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 (19)
- Adverse Drug Events (ADE) (14)
- Adverse Events (40)
- Alcohol Use (6)
- Ambulatory Care and Surgery (14)
- Antibiotics (6)
- Antimicrobial Stewardship (5)
- Anxiety (1)
- Arthritis (12)
- Asthma (8)
- Autism (1)
- Back Health and Pain (2)
- Behavioral Health (25)
- Blood Clots (5)
- Blood Pressure (7)
- Blood Thinners (3)
- Burnout (1)
- Cancer (31)
- Cancer: Breast Cancer (11)
- Cancer: Cervical Cancer (1)
- Cancer: Colorectal Cancer (10)
- Cancer: Lung Cancer (4)
- Cancer: Ovarian Cancer (1)
- Cancer: Prostate Cancer (8)
- Cancer: Skin Cancer (1)
- Cardiovascular Conditions (28)
- Care Coordination (7)
- Caregiving (4)
- Care Management (10)
- Case Study (2)
- Catheter-Associated Urinary Tract Infection (CAUTI) (6)
- Centers for Education and Research on Therapeutics (CERTs) (2)
- Central Line-Associated Bloodstream Infections (CLABSI) (4)
- Children's Health Insurance Program (CHIP) (9)
- Children/Adolescents (73)
- Chronic Conditions (44)
- Clinical Decision Support (CDS) (16)
- Clinician-Patient Communication (16)
- Clostridium difficile Infections (4)
- Colonoscopy (2)
- Communication (21)
- Community-Acquired Infections (1)
- Community-Based Practice (8)
- Community Partnerships (1)
- Comparative Effectiveness (67)
- Complementary and Alternative Medicine (4)
- Comprehensive Unit-based Safety Program (CUSP) (1)
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) (4)
- Critical Care (19)
- Cultural Competence (2)
- Data (11)
- Decision Making (32)
- Dementia (3)
- Dental and Oral Health (6)
- Depression (8)
- Diabetes (28)
- Diagnostic Safety and Quality (25)
- Digestive Disease and Health (2)
- Disabilities (4)
- Disparities (27)
- Education (2)
- Education: Academic (2)
- Education: Continuing Medical Education (8)
- Education: Curriculum (1)
- Education: Patient and Caregiver (12)
- Elderly (43)
- Electronic Health Records (EHRs) (44)
- Electronic Prescribing (E-Prescribing) (2)
- Emergency Department (18)
- Emergency Medical Services (EMS) (17)
- Evidence-Based Practice (32)
- Eye Disease and Health (1)
- Falls (5)
- Family Health and History (3)
- Genetics (6)
- Guidelines (20)
- Healthcare-Associated Infections (HAIs) (36)
- Healthcare Cost and Utilization Project (HCUP) (20)
- Healthcare Costs (50)
- Healthcare Delivery (16)
- Healthcare Utilization (26)
- Health Information Exchange (HIE) (5)
- Health Information Technology (HIT) (87)
- Health Insurance (30)
- Health Literacy (6)
- Health Promotion (7)
- Health Services Research (HSR) (22)
- Health Status (7)
- Health Systems (1)
- Heart Disease and Health (26)
- Hepatitis (3)
- Home Healthcare (6)
- Hospital Discharge (11)
- Hospitalization (28)
- Hospital Readmissions (20)
- Hospitals (21)
- Human Immunodeficiency Virus (HIV) (16)
- Imaging (11)
- Implementation (5)
- Infectious Diseases (3)
- Influenza (7)
- Injuries and Wounds (14)
- Inpatient Care (10)
- Intensive Care Unit (ICU) (12)
- Kidney Disease and Health (9)
- Labor and Delivery (11)
- Lifestyle Changes (10)
- Long-Term Care (9)
- Low-Income (16)
- Maternal Care (5)
- Medicaid (30)
- Medical Devices (13)
- Medical Errors (11)
- Medical Expenditure Panel Survey (MEPS) (10)
- Medical Liability (5)
- Medicare (28)
- Medication (99)
- Medication: Safety (8)
- Men's Health (2)
- Methicillin-Resistant Staphylococcus aureus (MRSA) (5)
- Mortality (25)
- Neonatal Intensive Care Unit (NICU) (5)
- Neurological Disorders (3)
- Newborns/Infants (9)
- Nursing (2)
- Nursing Homes (16)
- Nutrition (6)
- Obesity (16)
- Obesity: Weight Management (3)
- Opioids (7)
- Organizational Change (4)
