aportes a la gestión necesaria para la sustentabilidad de la SALUD PÚBLICA como figura esencial de los servicios sociales básicos para la sociedad humana, para la familia y para la persona como individuo que participa de la vida ciudadana.
martes, 30 de abril de 2024
E19 A Selective Approach to Safety Data Collection in Specific Late-Stage Pre-Approval or Post-Approval Clinical Trials
https://www.fda.gov/media/177957/download?attachment=&utm_medium=email&utm_source=govdelivery
E19 A Selective Approach to Safety Data Collection in Specific Late-Stage Pre-Approval or Post-Approval Clinical Trials
DECEMBER 2022
https://www.fda.gov/regulatory-information/search-fda-guidance-documents/e19-selective-approach-safety-data-collection-specific-late-stage-pre-approval-or-post-approval?utm_medium=email&utm_source=govdelivery
CDER Center for Clinical Trial Innovation (C3TI)
https://www.fda.gov/about-fda/center-drug-evaluation-and-research-cder/cder-center-clinical-trial-innovation-c3ti?utm_medium=email&utm_source=govdelivery
Join us for the National Center on Substance Abuse and Child Welfare’s (NCSACW) upcoming webinar! Peer Support: A Path to Hope and Family Recovery Thursday, May 2, 2024, 1 – 2 p.m. ET
https://cffutures.zoom.us/webinar/register/WN_kvphAEWeRcqo7FzmkbhbTA?utm_source=SAMHSA&utm_campaign=16f250b8fe-EMAIL_CAMPAIGN_2024_04_17_12_19_COPY_01&utm_medium=email&utm_term=0_-ae0dea18ab-%5BLIST_EMAIL_ID%5D#/registration
Join this webinar to learn how peer support specialists instill hope and illuminate a pathway to recovery for families affected by substance use and involved with child welfare services. Peer support specialists will offer details on what makes these powerful programs work and what you can do to start one in your community.
Peer support programs play an integral role in an effective system of care for families. Goals of peer support programs include to: 1) expedite access to substance use services and treatment, 2) reduce obstacles to recovery, 3) support families to meet the requirements of their treatment and child welfare case plans, and 4) help families remain together.
Attendees will learn how to implement the new Four-Module Toolkit for Peer and Recovery Support Programs for Families Affected by Substance Use and Involved with Child Welfare Services and
Understand the benefits of peer support specialist programs to engage families in substance use and other services.
Identify considerations to design a peer support specialist program.
Identify strategies to hire and retain peer support specialists.
Presenters: Hanh Dao, Dawnia R. Flonnoy, Semaj Newton, and Chelsea Schoetzow
NCSACW is a national resource center providing information, expert consultation, training, and technical assistance to child welfare, dependency court, and substance use treatment professionals to improve the safety, permanency, well-being, and recovery outcomes for children, parents, and families.
lunes, 29 de abril de 2024
Characteristics and Health Care Utilization of Patients With Housing Insecurity in the ED
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2818101?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--WFR0m6Ju91JFKcYfIfLxuYaH1_FaAAYLVUxE-t-mPpD5gOjsIioh3kr9XqZb1aDVSymSUWcUNP0y71b64TtWcvpDguQ&_hsmi=304722775&utm_content=304722775&utm_source=hs_email
Housing insecurity prominent in one emergency department
Last spring, more than 23,000 patients came through the emergency room and were screened for housing needs at Vanderbilt University Medical Center in Nashville, Tenn. One in every 20 were homeless or experiencing housing insecurity — critical information for providers to support follow-up care. A study published Friday in JAMA Network Open details the ER’s findings: Suicide was a top concern for patients dealing with housing insecurity or homelessness, who were also more likely to be uninsured and have multiple visits to the emergency room.
Readers should take a grain of salt when trying to extrapolate from studies focused on a single hospital or clinic, like this one. The authors noted that since the VUMC emergency department is frequently full, diverting ambulances to other institutions, the data may underestimate the prevalence of housing insecurity for those using emergency medical services in the area. To learn more, the authors wrote, more hospitals can implement similar screenings.
