment.
- Highlights From AHRQ’s Patient Safety Network.
- AHRQ Seeks Examples of Impact for Development of Case Studies.
- AHRQ in the Professional Literature.
AHRQ-Funded Studies Highlight Benefits of Postpartum Care Strategies
In an AHRQ-funded study published in Obstetrics and Gynecology, researchers determined that some postpartum care strategies have been shown to improve some aspects of postpartum care. For example, in their review of 64 published studies, they determined that earlier access to contraceptive care improved contraceptive use; a lactation consultant or peer support for breastfeeding improved breastfeeding outcomes; and reminders improved rates of oral glucose tolerance testing. Other postpartum care strategies, such as providing care at home, in a clinic or via telehealth, with or without information technology, did not impact patient outcomes. The research was based on a recent AHRQ systematic review. Additional AHRQ-funded research on postpartum care recently included:
- A study published in Obstetrics and Gynecology on postpartum home blood pressure monitoring, also based on the systematic review, found postpartum home monitoring significantly reduced the risk of unplanned hypertension-related hospital admissions and cut racial disparities in blood pressure data collection by nearly half.
- A study in JAMA Network Open, based on an additional AHRQ systematic review, found moderate evidence that increasing the length of postpartum Medicaid coverage improves maternal outcomes.
AHRQ Grantee Profile Highlights Innovative Work of Louis Halamek, M.D., To Advance Perinatal Care
AHRQ’s latest grantee profile features Louis Halamek, M.D., a neonatologist who works in a level IV (most critically ill) neonatal intensive care unit at the Stanford Medicine Children’s Health – Lucile Packard Children’s Hospital. Dr. Halamek, who is also a professor in both the Department of Pediatrics and the Department of Gynecology and Obstetrics at Stanford Medicine, has designed and tested innovative solutions to lower the rates of maternal and infant deaths and harms. Among the designs his team developed and tested was a newborn data display that shows key information, such as heart rate and minute-to-minute changes in blood oxygen levels, to support decision making. Access the profile of Dr. Halamek and those of other AHRQ grantees.
Digital Recruitment Strategies Can Lead to Inequity in Clinical Trial Enrollment
A primarily digital strategy to recruit patients into a digital health trial is unlikely to achieve equitable participation, according to an AHRQ-funded study published in Applied Clinical Informatics. The authors conducted a study to assess what strategy would result in an equitable distribution of subjects in a clinical trial of a digital health intervention aimed at remotely monitoring asthma. The researchers used at least one of eight recruitment strategies with eligible adult English- and Spanish-speaking patients from July 2020 to March 2022 at seven primary care clinics in Boston. Of 6,366 eligible patients who were approached, 627 completed the eligibility questionnaire. Respondents who responded through an electronic patient portal were more likely to be White and not speak Spanish. The authors concluded that a non-portal-based recruitment strategy needs to be used to increase racial and educational diversity in clinical trial enrollment. 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:
- Accuracy of infection reporting in US nursing home ratings.
- Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms.
- Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series.
AHRQ Seeks Examples of Impact for Development of Case Studies
Has your organization used an AHRQ tool to improve patient care, make a culture change or save costs? The agency would like to learn more about your use of AHRQ resources to develop an Impact Case Study. Since 2004, the agency has developed more than 400 Impact Case Studies that illustrate AHRQ’s contributions to healthcare improvement. Available online and searchable via an interactive map, the Impact Case Studies help to tell the story of how AHRQ-funded research findings, data and tools have made an impact on the lives of millions of American patients. To help us share your impact story, send a short description of how and where AHRQ resources were used, along with your contact information, to ImpactCaseStudies@ahrq.hhs.gov.
AHRQ in the Professional Literature
Implementation of lung cancer screening in primary care and pulmonary clinics: pragmatic clinical trial of electronic health record-integrated everyday shared decision-making tool and clinician-facing prompts. Kukhareva PV, Li H, Caverly TJ, et al. Chest 2023 May 3. [Epub ahead of print.] Access the abstract on PubMed®.
The consequences of emotionally evocative patient behaviors on emergency nurses' patient assessments and handoffs: an experimental study using simulated patient cases. Huff NR, Chimowitz H, DelPico MA, et al. Int J Nurs Stud 2023 Jul;143:104507. Epub 2023 Apr 24. Access the abstract on PubMed®.
Implementation of suicide risk estimation analytics to support mental health care for quality improvement. Richards JE, Yarborough BJH, Holden E, et al. JAMA Netw Open 2022 Dec;5(12):e2247195. Access the abstract on PubMed®.
Hospital survival in rural markets: closures, mergers, and profitability. Carroll C, Euhus R, Beaulieu N, et al. Health Aff 2023 Apr;42(4):498-507. Access the abstract on PubMed®.
Factors associated with lung cancer risk factor documentation. Marcotte LM, Khor S, Flum DR, et al. Am J Manag Care 2023 Sep;29(9). Epub 2023 May 1. Access the abstract on PubMed®.
Adapting an electronic STI risk assessment program for use in pediatric primary care. Ahmad FA, Chan P, McGovern C, et al. J Prim Care Community Health 2023 Jan-Dec;14:21501319231172900. Access the abstract on PubMed®.
Health insurance coverage and postpartum outcomes in the US: a systematic review. Saldanha IJ, Adam GP, Kanaan G, et al. JAMA Netw Open 2023 Jun;6(6):e2316536. Access the abstract on PubMed®.
Telehealth use, care continuity, and quality: diabetes and hypertension care in community health centers before and during the COVID-19 pandemic. Tierney AA, Payán DD, Brown TT, et al. Med Care 2023 Apr 1;61(Suppl 1):S62-9. Epub 2023 Mar 9. Access the abstract on PubMed®.
Benchmarking changes and selective participation in the Medicare shared savings program. Lyu PF, Chernew ME, McWilliams JM. Health Aff 2023 May;42(5):622-31. Access the abstract on PubMed®.