National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
Data
- Data Infographics
- Data Visualizations
- Data Tools
- Data Innovations
- All-Payer Claims Database
- Healthcare Cost and Utilization Project (HCUP)
- Medical Expenditure Panel Survey (MEPS)
- AHRQ Quality Indicator Tools for Data Analytics
- State Snapshots
- United States Health Information Knowledgebase (USHIK)
- Data Sources Available from AHRQ
Search All Research Studies
AHRQ Research Studies Date
Topics
- Access to Care (98)
- Adverse Drug Events (ADE) (99)
- Adverse Events (187)
- Alcohol Use (20)
- Ambulatory Care and Surgery (57)
- Antibiotics (38)
- Antimicrobial Stewardship (28)
- Anxiety (10)
- Arthritis (48)
- Asthma (23)
- Autism (5)
- Back Health and Pain (15)
- Behavioral Health (160)
- Blood Clots (16)
- Blood Pressure (38)
- Blood Thinners (16)
- Brain Injury (22)
- Breast Feeding (5)
- Burnout (3)
- Cancer (178)
- Cancer: Breast Cancer (46)
- Cancer: Cervical Cancer (1)
- Cancer: Colorectal Cancer (45)
- Cancer: Lung Cancer (22)
- Cancer: Ovarian Cancer (3)
- Cancer: Prostate Cancer (32)
- Cancer: Skin Cancer (3)
- Cardiovascular Conditions (141)
- Care Coordination (29)
- Caregiving (45)
- Care Management (62)
- Case Study (20)
- Catheter-Associated Urinary Tract Infection (CAUTI) (22)
- Centers for Education and Research on Therapeutics (CERTs) (5)
- Central Line-Associated Bloodstream Infections (CLABSI) (18)
- Children's Health Insurance Program (CHIP) (15)
- Children/Adolescents (359)
- Chronic Conditions (150)
- Clinical Decision Support (CDS) (39)
- Clinician-Patient Communication (93)
- Clostridium difficile Infections (17)
- Colonoscopy (15)
- Communication (112)
- Community-Acquired Infections (13)
- Community-Based Practice (40)
- Community Partnerships (6)
- Comparative Effectiveness (178)
- Complementary and Alternative Medicine (8)
- Comprehensive Unit-based Safety Program (CUSP) (4)
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) (25)
- Critical Care (53)
- Cultural Competence (15)
- Data (74)
- Decision Making (154)
- Dementia (14)
- Dental and Oral Health (15)
- Depression (58)
- Diabetes (119)
- Diagnostic Safety and Quality (128)
- Dialysis (6)
- Digestive Disease and Health (30)
- Disabilities (17)
- Disparities (122)
- Domestic Violence (2)
- Ear Infections (2)
- Education (13)
- Education: Academic (8)
- Education: Continuing Medical Education (41)
- Education: Curriculum (5)
- Education: Patient and Caregiver (77)
- Elderly (259)
- Electronic Health Records (EHRs) (201)
- Electronic Prescribing (E-Prescribing) (5)
- Emergency Department (90)
- Emergency Medical Services (EMS) (71)
- Emergency Preparedness (4)
- Evidence-Based Practice (181)
- Eye Disease and Health (8)
- Falls (20)
- Family Health and History (17)
- Genetics (28)
- Guidelines (102)
- Healthcare-Associated Infections (HAIs) (133)
- Healthcare Cost and Utilization Project (HCUP) (99)
- Healthcare Costs (219)
- Healthcare Delivery (130)
- Healthcare Utilization (100)
- Health Information Exchange (HIE) (19)
- Health Information Technology (HIT) (311)
- Health Insurance (118)
- Health Literacy (26)
- Health Promotion (28)
- Health Services Research (HSR) (94)
- Health Status (56)
- Health Systems (12)
- Heart Disease and Health (125)
- Hepatitis (13)
- Home Healthcare (31)
- Hospital Discharge (46)
- Hospitalization (151)
- Hospital Readmissions (103)
- Hospitals (139)
- Human Immunodeficiency Virus (HIV) (73)
- Imaging (61)
- Implementation (24)
- Infectious Diseases (28)
- Influenza (8)
- Injuries and Wounds (66)
- Inpatient Care (35)
- Intensive Care Unit (ICU) (59)
- Kidney Disease and Health (52)
- Labor and Delivery (28)
- Learning Health Systems (2)