AI is becoming the exclusive province of academic medicine. A new initiative aims to change that Casey Ross By Casey Ross April 29, 2024
https://www.statnews.com/2024/04/29/health-ai-partnership-practice-network-duke-university/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_MfrqVoVFQZqHxzILwQtKomnECMWzrh9NVVj0yxmS5m5AbO8eo1xzeISXQ9HcbIZfZD9Sm_zdECpXsscEp6zWkPCyEXA&_hsmi=304722775&utm_content=304722775&utm_source=hs_email
In the small, desert town of Kingman, Ariz., there is little time for the local health clinic to support bureaucratic battles with insurers or keep up with administrative tasks. There’s also little money for artificial intelligence tools to handle some of those tasks, like richer academic hospitals with better data systems can. But that could change if the Kingman clinic becomes part of the Practice Network, a group that aims to help smaller providers implement AI tools in settings where adoption is often stymied by technical and financial challenges.
Participants accepted to the program will spend a year working with experts to test AI tools and incorporate them into their software systems and work routines. And with eight rural hospital closures across the U.S. in 2023 and another 700 at risk due to financial distress, the stakes are high. Read more from STAT’s Casey Ross on what it takes to bring AI into rural clinics.
https://www.statnews.com/2024/04/25/health-ai-large-language-models-clinical-documentation/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9WBRz6Vu_Gx5LfJ52U8bVmWNOecUS4QmRTVI7tEF5B8QLlHZVziXoQU2LcNDiMKXmZ-Dd0qxfDbHjzAI0-AKpg3Z5fKw&_hsmi=304722775&utm_content=304722775&utm_source=hs_email
The Power of Quality
https://www.facs.org/quality-programs/the-power-of-quality/
Quality has been the cornerstone of the American College of Surgeons (ACS) since its founding 110 years ago. Through the Power of Quality Campaign, the ACS is on a mission to improve surgical quality and patient care across the country. We will expand the reach of ACS Quality Programs to more hospitals, enlist more surgeons in quality improvement efforts, encourage adoption of quality metrics into public policy, and help patients seek out hospitals committed to delivering the highest quality of care.
2024 National Strategy for Suicide Prevention
https://www.hhs.gov/programs/prevention-and-wellness/mental-health-substance-abuse/national-strategy-suicide-prevention/index.html?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--tTYNJUxMCFaEWl-o8_SvS5cLbJw56s2o4DMjiv7PRzbhZ1UUATqtokQhqKvUEaxs5oqcx86iVjBXEnnenDNZwX3Nsuw&_hsmi=304722775&utm_content=304722775&utm_source=hs_email
HHS releases a 10-year plan for suicide prevention
The U.S. Department of Health and Human Services released a 10-year plan to address the country’s high suicide rate on Friday. Almost 50,000 people in the U.S. died by suicide in 2022. The report outlines goals to increase community-based suicide prevention measures, access to mental health care, and rigorous surveillance — all with a focus on health equity.
“What’s exciting is that the plan takes a ‘whole of society’ approach,” Hannah Wesolowski, the chief advocacy officer at the National Alliance on Mental Illness, wrote in an email to STAT. The report includes a three-year plan with explicit action items for federal agencies. The Agency for Healthcare Research and Quality, for example, was directed to produce briefs on hospital and emergency department utilization for suicidal ideation, while the Department of Housing and Urban Development was tasked with providing mental health first aid trainings to 500 people who may work with those experiencing housing challenges.