- Orthopedics (3)
- Osteoporosis (1)
- Outcomes (50)
- Pain (11)
- Palliative Care (6)
- Patient-Centered Healthcare (20)
- Patient-Centered Outcomes Research (54)
- Patient Adherence/Compliance (21)
- Patient and Family Engagement (11)
- Patient Experience (10)
- Patient Safety (86)
- Patient Self-Management (12)
- Payment (4)
- Pneumonia (2)
- Policy (22)
- Practice-Based Research Network (PBRN) (3)
- Practice Improvement (2)
- Practice Patterns (24)
- Pregnancy (15)
- Pressure Ulcers (2)
- Prevention (41)
- Primary Care (31)
- Primary Care: Models of Care (3)
- Provider (5)
- Provider: Clinician (2)
- Provider: Health Personnel (8)
- Provider: Nurse (1)
- Provider: Pharmacist (4)
- Provider: Physician (3)
- Provider Performance (8)
- Public Health (6)
- Public Reporting (8)
- Quality Improvement (28)
- Quality Indicators (QIs) (13)
- Quality Measures (28)
- Quality of Care (74)
- Quality of Life (5)
- Racial and Ethnic Minorities (44)
- Registries (16)
- Rehabilitation (2)
- Research Methodologies (20)
- Respiratory Conditions (3)
- Risk (41)
- Rural Health (2)
- Screening (21)
- Sepsis (2)
- Sex Factors (4)
- Sickle Cell Disease (2)
- Simulation (1)
- Sleep Problems (3)
- Social Determinants of Health (22)
- Social Media (3)
- Social Stigma (1)
- Stress (1)
- Stroke (13)
- Substance Abuse (12)
- Surgery (56)
- Teams (8)
- TeamSTEPPS (2)
- Telehealth (10)
- Tobacco Use (2)
- Tools & Toolkits (1)
- Training (5)
- Transitions of Care (7)
- Transplantation (6)
- Trauma (3)
- Treatments (11)
- U.S. Preventive Services Task Force (USPSTF) (4)
- Uninsured (7)
- Urban Health (7)
- Urinary Tract Infection (UTI) (5)
- Vaccination (8)
- Vulnerable Populations (5)
- Web-Based (7)
- Women (15)
- Workflow (1)
- Workforce (1)
- Young Adults (3)
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
176 to 200 of 662 Research Studies DisplayedSchlesinger M, Kanouse DE, Martino SC
Complexity, public reporting, and choice of doctors: a look inside the blackest box of consumer behavior.
The authors identified four pathways through which complexity may impair consumer choice. They examined these pathways using data from an experiment in which consumers hypothetically selected a primary care physician. They found that some of the loss of decision quality accompanying more complex choice sets can be explained by consumers' skills and decision-making style, but even after accounting for these factors, complexity undermines the quality of decision making in ways that cannot be fully explained. They concluded by discussing implications for report designers, sponsors, and policy makers aspiring to promote consumer empowerment and health care quality.
AHRQ-funded; HS016978; HS016980.
Citation: Schlesinger M, Kanouse DE, Martino SC .
Complexity, public reporting, and choice of doctors: a look inside the blackest box of consumer behavior.
Med Care Res Rev 2014 Oct;71(5 Suppl):38s-64s. doi: 10.1177/1077558713496321.
.
.
Keywords: Consumer Assessment of Healthcare Providers and Systems (CAHPS), Decision Making, Quality of Care, Primary Care, Public Reporting
Shaller D, Kanouse DE, Schlesinger M
Context-based strategies for engaging consumers with public reports about health care providers.
The authors identified three key factors influencing consumer engagement and showed how they manifest in different ways and combinations for four particular choice contexts that appear to offer realistic opportunities for engagement. They also analyzed how these engagement factors play out differently in each choice context and suggest specific strategies that sponsors of public reports can use in each context.