- Lifestyle Changes (57)
- Long-Term Care (46)
- Low-Income (58)
- Maternal Care (23)
- Medicaid (100)
- Medical Devices (28)
- Medical Errors (52)
- Medical Expenditure Panel Survey (MEPS) (49)
- Medical Liability (15)
- Medicare (130)
- Medication (413)
- Medication: Safety (48)
- Men's Health (9)
- Methicillin-Resistant Staphylococcus aureus (MRSA) (21)
- Mortality (119)
- Neonatal Intensive Care Unit (NICU) (14)
- Neurological Disorders (33)
- Newborns/Infants (55)
- Nursing (29)
- Nursing Homes (74)
- Nutrition (45)
- Obesity (74)
- Obesity: Weight Management (26)
- Opioids (45)
- Organizational Change (25)
- Orthopedics (11)
- Osteoporosis (12)
- Outcomes (177)
- Pain (45)
- Palliative Care (51)
- Patient-Centered Healthcare (134)
- Patient-Centered Outcomes Research (331)
- Patient Adherence/Compliance (68)
- Patient and Family Engagement (91)
- Patient Experience (73)
- Patient Safety (374)
- Patient Self-Management (54)
- Payment (52)
- Pneumonia (23)
- Policy (123)
- Practice-Based Research Network (PBRN) (9)
- Practice Improvement (7)
- Practice Patterns (81)
- Pregnancy (66)
- Pressure Ulcers (11)
- Prevention (202)
- Primary Care (167)
- Primary Care: Models of Care (13)
- Provider (42)
- Provider: Clinician (7)
- Provider: Health Personnel (42)
- Provider: Nurse (10)
- Provider: Pharmacist (22)
- Provider: Physician (16)
- Provider Performance (43)
- Public Health (25)
- Public Reporting (19)
- Quality Improvement (122)
- Quality Indicators (QIs) (51)
- Quality Measures (76)
- Quality of Care (242)
- Quality of Life (55)
- Racial and Ethnic Minorities (227)
- Registries (46)
- Rehabilitation (11)
- Research Methodologies (113)
- Respiratory Conditions (74)
- Risk (198)
- Rural/Inner-City Residents (1)
- Rural Health (24)
- Screening (103)
- Sepsis (20)
- Sex Factors (25)
- Sexual Health (21)
- Sickle Cell Disease (9)
- Simulation (4)
- Skin Conditions (29)
- Sleep Problems (16)
- Social Determinants of Health (99)
- Social Media (19)
- Social Stigma (17)
- Stress (22)
- Stroke (36)
- Substance Abuse (66)
- Surgery (247)
- Surveys on Patient Safety Culture (1)
- System Design (5)
- Teams (31)
- TeamSTEPPS (5)
- Telehealth (43)
- Tobacco Use (25)
- Tools & Toolkits (17)
- Training (37)
- Transitions of Care (33)
- Transplantation (26)
- Trauma (22)
- Treatments (56)
- U.S. Preventive Services Task Force (USPSTF) (48)
- Uninsured (29)
- Urban Health (28)
- Urinary Tract Infection (UTI) (16)
- Vaccination (49)
- Vitamins and Supplements (2)
- Vulnerable Populations (41)
- Web-Based (48)
- Women (76)
- Workflow (13)
- Workforce (13)
- Young Adults (28)
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
151 to 175 of 3101 Research Studies DisplayedKatz MJ, Gurses AP, Tamma PD
AHRQ Author: Miller MA
Implementing antimicrobial stewardship in long-term care settings: an integrative review using a human factors approach.
In this integrative review, the authors analyzed published evidence in the context of a human factors engineering approach as well as educational interventions to understand aspects of multimodal interventions associated with the implementation of successful stewardship programs in long term care facilities. The outcomes indicate that effective antimicrobial stewardship in long-term care is supported by incorporating multidisciplinary education, tools integrated into the workflow of nurses and prescribers that facilitate review of antibiotic use, and involvement of infectious disease consultants.
AHRQ-authored; AHRQ-funded; 2332015000201.
Citation: Katz MJ, Gurses AP, Tamma PD .
Implementing antimicrobial stewardship in long-term care settings: an integrative review using a human factors approach.