Those kinds of government directives were lacking in the last strategic report from HHS, issued in 2012. In 2021, the surgeon general released a call to action to fully implement 2012 goals that had still not yet been achieved. “A lot has changed in our society in that time,” Wesolowski wrote. “But now that we have the strategies outlined, we have to roll up our sleeves and do the work.”
https://www.statnews.com/2024/04/26/crisis-centers-empath-units-er-alternative-for-mental-health/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9T1ruza7qJiq050xV1eoONRLaQRmMBh_MWeeJ9GZsrSPQ5uNyK1QYRAP_20H8GTIy_eeb2Uwn44RnTzT_sh_TtUEaZBg&_hsmi=304722775&utm_content=304722775&utm_source=hs_email
There’s never a good time to drink raw milk. But now’s a really bad time as bird flu infects cows Helen Branswell By Helen Branswell April 29, 2024
https://www.statnews.com/2024/04/29/bird-flu-raw-milk-h5n1-risk-us-cattle/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_y-FhL_7RBkV90IRMqmfUlI-6Ubyeua6JXWwr3ZMH5Q4KIRrp3_oCf3cINfQ5UaGgGAnNemcnMbaNpUIHNcoFDh6SP2Q&_hsmi=304722775&utm_content=304722775&utm_source=hs_email
New federal rules aimed at limiting the spread of the H5N1 bird flu virus among dairy cattle go into effect today, but detailed guidance documents released Friday by the U.S. Department of Agriculture reveal its mandatory testing order is less stringent than initially described. While that eases concerns from farmers and veterinarians about the economic and logistical burden of testing, it leaves questions about how effective the program will be at containing additional outbreaks.
The initial order last Wednesday required farms to ensure lactating dairy cows test negative before being moved across state lines. On Friday, USDA narrowed the scope, saying that farmers only have to test up to 30 animals in a given group. Read more from STAT’s Megan Molteni on whether experts think that will be enough to detect and contain more outbreaks.
And as a reminder: The risk of infection from ingesting milk is believed to be very low because pasteurization should kill the virus. And while scientists generally warn against drinking raw milk, it may be even riskier to do so now, STAT’s Helen Branswell reports. Experts told her that if a raw-milk consumer inadvertently drank milk from infected cows, the results could be bad. Read more from Helen on the danger of raw milk as bird flu continues to spread among dairy cows.
Cattle testing for H5N1 bird flu will be more limited than USDA initially announced
Megan Molteni
By Megan Molteni April 26, 2024
https://www.statnews.com/2024/04/26/h5n1-bird-flu-usda-cattle-testing-order-more-limited/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9HB6VqJlC-jBGyb2RAtpUg3Gh2S6sKwHMagxry391o4R_opwKj5ce9w151C17MHt3fjrpGkjS62vF2ZF9El_E6Y6yu9g&_hsmi=304722775&utm_content=304722775&utm_source=hs_email
Using AHRQ’s SOPS® Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association (Webcast)
Using AHRQ’s SOPS® Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association (Webcast): This webcast discussed Indiana Hospital Association’s experiences using the Surveys on Patient Safety Culture® (SOPS®) Hospital Survey and Workplace Safety Item Set. They shared their member organizations’ survey results, how SOPS resources were used, and their focus on initiatives to address workplace safety, including burnout. Recent research about the relationship between hospital workplace safety and patient safety culture, job satisfaction, and intent to leave was also shared.
