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Research Activities, August 2013

Contents

About Research Activities

Feature Story

Preventing Childhood Obesity—Researching What Works
From the Director

Patient Safety and Quality

Hospitals with more nurses with bachelor's degrees have reduced rates of postsurgical deaths
Despite guidelines, secondary prevention medications are less used in patients with transient ischemic attack than stroke
Multiple interventions offer pathways to improved medication adherence
Automated phone monitoring system provides important information about medication discontinuation
The effect of medication reconciliation on medication discrepancies is unclear
Most hospitalizations of older veterans for therapeutic failures or adverse drug withdrawal events are potentially preventable
Implementation factors important in promoting successful interventions to reduce hospital falls
Chart biopsy may improve emergency department handoffs when patients are admitted to the hospital

Acute Care/Hospitalization

Patients admitted to the hospital when the emergency department is crowded more likely to die during their hospital stay
Most surgeons expect patients to buy-in to postoperative life support prior to high-risk surgery

Clinical Cases

Clinical Cases

Disparities/Minority Health

Continuity of health insurance for low-income adults increases the likelihood their children will maintain coverage
Recent improvements in insurance coverage still leave disparities in pediatric health care for blacks and the poor
Black and less educated Medicare patients with end-stage kidney disease rate their care worse than others
Coexisting conditions do not explain racial differences in surgery for non small-cell lung cancer among U.S. veterans
Smokeless tobacco use in Native Americans linked to post-traumatic stress disorder
Safety-net patients are interested in using electronic communications with their health care providers

Chronic Disease

Limiting coverage of weight loss surgery to centers of excellence does not improve outcomes
Larger gastric sleeves during laparoscopic sleeve gastrectomy may reduce leaks without impacting weight loss
Compliance with Joint Commission's discharge measure reduces mortality in heart failure patients
Aldosterone antagonists reduce readmission for heart failure, but boost risk of readmission for excess potassium
Serum and urine biomarkers point to possible gender, racial differences in mechanism of lumbar spine osteoarthritis

State Spotlight

New York

Health Care Costs and Financing

Increased access of patients with diabetes to physicians increases total costs but not cost growth

Elderly Health/Long-Term Care

Quality regulation of nursing homes leads to better care quality, at least in some areas
Nursing home residents with dementia have an increased risk of adverse events from warfarin

AHRQ Stats

AHRQ Stats

Women's Health

Treatment of hypertension, including use of contraindicated drugs, is common during pregnancy
Patient Safety Indicators for hemorrhage and infections can be adapted for use in childbirth
More research needed on effectiveness of oral contraceptive use for prevention of ovarian cancer

Comparative Effectiveness Research

New review evaluates latest data on rate control and rhythm control strategies for treating atrial fibrillation
Insufficient evidence to compare effectiveness of local, nonsurgical therapies for stage I non-small cell lung cancer or airway-obstructive lung tumors
More research needed to compare effectiveness of MRSA screening strategies in health care settings

Clinical Decisionmaking

Conference papers explore shared decisionmaking between clinicians and patients

News and Notes

News and Notes

Healthcare 411

Healthcare 411

Research Briefs

Research Briefs

Follow AHRQ news on Twitter

Follow AHRQ news on Twitter

Current as of August 2013
Internet Citation: Research Activities, August 2013. August 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/research-activities/13aug/index.html