Clin Infect Dis 2017 Nov;65(11):1943-51. doi: 10.1093/cid/cix566.
.
.
Keywords: Antimicrobial Stewardship, Healthcare-Associated Infections (HAIs), Elderly, Long-Term Care, Nursing Homes
Walker DM, Sieck CJ, Menser T
Information technology to support patient engagement: where do we stand and where can we go?.
The authors evaluated the current capability of hospitals to offer health information technology that facilitates patient engagement (PE). They concluded that, while hospitals have reached modest levels of adoption of PE technologies, consistent monitoring of this capacity can identify opportunities to use technology to facilitate engagement.
AHRQ-funded; HS024091.
Citation: Walker DM, Sieck CJ, Menser T .
Information technology to support patient engagement: where do we stand and where can we go?.
J Am Med Inform Assoc 2017 Nov 1;24(6):1088-94. doi: 10.1093/jamia/ocx043.
.
.
Keywords: Health Information Technology (HIT), Hospitals, Patient and Family Engagement
Hessels AJ, Darby SW, Simpser E
National testing of the nursing-kids intensity of care survey for pediatric long-term care.
The purpose of this study is to test the Nursing-Kids Intensity of Care, a measure of the intensity of nursing care needs, defined as the quantity and type of direct and indirect care activities performed by caregivers in a national sample. The authors concluded that additional testing to further establish psychometric sufficiency and expanded use to quantify the intensity of nursing care needs of children with complex medical conditions in pediatric long-term care settings is recommended.
AHRQ-funded; HS021470.
AHRQ-funded; HS021470.
AHRQ-funded; HS021470.
Citation: Hessels AJ, Darby SW, Simpser E .
National testing of the nursing-kids intensity of care survey for pediatric long-term care.
J Pediatr Nurs 2017 Nov/Dec;37:86-90. doi: 10.1016/j.pedn.2017.08.026..
Keywords: Children/Adolescents, Health Services Research (HSR), Long-Term Care, Nursing, Children/Adolescents
Zeitler EP, Al-Khatib SM, Friedman DJ
Predicting appropriate shocks in patients with heart failure: patient level meta-analysis from SCD-HeFT and MADIT II.
The study authors sought to identify characteristics predictive of appropriate shocks in patients with a primary prevention implantable cardioverter defibrillator (ICD). In this meta-analysis of patient level data from Multicenter Automatic Defibrillator Implantation Trial II and Sudden Cardiac Death in Heart Failure Trial, higher NYHA class, lower LVEF, no beta-blocker therapy, and single chamber ICD (vs. dual chamber) were significant predictors of appropriate shocks.
AHRQ-funded; HS018505.
Citation: Zeitler EP, Al-Khatib SM, Friedman DJ .
Predicting appropriate shocks in patients with heart failure: patient level meta-analysis from SCD-HeFT and MADIT II.
J Cardiovasc Electrophysiol 2017 Nov;28(11):1345-51. doi: 10.1111/jce.13307.
Keywords: Comparative Effectiveness, Heart Disease and Health, Medical Devices, Medical Devices, Risk
Aalsma MC, Anderson VR, Schwartz K
Preventive care use among justice-involved and non-justice-involved youth.
The objective of this study was to determine how rates of well-child (WC) and emergency department visits, as well as public insurance enrollment continuity, differed between youth involved in the justice system (JIY) and youth who have never been in the system (NJIY). It found that JIY had lower use rates of WC visits and higher use rates of emergency services in comparison with NJIY. JIY had more and longer gaps in Medicaid coverage compared with NJIY.
AHRQ-funded; HS023318.
Citation: Aalsma MC, Anderson VR, Schwartz K .
Preventive care use among justice-involved and non-justice-involved youth.
Pediatrics 2017 Nov;140(5):pii: e20171107. doi: 10.1542/peds.2017-1107.
.
.
Keywords: Children/Adolescents, Emergency Department, Healthcare Utilization, Medicaid
Kamal AH, Nicolla JM, Power S
Quality improvement pearls for the palliative care and hospice professional.
In this article, the authors provide a prioritized list of 10 tips specifically aimed to palliative care and hospice professionals, using their experience in both failures and successes in performing quality improvement. They aim to demystify quality improvement, highlight areas where rigor and a systematic approach are needed for success, and offer their own lessons learned and mistakes made to promote success for others.