domingo, 28 de abril de 2024
Development and validation of impact of early integration of palliative care and oncology(IEI PCO) questionnaire: a survey for medical oncologists and nurses Authors:Abdulrahman Abdulaziz Abdullah, Wafaa Mostafa Abd-El-Gawad, Sobhi Mostafa AboSerea, Fatma AbdelShakor Ali and Saima Ali Content type:Research 26 April 2024
Factors associated with help-seeking by women facing intimate partner violence in India: findings from National Family Health Survey-5 (2019–2021) Authors:Rakhi Ghoshal, Priti Patil, Isha Sinha, Anita Gadgil, Priyansh Nathani, Nethra Jain, Premkumar Ramasubramani and Nobhojit Roy Content type:Research 17 April 2024
The cost-efficacy of a healthy food box for managing hypertension within a native American population: a group randomized controlled trial Authors:Austin Henderson, Robert Rosenman, Amber L. Fyfe-Johnson, Tori Taniguchi, Joy Standridge, Tyra Shackleford, Clemma J. Muller, Jason G Umans and Valarie Blue Bird Jernigan Content type:Research 26 April 2024
sábado, 27 de abril de 2024
Conference MDAngle: AUA 2024 Metastatic Prostate Cancer
https://www.medscape.com/viewarticle/1000486?src=
AUA 2024: Awaiting New Data in the Treatment of Metastatic Prostate Cancer
https://www.medscape.com/viewarticle/1000487?src=
FTC Chief Says Tech Advancements Risk Health Care Price Fixing By Julie Rovner and David Hilzenrath APRIL 23, 2024
https://kffhealthnews.org/news/article/ftc-lina-khan-price-fixing-noncompete-mergers/?utm_campaign=KFF-This-Week&utm_medium=email&_hsenc=p2ANqtz-85cn8YssSzWujMrJih9ku2BRl2-gcwP2o3m-NHiL2P6qVW5Z67uTOcz9AXBNRkwMsleTNs7LCG_BaLSANNZCojYCr05Q&_hsmi=304508415&utm_content=304508415&utm_source=hs_email
Technological advances including the widespread use of algorithms make it easier for companies to fix prices without explicitly coordinating, Lina Khan said at a KFF event.
With Current Staffing Levels, About 1 in 5 Nursing Facilities Would Meet Fully-Implemented Minimum Staffing Standards in the Final Rule Priya Chidambaram, Alice Burns, Tricia Neuman, and Robin Rudowitz Published: Apr 22, 2024
https://www.kff.org/policy-watch/nursing-facilities-staffing-levels-standards-final-rule/?utm_campaign=KFF-This-Week&utm_medium=email&_hsenc=p2ANqtz--_UkB0o3HlIJByH4L3MkQeBO96RgiwVqOFQmByMPA3Xr3OhJYk7a4Pn6nYOISG5bvCFhP1fob2msvQdh24CrJqqtsJlQ&_hsmi=304508415&utm_content=304508415&utm_source=hs_email
We looked at the most recently-available data to examine the percentage of nursing facilities that currently meet the minimum staffing requirements in the final rule.
Also, check out the KFF Health News' story covering the latest developments related to the nursing home staffing mandates.
A New Use for Wegovy Opens the Door to Medicare Coverage for Millions of People with Obesity Juliette Cubanski, Tricia Neuman, Nolan Sroczynski, and Anthony Damico Published: Apr 24, 2024
https://www.kff.org/medicare/issue-brief/a-new-use-for-wegovy-opens-the-door-to-medicare-coverage-for-millions-of-people-with-obesity/?utm_campaign=KFF-This-Week&utm_medium=email&_hsenc=p2ANqtz-8Puw-q6--aErh_NrkEFWehNxEXpsvVuqqHZrbI7PKlXI9CCpmaVDWVlV46YbI7Iv9sGwe1tlwEuQRqv3RYGPlw-Uuyww&_hsmi=304508415&utm_content=304508415&utm_source=hs_email
The FDA recently approved a new use for Wegovy, the anti-obesity drug, to reduce the risk of heart attack and stroke in people with cardiovascular disease who are overweight or obese - a decision that opens the door to Medicare coverage of Wegovy, which is prohibited by law from covering drugs used for obesity. In a new analysis, we examine how many Medicare beneficiaries could be eligible for the new use of Wegovy and the potential impact on Medicare spending.
Forward or Backward on the Uninsured? Drew Altman Published: Apr 25, 2024
https://www.kff.org/from-drew-altman/forward-or-backward-on-the-uninsured/?utm_campaign=KFF-This-Week&utm_medium=email&_hsenc=p2ANqtz--yQx14DjUKUd82VQk6ACyMPuRJN8Nw1OqXwVhImTLlWl1mGxIDjzRDQub0lf9AvPN7zJaEJ__4YJRqp8gEKEJbUatSeQ&_hsmi=304508415&utm_content=304508415&utm_source=hs_email
Forward or Backward on the Uninsured?