AHRQ-funded; HS016978; HS016980.
Citation: Shaller D, Kanouse DE, Schlesinger M .
Context-based strategies for engaging consumers with public reports about health care providers.
Med Care Res Rev 2014 Oct;71(5 Suppl):17s-37s. doi: 10.1177/1077558713493118.
.
.
Keywords: Consumer Assessment of Healthcare Providers and Systems (CAHPS), Quality of Care, Patient and Family Engagement, Public Reporting
Huang SS, Septimus E, TR TR
Cost savings of universal decolonization to prevent intensive care unit infection: implications of the REDUCE MRSA trial.
The researchers estimated the incremental effect on healthcare costs associated with targeted decolonization and universal decolonization compared with screening and isolation, which is considered the current standard of care. They found that a strategy of universal decolonization for patients admitted to the ICU would both reduce bloodstream infections and like reduce healthcare costs when compared to other strategies.
AHRQ-funded; 290201000008I; 29032007T.
Citation: Huang SS, Septimus E, TR TR .
Cost savings of universal decolonization to prevent intensive care unit infection: implications of the REDUCE MRSA trial.
Infect Control Hosp Epidemiol. 2014 Oct;35 Suppl 3:S23-31. doi: 10.1086/677819..
Keywords: Healthcare Costs, Quality of Care, Healthcare-Associated Infections (HAIs), Intensive Care Unit (ICU), Patient Safety
Lairson DR, Parikh RC, Cormier JN
Cost-utility analysis of chemotherapy regimens in elderly patients with stage III colon cancer.
The authors investigated community-level evidence on the effectiveness and cost effectiveness of treatment for stage III colon cancer for elderly patients among those receiving no chemotherapy, 5-fluorouracil (5-FU), and FOLFOX (5-FU + oxaliplatin). They concluded that FOLFOX appears more effective and cost effective than other strategies for colon cancer treatment of older patients, with results being sensitive to age.
AHRQ-funded; HS018956.
Citation: Lairson DR, Parikh RC, Cormier JN .
Cost-utility analysis of chemotherapy regimens in elderly patients with stage III colon cancer.
Pharmacoeconomics 2014 Oct;32(10):1005-13. doi: 10.1007/s40273-014-0180-8.
.
.
Keywords: Cancer: Colorectal Cancer, Comparative Effectiveness, Healthcare Costs, Elderly, Patient-Centered Outcomes Research
Nembhard IM, Cherian P, Bradley EH
Deliberate learning in health care: the effect of importing best practices and creative problem solving on hospital performance improvement.
The authors examined the effect on quality improvement of two common but distinct approaches to organizational learning, importing best practices and creative problem solving, in hospitals focused on improving treatment time for patients with heart attacks. They found that importing best practices helps hospitals achieve initial phase improvement, after which significant further improvement requires creative problem solving as well.
AHRQ-funded; HS018987.
Citation: Nembhard IM, Cherian P, Bradley EH .
Deliberate learning in health care: the effect of importing best practices and creative problem solving on hospital performance improvement.
Med Care Res Rev 2014 Oct;71(5):450-71. doi: 10.1177/1077558714536619.
.
.
Keywords: Quality Improvement, Quality of Care, Hospitals, Organizational Change
Sentell T, Marten L, Ahn HJ
Disparities in hospitalizations among HIV positive individuals for native Hawaiians and Asians compared to whites in Hawaii.
This study investigated characteristics and disparities in hospitalizations among HIV positive individuals for Asian American subgroups and Native Hawaiians using data from all hospitalizations in Hawai‘i between December 2006 and December 2010. It concluded that disparities appear to exist in rates of hospitalizations among HIV positive individuals for Native Hawaiians and Asians, as well as in the demographic and, to some degree, the clinical characteristics of those hospitalized.
AHRQ-funded; HS019990.
Citation: Sentell T, Marten L, Ahn HJ .
Disparities in hospitalizations among HIV positive individuals for native Hawaiians and Asians compared to whites in Hawaii.
Hawaii J Med Public Health 2014 Oct;73(10):308-14..