AHRQ-funded; HS023681.
Citation: Kamal AH, Nicolla JM, Power S .
Quality improvement pearls for the palliative care and hospice professional.
J Pain Symptom Manage 2017 Nov;54(5):758-65. doi: 10.1016/j.jpainsymman.2017.07.040..
Keywords: Palliative Care, Quality of Care, Quality Improvement
Branzetti JB, Adedipe AA, Gittinger MJ
Randomised controlled trial to assess the effect of a Just-in-Time training on procedural performance: a proof-of-concept study to address procedural skill decay.
The purpose of this study was to evaluate the impact of a novel Just-in-Time (JIT) intervention on transvenous pacemaker (TVP) placement during a simulated patient event. The authors concluded that a JIT intervention improved procedure performance, suggesting a role for JIT interventions in rarely performed procedures.
AHRQ-funded; HS020295
Citation: Branzetti JB, Adedipe AA, Gittinger MJ .
Randomised controlled trial to assess the effect of a Just-in-Time training on procedural performance: a proof-of-concept study to address procedural skill decay.
BMJ Qual Saf 2017 Nov;26(11):881-91. doi: 10.1136/bmjqs-2017-006656..
Keywords: Medical Devices, Patient Safety, Surgery, Training, Emergency Medical Services (EMS)
Heerman WJ, Jackson N, Roumie CL
Recruitment methods for survey research: findings from the Mid-South Clinical Data Research Network.
The objective of this study was to report survey response rates and demographic characteristics of eight recruitment approaches to determine acceptability and effectiveness of large-scale patient recruitment among various populations. The study concluded that technology-enabled recruitment approaches such as registries and emails are effective for recruiting but may yield less racial/ethnic diversity compared to traditional, more time-intensive approaches.
AHRQ-funded; HS022990.
Citation: Heerman WJ, Jackson N, Roumie CL .
Recruitment methods for survey research: findings from the Mid-South Clinical Data Research Network.
Contemp Clin Trials 2017 Nov;62:50-55. doi: 10.1016/j.cct.2017.08.006..
Keywords: Patient-Centered Outcomes Research, Research Methodologies, Racial and Ethnic Minorities, Social Determinants of Health
Kim DH, Uno H, Wei J
Restricted mean survival time as a measure to interpret clinical trial results.
In this article, the investigators explain how different measures of treatment effect are interpreted for evidence-based communication, and their caveats, using the 5-year follow- up data from the Placement of Aortic Transcatheter Valves (PARTNER) A and B trials as an example.
AHRQ-funded; HS022193.
Citation: Kim DH, Uno H, Wei J .
Restricted mean survival time as a measure to interpret clinical trial results.
JAMA Cardiol 2017 Nov;2(11):1179-80. doi: 10.1001/jamacardio.2017.2922..
Keywords: Cardiovascular Conditions, Evidence-Based Practice, Research Methodologies
Fairbrother G, Dougherty D, Pradhananga R
AHRQ Author: Dougherty D
Road to the future: priorities for child health services research.
The researchers sought to develop and disseminate a robust, domestically focused, policy-oriented health services research agenda. Among the six priority domains identified for future research, including both enduring and emerging emphases were: 1) framing children's health issues so that they are compelling to policy-makers; 2) addressing poverty and other social determinants of child health and wellbeing; and 3) promoting equity in population health and health care.
AHRQ-authored; AHRQ-funded.
Citation: Fairbrother G, Dougherty D, Pradhananga R .
Road to the future: priorities for child health services research.
Acad Pediatr 2017 Nov - Dec;17(8):814-24. doi: 10.1016/j.acap.2017.04.015.
.
.
Keywords: Children/Adolescents, Health Services Research (HSR), Health Services Research (HSR), Policy
Zullo AR, Sharmin S, Lee Y
Secondary prevention medication use after myocardial infarction in U.S. nursing home residents.
This study evaluated new use of secondary prevention medications after acute myocardial infarction (AMI) in NH residents who were previously nonusers and to evaluate what factors were associated with use. More than one-third of older NH residents in the United States do not have any secondary prevention medications initiated after AMI, with fewer medications initiated in older residents; women; and those with, DNR orders, poor physical function, and cognitive impairment.