In his latest column, KFF President and CEO Drew Altman looks back at the remarkable progress made in expanding coverage for the uninsured and what it could mean politically for today’s remaining uninsured—a population that has had little clout historically and will command even less attention now.
California Is Investing $500M in Therapy Apps for Youth. Advocates Fear It Won’t Pay Off. By Molly Castle Work UPDATED APRIL 26, 2024 ORIGINALLY PUBLISHED APRIL 26, 2024California Is Investing $500M in Therapy Apps for Youth. Advocates Fear It Won’t Pay Off. By Molly Castle Work UPDATED APRIL 26, 2024 ORIGINALLY PUBLISHED APRIL 26, 2024
https://kffhealthnews.org/news/article/california-youth-teletherapy-apps-rollout-slow/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9SMA7I5U3SjMSu1fZqQGwso6xxQvXIixAIXXFbwH9QI5VnTDzFod3zMKz8fee5sT1iZNGgfuD_UPe0Yu7jrP5QpzTRmA&_hsmi=304527588&utm_content=304527588&utm_source=hs_email
California launched two teletherapy apps as part of the governor’s $500 million foray into health technology with private companies. But the rollout has been so slow that one company has yet to make its app available on Android, and social workers worry youths who need clinical care won’t get referrals.
Mandatory Reporting Laws Meant To Protect Children Get Another Look By Kristin Jones APRIL 25, 2024
https://kffhealthnews.org/news/article/child-abuse-mandatory-reporting-laws-colorado/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_EW4vgB9r3qGtwxFIF5IojIviWrN3xvQDpbqnN_jbvPw9tnjTKPLhd5g2ip_QqeO0vZM3aOL9LvWt662c24e5PH5L7sg&_hsmi=304527588&utm_content=304527588&utm_source=hs_email
Colorado is looking at ways to weed out false reporting of child abuse and neglect as the number of reports reaches a record high.
California Legislators Debate Froot Loops and Free Condoms By Don Thompson APRIL 23, 2024
https://kffhealthnews.org/news/article/california-legislators-debate-froot-loops-free-condoms-bill-roundup/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9d780ZFymj4UaxbaWpt59c4IFuZf_jFWsrlTQdP9eo2JeK8pfbB4LjcJRzo_j5rqc1L34PHd-qMandeTOwqdzvKo4hsw&_hsmi=304527588&utm_content=304527588&utm_source=hs_email
California state lawmakers this year are continuing their progressive tilt on health policy, debating bills banning an ingredient in Froot Loops and offering free condoms for high schoolers.
Tire Toxicity Faces Fresh Scrutiny After Salmon Die-Offs By Jim Robbins APRIL 24, 2024
https://kffhealthnews.org/news/article/tire-toxicity-salmon-die-offs-research-6ppd/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz--1utqNY8NcT5AAPVxkXABYIRmBUmXSCDQSKRf_IXR4ZftWeqMz_5it8bKuaFZb_2TooMWTaaQwBww3BArwno4dnPk3NA&_hsmi=304527588&utm_content=304527588&utm_source=hs_email
Tires emit huge volumes of particles and chemicals as they roll along the highway, and researchers are only beginning to understand the threat. One byproduct of tire use, 6PPD-q, is in regulators’ crosshairs after it was found to be killing fish.
Rural Jails Turn to Community Health Workers To Help the Newly Released Succeed By Lillian Mongeau Hughes APRIL 22, 2024
https://kffhealthnews.org/news/article/utah-rural-jails-community-health-workers-prevent-recidivism/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_o9AiGQ9Ul1MglOqX3IHtiD2XIRZwJ-pa14wxc_WbAxUocR-iOdqd9_9zGfebhPl3CblNzQCdFoEI3qy9HdBguh_MRKg&_hsmi=304527588&utm_content=304527588&utm_source=hs_email
To reduce recidivism, some rural counties are hiring community health workers or peer support specialists to connect people leaving custody to mental health resources, substance use treatment, medical services, and jobs.