Keywords: Hospitalization, Human Immunodeficiency Virus (HIV), Disparities, Racial and Ethnic Minorities, Patient-Centered Outcomes Research
Septimus EJ, Hayden MK, Kleinman K
Does chlorhexidine bathing in adult intensive care units reduce blood culture contamination? A pragmatic cluster-randomized trial.
The investigators determined rates of blood culture contamination comparing 3 strategies to prevent intensive care unit (ICU) infections: screening and isolation, targeted decolonization, and universal decolonization. They demonstrated that universal decolonization with mupirocin and chlorhexidine bathing resulted in a significant reduction in blood culture contamination.
AHRQ-funded; 290201000008I; 290032007T.
Citation: Septimus EJ, Hayden MK, Kleinman K .
Does chlorhexidine bathing in adult intensive care units reduce blood culture contamination? A pragmatic cluster-randomized trial.
Infect Control Hosp Epidemiol 2014 Oct;35 Suppl 3:S17-22. doi: 10.1086/677822.
.
.
Keywords: Comparative Effectiveness, Healthcare-Associated Infections (HAIs), Intensive Care Unit (ICU), Methicillin-Resistant Staphylococcus aureus (MRSA), Sepsis
Beil H, Rozier RG, Preisser JS
Effects of early dental office visits on dental caries experience.
This study determined the association between timing of a first dentist office visit before age 5 and dental disease in kindergarten. It found that children with early dental visits (before age 2) had higher rates of tooth decay than those who had later visits (between ages 3 and 5).
AHRQ-funded; HS018076.
Citation: Beil H, Rozier RG, Preisser JS .
Effects of early dental office visits on dental caries experience.
Am J Public Health. 2014 Oct;104(10):1979-85. doi: 10.2105/AJPH.2013.301325..
Keywords: Dental and Oral Health, Children/Adolescents, Access to Care, Medicaid, Prevention
Luciano A, Meara E
Employment status of people with mental illness: national survey data from 2009 and 2010.
The researchers aimed to describe employment according to mental illness severity in the United States during 2009 and 2010. They found that more severe mental illness was associated with lower employment rates in 2009 and 2010, and they concluded that people with serious mental illness were less likely than people with no, mild, or moderate mental illness to be employed after age 49.
AHRQ-funded; HS022191.
Citation: Luciano A, Meara E .
Employment status of people with mental illness: national survey data from 2009 and 2010.
Psychiatr Serv 2014 Oct;65(10):1201-9. doi: 10.1176/appi.ps.201300335.
.
.
Keywords: Behavioral Health
Fakih MG, Krein SL, Edson B
AHRQ Author: Battles JB
Engaging health care workers to prevent catheter-associated urinary tract infection and avert patient harm.
This article discusses catheter-associated urinary tract infection (CAUTI) prevention efforts, describes the national collaboration between different organizations, briefly reviews the technical and socio-adaptive components of the program, and specifically describes an approach to engaging health care workers as an essential part of CAUTI prevention and averting patient harm.
AHRQ-authored; AHRQ-funded; 290201000025I; 29032001T
Citation: Fakih MG, Krein SL, Edson B .
Engaging health care workers to prevent catheter-associated urinary tract infection and avert patient harm.
Am J Infect Control. 2014 Oct;42(10 Suppl):S223-9. doi: 10.1016/j.ajic.2014.03.355..
Keywords: Adverse Events, Catheter-Associated Urinary Tract Infection (CAUTI), Healthcare-Associated Infections (HAIs), Patient Safety, Prevention, Practice Patterns, Quality Improvement
Fakih MG, Krein SL, Edson B
AHRQ Author: Battles JB
Engaging health care workers to prevent catheter-associated urinary tract infection and avert patient harm.
The "On the CUSP: Stop CAUTI" initiative represents the single largest national effort to mitigate urinary catheter risk. The program brings together key organizations to assist hospitals by providing education and coaching support. Continuity is secured by integrating the process into the health care worker's daily routine activities.
AHRQ-authored; AHRQ-funded; 290201000025I; 29032001T.
Citation: Fakih MG, Krein SL, Edson B .
Engaging health care workers to prevent catheter-associated urinary tract infection and avert patient harm.
Am J Infect Control 2014 Oct;42(10 Suppl):S223-9. doi: 10.1016/j.ajic.2014.03.355.