AHRQ-funded; HS022998.
Citation: Zullo AR, Sharmin S, Lee Y .
Secondary prevention medication use after myocardial infarction in U.S. nursing home residents.
J Am Geriatr Soc 2017 Nov;65(11):2397-404. doi: 10.1111/jgs.15144.
.
.
Keywords: Elderly, Medication, Heart Disease and Health, Nursing Homes, Prevention
Knelson LP, Ramadanovic GK, Chen LF
Self-monitoring by environmental services may not accurately measure thoroughness of hospital room cleaning.
The hospital environment and environmental contamination are increasingly emphasized in the prevention of healthcare associated infection. In this study, the authors compare cleaning compliance data collected by environmental services (EVS) supervisors with parallel cleaning compliance data collected by study personnel. The investigators concluded that their findings validate the recommendations in the CDC tool kit that independent observers should be used to achieve the most objective approach to monitoring.
AHRQ-funded; HS023866.
Citation: Knelson LP, Ramadanovic GK, Chen LF .
Self-monitoring by environmental services may not accurately measure thoroughness of hospital room cleaning.
Infect Control Hosp Epidemiol 2017 Nov;38(11):1371-73. doi: 10.1017/ice.2017.205..
Keywords: Hospitals, Prevention, Patient Safety, Healthcare-Associated Infections (HAIs)
Zhou M, Wang SV, Leonard CE
Sentinel modular program for propensity score-matched cohort analyses: application to glyburide, glipizide, and serious hypoglycemia.
Sentinel is a program sponsored by the US Food and Drug Administration to monitor the safety of medical products. This cohort assessment was conducted to evaluate the ability of the Sentinel Propensity Score Matching Tool to reproduce, in an expedited fashion, the known association between glyburide (vs. glipizide) and serious hypoglycemia. The study’s findings were consistent with the literature, and demonstrated the ability of the tool to reproduce this known association in an expedited.
AHRQ-funded; HS022193.
Citation: Zhou M, Wang SV, Leonard CE .
Sentinel modular program for propensity score-matched cohort analyses: application to glyburide, glipizide, and serious hypoglycemia.
Epidemiology 2017 Nov;28(6):838-46. doi: 10.1097/ede.0000000000000709..
Keywords: Adverse Drug Events (ADE), Diabetes, Medication: Safety, Medication, Patient Safety
Probst MA, Kanzaria HK, Schoenfeld EM
Shared decisionmaking in the emergency department: a guiding framework for clinicians.
The authors developed a simple framework to illustrate how shared decisionmaking should be approached in clinical practice. They believe it should be the preferred or default approach to decisionmaking, except in clinical situations in which 3 factors interfere. These 3 factors are lack of clinical uncertainty or equipoise, patient decisionmaking ability, and time, all of which can render shared decisionmaking infeasible. The authors next discuss how to address each factor.
AHRQ-funded; HS021271; HS024311.
Citation: Probst MA, Kanzaria HK, Schoenfeld EM .
Shared decisionmaking in the emergency department: a guiding framework for clinicians.
Ann Emerg Med 2017 Nov;70(5):688-95. doi: 10.1016/j.annemergmed.2017.03.063.
.
.
Keywords: Decision Making, Emergency Department, Emergency Medical Services (EMS), Evidence-Based Practice, Guidelines
Bull J, Kamal AH, Harker M
Standardization and scaling of a community-based palliative care model.
In 2014, Four Seasons Compassion for Life was awarded a Centers for Medicare and Medicaid Services Health Care Innovation (CMMI) Award to expand upon their existing model to implement, evaluate, and demonstrate Community-Based Palliative Care (CBPC) in the United States. The objective of this article is to describe the processes and challenges of scaling and standardizing the CBPC model.
AHRQ-funded; HS023681.
Citation: Bull J, Kamal AH, Harker M .
Standardization and scaling of a community-based palliative care model.
J Palliat Med 2017 Nov;20(11):1237-43. doi: 10.1089/jpm.2017.0027..
Keywords: Community-Based Practice, Palliative Care, Elderly
Jump RLP, Gaur S, Katz MJ
Template for an antibiotic stewardship policy for post-acute and long-term care settings.