Genetics Studies Have a Diversity Problem That Researchers Struggle To Fix By Lauren Sausser APRIL 25, 2024
https://kffhealthnews.org/news/article/genetics-research-diversity-conundrum-black-participation-south-carolina/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_GgqLat6QVrqtafjsY0Zfophv1QwDPq4x8sRS5quuBZauGguIL9VMWe320pN_tYyR7uk3Zh3SLm1eZq9Vm34U2_l6j0A&_hsmi=304527588&utm_content=304527588&utm_source=hs_email
Researchers in Charleston, South Carolina, are trying to build a DNA database of 100,000 people to better understand how genetics affects health risks. But they’re struggling to recruit enough Black participants.
FTC Chief Says Tech Advancements Risk Health Care Price Fixing By Julie Rovner and David Hilzenrath APRIL 23, 2024
https://kffhealthnews.org/news/article/ftc-lina-khan-price-fixing-noncompete-mergers/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9Q2aG0AhfeWvs6EVmc0PrIKHTG8VKkqm8Lj7jGqdni_YxsuY7MTpH7FSjfJEKJpC_Bthko8l2oBu4dU7fw_NMIPpCIww&_hsmi=304527588&utm_content=304527588&utm_source=hs_email
Technological advances including the widespread use of algorithms make it easier for companies to fix prices without explicitly coordinating, Lina Khan said at a KFF event.
Abortion — Again — At the Supreme Court EPISODE 344 APRIL 24, 2024
https://kffhealthnews.org/news/podcast/what-the-health-344-abortion-supreme-court-april-25-2024/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-85Rta_FfTAJZa_PSWzu1aupnyRIE6OuFsr961p2U8VJ5mYllguze3_-QFrj7iwyEmP9P7eIaEHWgar75YD1GWCwGSNXQ&_hsmi=304527588&utm_content=304527588&utm_source=hs_email
For the second time in as many months, the Supreme Court heard arguments in an abortion case. This time, the justices are being asked to decide whether a federal law that requires emergency care in hospitals can trump Idaho’s near-total abortion ban. Meanwhile, the federal government, for the first time, will require minimum staffing standards for nursing homes. Alice Miranda Ollstein of Politico, Tami Luhby of CNN, and Joanne Kenen of Johns Hopkins University and Politico Magazine join KFF Health News’ Julie Rovner to discuss these stories and more. Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too.
Journalists Take Stock of Opioid Settlement Payouts and Concierge Care Trend APRIL 20, 2024
https://kffhealthnews.org/news/article/kff-health-news-on-the-air-this-week-april-20-2024-opioid-settlements-concierge-care/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9OrMTwPyFm9KQlmSd7UJ2BCoj6kFLwSxTApgx0q8ntNwfiYByJPtr4ZVS-ZOmFAUEJk3aj32TpSHwNfuhXHOfqqwNKJg&_hsmi=304527588&utm_content=304527588&utm_source=hs_email
KFF Health News staff made the rounds on state and local media in recent weeks to discuss stories they and their colleagues reported. Here’s a collection of their appearances.
Biden Administration Sets Higher Staffing Mandates. Most Nursing Homes Don’t Meet Them. By Jordan Rau UPDATED APRIL 24, 2024 ORIGINALLY PUBLISHED APRIL 22, 2024
https://kffhealthnews.org/news/article/nursing-home-staffing-federal-mandates-biden-cms/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9_9HKgnLuHCkltK_BZm3vXApF4b7bkWWHbqPdUPibSVvdmaVE1A5Nlh3MmiwBAf2BgcPPB518eN5kKI-tR9MCcAJF5yQ&_hsmi=304527588&utm_content=304527588&utm_source=hs_email
The staffing regulation was disparaged by the industry as unattainable. Patient advocates say it doesn’t go far enough. Labor unions welcomed the requirement.