.
.
Keywords: Catheter-Associated Urinary Tract Infection (CAUTI), Healthcare-Associated Infections (HAIs), Patient Safety, Prevention, Practice Patterns
Gold R, Bailey SR, O'Malley JP
Estimating demand for care after a Medicaid expansion: lessons from Oregon.
In order to estimate how the Affordable Care Act's Medicaid expansions will affect demand for services, the authors measured ambulatory care utilization among adult patients who gained insurance during Oregon's 2008 Medicaid expansion. They found that, in comparisons of the pre- and postcoverage periods, the mean annual encounters among persons who gained insurance increased 22% to 35%, but declined in the comparison groups.
AHRQ-funded; HS021522.
Citation: Gold R, Bailey SR, O'Malley JP .
Estimating demand for care after a Medicaid expansion: lessons from Oregon.
J Ambul Care Manage 2014 Oct-Dec;37(4):282-92. doi: 10.1097/jac.0000000000000023.
.
.
Keywords: Access to Care, Healthcare Utilization, Policy, Health Services Research (HSR), Medicaid
Anhang Price R, Elliott MN, Zaslavsky AM
Examining the role of patient experience surveys in measuring health care quality.
The authors reviewed the literature on the association between patient experiences and other measures of health care quality. They concluded that patient experience measures that are collected using psychometrically sound instruments, employing recommended sample sizes and adjustment procedures, and implemented according to standard protocols are intrinsically meaningful and are appropriate complements for clinical process and outcome measures in public reporting and pay-for-performance programs.
AHRQ-funded; HS016980; HS016978.
Citation: Anhang Price R, Elliott MN, Zaslavsky AM .
Examining the role of patient experience surveys in measuring health care quality.
Med Care Res Rev 2014 Oct;71(5):522-54. doi: 10.1177/1077558714541480.
.
.
Keywords: Consumer Assessment of Healthcare Providers and Systems (CAHPS), Patient Experience, Quality of Care, Quality Improvement, Quality Measures
Kesselheim AS, Tan YT, Darrow JJ
Existing FDA pathways have potential to ensure early access to, and appropriate use of, specialty drugs.
The researchers reviewed the different strategies that the FDA can use to approve and influence the post-approval prescribing of specialty drugs, including expediting the drugs' availability to patients through expanded access programs and expedited approval pathways, limiting the scope of the drugs' indications, and encouraging the development of companion diagnostic tests to indicate which patients should receive the drugs.
AHRQ-funded; HS018465.
Citation: Kesselheim AS, Tan YT, Darrow JJ .
Existing FDA pathways have potential to ensure early access to, and appropriate use of, specialty drugs.
Health Aff 2014 Oct;33(10):1770-8. doi: 10.1377/hlthaff.2014.0529.
.
.
Keywords: Access to Care, Medication, Policy
Sexton JB, Sharek PJ, Thomas EJ
Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout.
The aims of this study were to evaluate the association between WalkRound (WR) feedback, patient safety culture, and caregiver burnout. It found that more WR feedback was associated with better safety culture results and lower burnout rates in the neonatal intensive care units (NICUs).
AHRQ-funded; HS014246.
Citation: Sexton JB, Sharek PJ, Thomas EJ .
Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout.
BMJ Qual Saf. 2014 Oct;23(10):814-22. doi: 10.1136/bmjqs-2013-002042..
Keywords: Neonatal Intensive Care Unit (NICU), Patient Safety, Caregiving, Children/Adolescents
Vanderwerker L, Akincigil A, Olfson M
Foster care, externalizing disorders, and antipsychotic use among Medicaid-enrolled youths.
The researchers investigated the extent to which clinical diagnoses of externalizing disorders explain higher rates of antipsychotic use by foster care youths. They found that foster care youths had higher rates of externalizing disorders than the comparison group and greater antipsychotic use. Foster care remained a significant predictor of antipsychotic use after control for demographic and diagnostic covariates.
AHRQ-funded; HS017918; HS019937; HS021112.
Citation: Vanderwerker L, Akincigil A, Olfson M .
Foster care, externalizing disorders, and antipsychotic use among Medicaid-enrolled youths.