To support compliance with Centers for Medicare and Medicaid services (CMS) requirements and aid facilities in establishing a stewardship program, the Infection Advisory Committee at the American Medical Directors Association -The Society for Post-Acute and Long-Term Care Medicine, has developed an antibiotic stewardship policy template tailored to the long-term care setting. This paper describes that policy template.
AHRQ-funded; HS022465; HS023779.
Citation: Jump RLP, Gaur S, Katz MJ .
Template for an antibiotic stewardship policy for post-acute and long-term care settings.
J Am Med Dir Assoc 2017 Nov;18(11):913-20. doi: 10.1016/j.jamda.2017.07.018..
Keywords: Antibiotics, Clostridium difficile Infections, Healthcare-Associated Infections (HAIs), Policy, Prevention
Gray, 2nd DM, Hefner JL, Nguyen MC
The link between clinically validated patient safety indicators and clinical outcomes.
The authors performed a retrospective analysis of patient discharges from an academic medical center comprising 6 hospitals from July 2012 to June 2014. The study demonstrated a strong association between clinically validated PSIs and patient outcomes. The findings have important implications in policy and practice as health care reform dictates improvement in the experience of care, health of populations, and per capita costs.
AHRQ-funded; HS024379.
Citation: Gray, 2nd DM, Hefner JL, Nguyen MC .
The link between clinically validated patient safety indicators and clinical outcomes.
Am J Med Qual 2017 Nov/Dec;32(6):583-90. doi: 10.1177/1062860616683014..
Keywords: Outcomes, Patient Safety, Quality Indicators (QIs)
Werner NE, Malkana S, Gurses AP
Toward a process-level view of distributed healthcare tasks: medication management as a case study.
Researchers aimed to highlight the importance of using a process-level view in analyzing distributed healthcare tasks through a case study analysis of medication management (MM). Their findings identified key cross-system characteristics not observable at the task-level: (1) identification of emergent properties (e.g., role ambiguity, loosely-coupled teams performing MM) and associated barriers; and (2) examination of barrier propagation across system boundaries.
AHRQ-funded; HS022916.
Citation: Werner NE, Malkana S, Gurses AP .
Toward a process-level view of distributed healthcare tasks: medication management as a case study.
Appl Ergon 2017 Nov;65:255-68. doi: 10.1016/j.apergo.2017.06.020.
.
.
Keywords: Care Management, Elderly, Home Healthcare, Medication, Transitions of Care
Bull J, Kamal AH, Harker M
Tracking patients in community-based palliative care through the centers for Medicare & Medicaid Services Healthcare Innovation Project.
In 2014, Four Seasons Compassion for Life was awarded a Centers for Medicare & Medicaid Services Healthcare Innovation Award to expand an existing Community-Based Palliative Care (CBPC) model into additional counties and to propose a new payment approach. The goal of this article is to evaluate the tracking of point of entry into palliative care and patient transition outcomes in the model.
AHRQ-funded; HS023681.
Citation: Bull J, Kamal AH, Harker M .
Tracking patients in community-based palliative care through the centers for Medicare & Medicaid Services Healthcare Innovation Project.
J Palliat Med 2017 Nov;20(11):1231-36. doi: 10.1089/jpm.2017.0080..
Keywords: Palliative Care, Community-Based Practice, Elderly, Transitions of Care
Albrecht JS, Slejko JF, Stein DM
Treatment charges for traumatic brain injury among older adults at a trauma center.
The objective of this study was to provide charge estimates of treatment for traumatic brain injury (TBI), including both hospital and physician charges, among adults 65 years and older treated at a trauma center. The study provided the first estimates of hospital and physician charges associated with hospitalization for TBI among older adults at a trauma center that will aid in resource allocation, triage decisions, and healthcare policy.
AHRQ-funded; HS024560.
Citation: Albrecht JS, Slejko JF, Stein DM .
Treatment charges for traumatic brain injury among older adults at a trauma center.
J Head Trauma Rehabil 2017 Nov/Dec;32(6):E45-e53. doi: 10.1097/htr.0000000000000297..
Keywords: Brain Injury, Elderly, Healthcare Costs, Hospitalization, Patient-Centered Outcomes Research
Haessler S, Lagu T, Lindenauer PK
Treatment trends and outcomes in healthcare-associated pneumonia.
