AHRQ-Funded Studies Highlight Dental Antibiotic Prescribing Trends
August 22, 2023
AHRQ Stats: Race-Related Disparities in Emergency Department and Inpatient Visits for COVID-19 in 2020
In 2020, 32.5 percent of Black non-Hispanic Americans who were treated for COVID-19 had an emergency department visit or inpatient stay, significantly higher than the 17.1 percent and 17.2 percent of White non-Hispanic and Hispanic Americans, respectively. (Source: AHRQ Medical Expenditure Panel Survey Statistical Brief #549, Healthcare Use and Expenditures for COVID-19, U.S. Civilian Noninstitutionalized Population, 2020.)
- AHRQ-Funded Studies Highlight Dental Antibiotic Prescribing Trends.
- Highlights From AHRQ’s Patient Safety Network.
- Report From National Academy of Medicine Supports Whole-Person Care.
- Register Now: Sept. 13 Webinar on Addressing Emerging Needs for Patient Experience Measurement and Improvement.
- AHRQ Updates Software for Quality Indicators.
- Explore Careers at AHRQ.
- AHRQ in the Professional Literature.
AHRQ-Funded Studies Highlight Dental Antibiotic Prescribing Trends
Although overall dental antibiotic prescribing remained steady across the United States between 2012 and 2019, an AHRQ-funded review in Infection Control and Hospital Epidemiology has found that antibiotic prescribing rose by 1,313 antibiotics per every 1,000 dentists annually in the Northeast. Antibiotic prescribing rates increased significantly among oral and maxillofacial surgeons, prosthodontists, endodontists and periodontists, and for amoxicillin. In a second review in BMC Infectious Diseases, a comparison of guideline-concordant prescribing for antibiotic prophylaxis among patients with cardiac conditions and prosthetic joints at Veterans Affairs and non-Veterans Affairs settings between 2015 and 2017 determined that VA dental sites had greater guideline adherence when prescribing for those with prosthetic joints. VA settings were slightly better at assessing errors in antibiotic duration or dosing. The exact causes require additional review, the authors suggested.
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:
- Healthcare-associated infections in adult intensive care units: a multisource study examining nurses' safety attitudes, quality of care, missed care, and nurse staffing.
- Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review.
- Systematic review of the impact of physician work schedules on patient safety with meta-analyses of mortality risk.
Report From National Academy of Medicine Supports Whole-Person Care
A new special publication from the National Academy of Medicine explores opportunities to transform the current health and healthcare system to one that promotes whole-person and whole-population health. Valuing America’s Health: Aligning Financing to Award Better Health and Well-Being, partially funded by AHRQ, emphasizes the need for sustainable financing strategies to prioritize health and well-being for all. It highlights the importance of building a movement to prioritize health, repairing systemic failures, holding stakeholders accountable, controlling health care costs, incentivizing health promotion, adopting collaborative financing and policymaking approaches and empowering individuals and communities in health decision-making.
Register Now: Sept. 13 Webinar on Addressing Emerging Needs for Patient Experience Measurement and Improvement
Registration is open for a webinar on Sept.13 from noon to 1 p.m. ET about how AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program is addressing stakeholders’ emerging needs for patient experience measurement and improvement. Speakers will discuss recent survey updates, the development of new surveys to address current information needs and the use of survey results to improve patient experience.
AHRQ Updates Software for Quality Indicators
AHRQ has released its latest version (v2023) of the Quality Indicators (QI) Software, the agency’s standardized, evidence-based measures of healthcare quality that can be used with hospital inpatient administrative data to measure and track clinical performance and outcomes. The QIs allow healthcare organizations to measure quality in patient safety, prevention, inpatient care and pediatric care. Learn more about the measures and access the free software: SAS QI v2023, WinQI v2023 and v2023 CloudQI PSI Beta.
Explore Careers at AHRQ
Join the team that strives to improve healthcare for all Americans by investing in health systems research, creating strategies to support practice improvement and providing data and analytics to identify opportunities for improvement. Current vacancies include:
- Senior Staff Service Fellow, Center for Quality Improvement and Patient Safety. Application deadline: Aug. 31.
AHRQ in the Professional Literature
Diagnostic stewardship to support optimal use of multiplex molecular respiratory panels: a survey from the Society for Healthcare Epidemiology of America Research Network. Baghdadi JD, O'Hara LM, Johnson JK, et al. Infect Control Hosp Epidemiol 2023 May 2. [Epub ahead of print.] Access the abstract on PubMed®.
"Low-value" glycemic outcomes among older adults with diabetes cared for by primary care nurse practitioners or physicians: a retrospective cohort study. Schuttner L, Richardson C, Parikh T, et al. Int J Nurs Stud 2023 Sep;145:104532. Epub 2023 May 22. Access the abstract on PubMed®.
Comparative adherence trajectories of oral disease-modifying agents in multiple sclerosis. Earla JR, Li J, Hutton GJ, et al. Pharmacotherapy 2023 Jun;43(6):473-84. Epub 2023 May 22. Access the abstract on PubMed®.
Evaluating the implementation of patient-reported outcomes in heart failure clinic: a qualitative assessment. Brown-Johnson C, Calma J, Amano A, et al. Circ Cardiovasc Qual Outcomes 2023 May;16(5):e009677. Epub 2023 Apr 28. Access the abstract on PubMed®.
Late postpartum coverage loss before COVID-19: implications for Medicaid unwinding. Eliason E, Admon LK, Steenland MW, et al. Health Aff 2023 Jul;42(7):966-72. Access the abstract on PubMed®.
The impact of nurse practitioner care and accountable care organization assignment on skilled nursing services and hospital readmissions. Meddings J, Gibbons JB, Reale BK, et al. Med Care 2023 Jun;61(6):341-8. Epub 2023 Mar 15. Access the abstract on PubMed®.
Continuity of care versus language concordance as an intervention to reduce hospital readmissions from home health care. Squires A, Engel P, Ma C, et al. Med Care 2023 Sep;61(9):605-10. Epub 2023 Aug 10. Access the abstract on PubMed®.
Standardizing and improving care for pediatric agitation management in the emergency department. Hoffmann JA, Pergjika A, Liu L, et al. Pediatrics 2023 Jul 1;152(1):e2022059586. Access the abstract on PubMed®.