Psychiatr Serv 2014 Oct;65(10):1281-4. doi: 10.1176/appi.ps.201300455.
.
.
Keywords: Children/Adolescents, Medication, Medicaid, Vulnerable Populations, Behavioral Health
Dill JS, Morgan JC, Weiner B
Frontline health care workers and perceived career mobility: do high-performance work practices make a difference?
This study examined how high-performance work practices (HPWPs) that focus on career development are related to an individuals' perceived mobility with their current employer, and also examined the relationships between perceived mobility, job satisfaction, and turnover intent. The findings suggest that tuition remission and educational release time positively predict perceived mobility, while measures of perceived organizational support in one's current position and perceived supervisor support for career development are also significant predictors of perceived mobility. Additionally, perceived mobility is a significant predictor of job satisfaction and intent to stay with current employer.
AHRQ-funded; HS000032.
Citation: Dill JS, Morgan JC, Weiner B .
Frontline health care workers and perceived career mobility: do high-performance work practices make a difference?
Health Care Manage Rev 2014 Oct-Dec;39(4):318-28. doi: 10.1097/HMR.0b013e31829fcbfd.
.
.
Keywords: Provider: Health Personnel, Provider Performance, Workforce
Adeoye O, Albright KC, Carr BG
Geographic access to acute stroke care in the United States.
In this article the authors describe access of the US population to all facilities that actually provide intravenous recombinant tissue-type plasminogen activator (r-tPA) or endovascular therapy for acute ischemic stroke. The investigators concluded that more than half of the US population has geographic access to hospitals that actually deliver acute stroke care but treatment rates remain low.
AHRQ-funded; HS013852.
Citation: Adeoye O, Albright KC, Carr BG .
Geographic access to acute stroke care in the United States.
Stroke 2014 Oct;45(10):3019-24. doi: 10.1161/strokeaha.114.006293.
.
.
Keywords: Access to Care, Stroke
Basu J
AHRQ Author: Basu J
Has access to care changed in minority communities? A study of preventable hospitalizations over time in selected States.
Basu assessed the changes in access to care in minority communities by examining the association between preventable hospitalization rates and racial/ethnic composition of the community during 1995-2005. Using HCUP data, the results indicated increases in barriers faced by minority adults in accessing primary care over time, with no similar evidence for the elderly subgroup.
AHRQ-authored.
Citation: Basu J .
Has access to care changed in minority communities? A study of preventable hospitalizations over time in selected States.
J Ambul Care Manage 2014 Oct-Dec;37(4):314-30. doi: 10.1097/jac.0000000000000024.
.
.
Keywords: Access to Care, Healthcare Cost and Utilization Project (HCUP), Hospitalization, Primary Care, Racial and Ethnic Minorities
Laiteerapong N, Kirby J, Gao Y
AHRQ Author: Kirby J, Ngo-Metzger Q
Health care utilization and receipt of preventive care for patients seen at federally funded health centers compared to other sites of primary care.
The investigators compared utilization and preventive care receipt among patients of federal Section 330 health centers (HCs) versus patients of other settings. They found that HC patients had fewer office visits and hospitalizations, were more likely to receive breast cancer screening, had fewer outpatient and emergency room visits, and were more likely to receive dietary advice compared to non-HC patients.
AHRQ-authored.
Citation: Laiteerapong N, Kirby J, Gao Y .
Health care utilization and receipt of preventive care for patients seen at federally funded health centers compared to other sites of primary care.
Health Serv Res 2014 Oct;49(5):1498-518. doi: 10.1111/1475-6773.12178.
.
.
Keywords: Medical Expenditure Panel Survey (MEPS), Healthcare Utilization, Prevention, Community-Based Practice, Healthcare Delivery
Patrick SW, Kawai AT, Kleinman K
Health care-associated infections among critically ill children in the US, 2007-2012.
The researchers examined trends in central line-associated blood stream infections (CLABSI), catheter-associated urinary tract infections (CAUTI), and ventilator-associated pneumonia (VAP) incidence rates between 2007 and 2012 based on standardized surveillance data from pediatric intensive care units (PICUs) and neonatal intensive care units (NICUs) in the United States. They found that incidence rates of CLABSIs and VAPs decreased among critically ill neonates and children during this period.
