domingo, 1 de abril de 2012

Research Activities

Research Activities

March 2012, No. 379

Research Activities includes announcements of Agency products and projects and summarizes research findings from studies supported by the Agency for Healthcare Research and Quality (AHRQ).


About Research Activities

Feature Story

Hospital emergency departments get tips from AHRQ on how to reduce crowding and better triage patients
From the Director

Patient Safety and Quality

Learning networks can help implement strategies to improve emergency department patient flow
Trauma patients with hospital-acquired infections have poor outcomes, including increased mortality risk
Hawaii's experience shows that a national collaborative effort can reduce central line-associated bloodstream infections
Crisis checklists for the operating room can improve safety and management
Evaluation of TeamSTEPPS® implementation finds improved teamwork and clinical outcomes
Guideline management of inpatient cellulitis and cutaneous abscess reduces antibiotic use

Emergency Care

EMS transport is underused by patients with a certain type of heart attack
Study characterizes patients receiving out-of-hospital endotracheal intubation

Health Care Costs and Financing

24-hour intensivist care in ICUs can lead to cost savings for the sickest patients admitted at night
Costs of congenital heart operations vary among hospitals
Pneumococcal disease continues to lead to substantial health care use and costs
Study provides rare look at patterns of use and spending for physical therapy

Chronic Disease

Patients with hepatitis C virus infection who adhere to their drug regimen are more likely to show long-term benefit
Older patients with chronic conditions have greater risk of problems and death following bilateral knee replacement
Nine percent of adults with hypertension have resistant hypertension
Routinely collecting clinical data can improve pneumococcal vaccination of rheumatology patients on immunosuppressant drugs

Health Information Technology

ICU nurses show increasing acceptance of electronic health records
Pharmacists have limited awareness of the capabilities of their pharmacy information systems
Study uncovers the time spent on writing and viewing hospital electronic health records
Electronic health records in community health centers provide a better picture of care than insurance claims data

Comparative Effectiveness Research

Bone marrow transplant is beneficial for some rare pediatric conditions
Little evidence for benefit of interventions in the early stage of chronic kidney disease
Evidence lacking to support surgery for pelvic pain
More research needed to evaluate self-measured blood pressure monitoring
Evidence lacking on how to match wheelchairs with patients
Some diabetes practice guidelines do not reflect all available evidence

Disparities/Minority Health

Watching patient stories on DVDs improves blood pressure control among blacks
Study identifies attributes of surgeons more willing to provide charity care

Primary Care

Growth in the physician assistant workforce will be insufficient to meet future needs of primary care

Child/Adolescent Health

Despite recommendations against it, early discharge of late-preterm newborns remains common
Pediatric nurses express differing perspectives on palliative care

Mental Health

Diagnosis and treatment rates for depression in older adults have grown over time, with medication edging out therapy
More patients are being prescribed antidepressants by non-psychiatrists and without a psychiatric diagnosis
Adherence to bipolar medications may also promote adherence to antiretroviral therapy

Elderly/Long-Term Care

Preventing pressure ulcers in the home requires creative solutions by nurses
Medicaid nursing home reimbursement affects nursing homes' approach to end-of-life care

Health Literacy

Health literacy issues less of a problem for patients with dental versus medical conditions

Agency News and Notes

Hospital stays involving C. difficile infections leveled off after 300 percent increase since 1993
AHRQ publishes cancer hospitalization statistics
AHRQ releases pharmacy health literacy modules for faculty


New public reporting funding opportunity
Opportunities to improve primary care services for adults with complex needs highlighted in new white paper and brief

Research Briefs

Research Briefs
AHRQ Publication No. 12-RA006
Current as of March 2012

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