This retrospective cohort study assessed changes in hospital rates of concordant antibiotic use over time and their correlation with outcomes related to management of healthcare-associated pneumonia (HCAP). The study concluded that only 1 in 5 patients with risk factors for HCAP received treatment that was fully in accordance with guidelines, and many received community-acquired pneumonia (CAP) therapy instead.
AHRQ-funded; HS018723.
Citation: Haessler S, Lagu T, Lindenauer PK .
Treatment trends and outcomes in healthcare-associated pneumonia.
J Hosp Med 2017 Nov;12(11):886-91. doi: 10.12788/jhm.2877..
Keywords: Antibiotics, Elderly, Healthcare-Associated Infections (HAIs), Patient-Centered Outcomes Research, Pneumonia
Heslin KC, Owens PL, Karaca Z
AHRQ Author: Heslin KC; Owens PL; Karaca Z; Elixhauser A
Trends in opioid-related inpatient stays shifted after the US transitioned to ICD-10-CM diagnosis coding in 2015.
This study examines how trend analyses of inpatient stays involving opioid diagnoses were affected by the transition to ICD-10-CM. It found a sharp increase in opioid-related stays overall during the transition to ICD-10-CM. This may indicate that the new classification system is capturing stays that were missed by ICD-9-CM data.
AHRQ-authored.
Citation: Heslin KC, Owens PL, Karaca Z .
Trends in opioid-related inpatient stays shifted after the US transitioned to ICD-10-CM diagnosis coding in 2015.
Med Care 2017 Nov;55(11):918-23. doi: 10.1097/mlr.0000000000000805.
.
.
Keywords: Critical Care, Healthcare Cost and Utilization Project (HCUP), Hospitalization, Opioids, Substance Abuse
Richards JR, Smith NE, Moulin AK
Unintentional cannabis ingestion in children: a systematic review.
The purpose of this study was to analyze published reports of unintentional cannabis ingestions in children to determine presenting signs and symptoms, route of exposure, treatment, and outcome. The investigators assert that unintentional cannabis ingestion by children is a serious public health concern and is well-documented in numerous studies and case reports; and that clinicians should consider cannabis toxicity in any child with sudden onset of lethargy or ataxia.
AHRQ-funded; HS022236.
Citation: Richards JR, Smith NE, Moulin AK .
Unintentional cannabis ingestion in children: a systematic review.
J Pediatr 2017 Nov;190:142-52. doi: 10.1016/j.jpeds.2017.07.005..
Keywords: Adverse Events, Children/Adolescents, Adverse Drug Events (ADE)
Rogith D, Iyengar MS, Singh H
Using fault trees to advance understanding of diagnostic errors.
In this study, the investigators used fault trees to advance understanding of diagnostic errors. A team of three experts reviewed 10 published cases of diagnostic error and constructed fault trees. The fault trees were modeled according to currently available conceptual frameworks characterizing diagnostic error. The 10 trees were then synthesized into a single fault tree to identify common contributing factors and pathways leading to diagnostic error. The investigators indicate that fault trees might provide a useful framework for both quantitative and qualitative analysis of diagnostic errors.
AHRQ-funded; HS022087; HS023602.
Citation: Rogith D, Iyengar MS, Singh H .
Using fault trees to advance understanding of diagnostic errors.
Jt Comm J Qual Patient Saf 2017 Nov;43(11):598-605. doi: 10.1016/j.jcjq.2017.06.007..
Keywords: Diagnostic Safety and Quality, Patient Safety, Quality of Care, Quality Improvement
Ellimoottil C, Syrjamaki JD, Volt JD
Validation of a claims-based algorithm to characterize episodes of care.
The Michigan Value Collaborative (MVC) developed a claims-based algorithm to provide hospitals with data on events that occur to patients beyond the hospitalization. In this article, the investigators discuss the validation of MVC's claims-based algorithm. They indicate that their findings suggest that the MVC claims-based algorithm identifies and classifies claims with high fidelity and outperforms medical records in the identification of postdischarge events.
AHRQ-funded; HS024193.
Citation: Ellimoottil C, Syrjamaki JD, Volt JD .
Validation of a claims-based algorithm to characterize episodes of care.
Am J Manag Care 2017 Nov;23(11):e382-e86..
Keywords: Hospital Discharge, Hospital Readmissions, Hospitalization, Hospitals, Quality of Care, Quality Improvement