AHRQ-funded; HS018414.
Citation: Patrick SW, Kawai AT, Kleinman K .
Health care-associated infections among critically ill children in the US, 2007-2012.
Pediatrics 2014 Oct;134(4):705-12. doi: 10.1542/peds.2014-0613..
Keywords: Central Line-Associated Bloodstream Infections (CLABSI), Urinary Tract Infection (UTI), Critical Care, Children/Adolescents, Healthcare-Associated Infections (HAIs)
Campbell LJ, Li Q, Li Y
Healthcare worker influenza vaccination in Oregon nursing homes: correlates of facility characteristics.
The authors identified nursing home (NH) characteristics that may be associated with employee influenza vaccination rates (EVRs). They concluded that, as NHs generally have low EVRs, it may be necessary to target low-performing facilities to achieve substantial improvements.
AHRQ-funded; HS000044.
Citation: Campbell LJ, Li Q, Li Y .
Healthcare worker influenza vaccination in Oregon nursing homes: correlates of facility characteristics.
J Am Med Dir Assoc 2014 Oct;15(10):768-72. doi: 10.1016/j.jamda.2014.06.005.
.
.
Keywords: Provider: Health Personnel, Influenza, Nursing Homes, Prevention, Vaccination
Richards MR, Marti J
Heterogeneity in the smoking response to health shocks by out-of-pocket spending risk.
Using longitudinal data from 11 European countries, the researchers investigated the impact of a new cardiovascular (CV) health shock on smoking decisions among older adults and examine whether personal exposure to medical spending risk influences the smoking response. They found that CV shocks impact the propensity to smoke, with relatively more impact among individuals with high financial risk exposure to medical spending.
AHRQ-funded; HS017589.
Citation: Richards MR, Marti J .
Heterogeneity in the smoking response to health shocks by out-of-pocket spending risk.
Health Econ Policy Law 2014 Oct;9(4):343-57. doi: 10.1017/s1744133114000152..
Keywords: Cardiovascular Conditions, Tobacco Use, Lifestyle Changes, Health Insurance, Social Determinants of Health
Zhang Y, Fu SS, Du XL
Increasing utilization and predictors of hematopoietic growth factors in patients diagnosed with colorectal cancer: findings from a large national population-based cohort in the USA, 1992-2009.
The authors examined the temporal trend and predictors of receiving hematopoietic growth factors in a large nationwide and population-based cohort of patients with colorectal cancer in the USA from 1992 to 2009. They found that gender, marital status, comorbidity scores, geographic area, year of diagnosis, tumor stage, number of lymph nodes, and risk profile for febrile neutropenia were statistically significant predictors of using colony-stimulating factors and erythropoiesis-stimulating agents.
AHRQ-funded; HS018956.
Citation: Zhang Y, Fu SS, Du XL .
Increasing utilization and predictors of hematopoietic growth factors in patients diagnosed with colorectal cancer: findings from a large national population-based cohort in the USA, 1992-2009.
Med Oncol 2014 Oct;31(10):242. doi: 10.1007/s12032-014-0242-y.
.
.
Keywords: Cancer: Colorectal Cancer, Healthcare Utilization, Medication, Patient-Centered Outcomes Research
Battles JB, Cleeman JI, Kahn KL
AHRQ Author: Battles JB
Introduction to "preventing healthcare-associated infections: results and lessons learned from AHRQ's HAI program".
This article introduces a special issue with 18 articles emanating from a synthesis of an AHRQ-funded healthcare-associated infections (HAI) project conducted by IMPAQ International and the RAND Corporation. The articles identify the major results and lessons learned from project documents including final reports, peer-reviewed literature, and HAI-prevention tool kits.
AHRQ-authored.
Citation: Battles JB, Cleeman JI, Kahn KL .
Introduction to "preventing healthcare-associated infections: results and lessons learned from AHRQ's HAI program".
Infect Control Hosp Epidemiol. 2014 Oct;35 Suppl 3:S1-2. doi: 10.1086/677817..
Keywords: Healthcare-Associated Infections (HAIs), Patient Safety, Prevention