Unsheltered People Are Losing Medicaid in Redetermination Mix-Ups By Aaron Bolton, MTPR APRIL 23, 2024
https://kffhealthnews.org/news/article/unsheltered-people-losing-medicaid-redetermination-paperwork/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_8xSK6xSh2XyeXY5CnqTXfYOJ90YpUTTCTg36IUqQktXYe9rwKEilxA-EG4RanJIEDGKGfbBDSPWjA5mzjxuQ6YXZ7sw&_hsmi=304527588&utm_content=304527588&utm_source=hs_email
Some of the nearly 130,000 Montanans who have lost Medicaid coverage as the state reevaluates eligibility are homeless. That’s in part because Montana kicked more than 80,000 people off the program for technical reasons rather than income ineligibility. For unhoused people who were disenrolled, getting back on Medicaid can be extraordinarily difficult.
Millions Were Booted From Medicaid. The Insurers That Run It Gained Medicaid Revenue Anyway. By Phil Galewitz APRIL 26, 2024
https://kffhealthnews.org/news/article/medicaid-unwinding-insurer-revenue/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz---410hh7rBOTshy-yWsywO44yf12m7Ft5_HT0l9wqkApRME5a9pD70ihlrb1uc7Z-fSC_0RppUcFOXqhfTgRqGA1cPVQ&_hsmi=304527588&utm_content=304527588&utm_source=hs_email
Big health insurers that have contracts with state Medicaid programs find themselves making more money even as enrollment in Medicaid programs has dropped. Here’s why.
viernes, 26 de abril de 2024
‘I felt like I was dying’: How women with postpartum depression fall through the cracks of U.S. health care By Katharine Gammon
https://www.statnews.com/2023/06/26/i-felt-like-i-was-dying-how-women-with-postpartum-depression-fall-through-the-cracks-of-u-s-health-care/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_N99j8NrC3DbpYk-ZbAhkLzx10y3kIFU62uvRgw41P8USfmoirAV1NnmlsceOss5ulHW4GXQ28nYEOuC7DP1G1Ib-6Qg&_hsmi=304405281&utm_content=304405281&utm_source=hs_email
How the U.S. could take mental health care out of the E.R.
If you’re having a heart attack, a hospital emergency room is a great place to be. But if you’re having a mental health emergency? “You’ve got to sit in this room, maybe they won’t give you water, maybe you’re not wearing clothes. It’s loud, it’s bright, there’s a lot of noise, there’s other sick people freaking out, and it’s just too much,” said one patient who lives in Cambridge, Mass. And standard hospital protocols often make patients feel like they lack agency, he added.
The E.R. has become America’s default front door to psychiatric crisis care, despite rarely being designed or equipped to serve that role. But conditions across the country may be ripe for change. Advocates see the launch of 988 — like 911 but for mental health emergencies — as an opportunity to spotlight the massive unmet mental health need and build a system of care around it. Read more from STAT contributor Grace Rubenstein on the early initiatives to build these systems, in the sixth and final story in a series on the U.S. mental health system.
Mental health crisis centers and EmPATH units: offering care that busy ERs can’t
By Grace Rubenstein
https://www.statnews.com/2024/04/26/crisis-centers-empath-units-er-alternative-for-mental-health/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_lyTWayrpBQvHajnmhRzHuyZGlOtni70h9-I-4dEDQBHDUZP72Fm0f2lVi6qxzh6uuxQHTwNvGv_a-tTV_eGWzwEe4TA&_hsmi=304405281&utm_content=304405281&utm_source=hs_email
In world first, Nigeria introduces new 5-in-1 vaccine against meningitis
https://www.who.int/news/item/12-04-2024-in-world-first--nigeria-introduces-new-5-in-1-vaccine-against-meningitis?utm_campaign=+60336940&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=
To combat deadly meningitis outbreaks, Nigeria launched an effort to vaccinate one million people with a vaccine called Men5CV, which protects against five groups of the meningitis pathogen Neisseria meningitidis. The WHO recommended the vaccine for campaigns in the country, a part of “Africa’s meningitis belt,” based partly on positive interim results from a trial run by the NIAID-supported Infectious Diseases Clinical Research Consortium (IDCRC).
FDA’s Revised Draft Guidance on Biological Product Promotion Provides Additional Recommendations/Clarifications By Sarah Wicks & Dara Katcher Levy —
https://www.thefdalawblog.com/2024/04/fdas-revised-draft-guidance-on-biological-product-promotion-provides-additional-recommendations-clarifications/?utm_source=rss&utm_medium=rss&utm_campaign=fdas-revised-draft-guidance-on-biological-product-promotion-provides-additional-recommendations-clarifications
On April 24, 2024, the FDA issued a revised draft guidance, Promotional Labeling and Advertising Considerations for Prescription Biological Reference Products, Biosimilar Products, and Interchangeable Biosimilar Products – Questions and Answers, (the “Revised Draft Guidance”) which replaces the Agency’s initial draft guidance issued in February 2020 (the “Initial Draft Guidance”).
https://www.fda.gov/media/134862/download
Suicide Prevention in an Emergency Department Population: ED-SAFE April 24, 2024
https://psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
Brown University and Butler Hospital created the Emergency Department Safety Assessment and Follow-Up Evaluation (ED-SAFE) innovation to reduce suicidal behavior among patients who present to the ED with suicidal ideation. Following implementation of the ED-SAFE innovation, there was a significant difference in suicide attempts.
In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, CCT | April 24, 2024
https://psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
Editor’s note: Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, CCT, is the Director of Nursing Programs at the American Nurses Association and Adjunct Professor at the University of Maryland School of Nursing and the Frances Payne Bolton School of Nursing at Case Western Reserve University. We spoke to her about patient safety amid nursing workforce challenges.
Patient Safety Amid Nursing Workforce Challenges Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | April 24, 2024
Patient Safety Amid Nursing Workforce Challenges
Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | April 24, 2024
https://psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
This Perspective essay and interview focuses on changes in the nursing workforce over recent years, including nursing shortages. #Patientsafety challenges may arise from these workforce challenges, but those challenges can also be mitigated.
Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. David K. Barnes, MD, FACEP, Sahej Deep Singh Randhawa, MD, and Ellen P. Fitzpatrick, MD | April 24, 2024
Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture.
David K. Barnes, MD, FACEP, Sahej Deep Singh Randhawa, MD, and Ellen P. Fitzpatrick, MD | April 24, 2024
https://psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
This pair of WebM&M Case highlight the immediate and long-term consequences of delayed recognition of compartment syndrome, despite patients presenting with symptoms such as severe pain, numbness, and swelling in the affected limbs. The commentary discusses the importance of a multifactor assessment when compartment syndrome is suspected, effective processes for trainees and non-physician staff to escalate concerns to attending physicians when compartment syndrome is suspected and improving post-discharge follow-up practices to identify patients requiring further evaluation.
Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? Ron Ordona, DNP, FNP-BC, GS-C, WCC and Deb Bakerjian, PhD, APRN, FAANP, FGSA, FAAN | April 24, 2024
Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?
Ron Ordona, DNP, FNP-BC, GS-C, WCC and Deb Bakerjian, PhD, APRN, FAANP, FGSA, FAAN | April 24, 2024
https://psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
In this WebM&M Case, an elderly patient residing in a group care home, requiring assistance with all activities and having a history of autism-spectrum disorder, experiences fecal leakage issues despite daily medication. During a weekend shift with reduced staffing, a certified nursing assistant (CNA) discovers the patient soiled in bed, necessitating a shower. While attempting to assist the patient, another bowel accident occurs, leading to a fall and head injury when the CNA calls for help. With limited staff available, the patient is eventually taken to the hospital for suturing and further evaluation, where it's determined she requires a higher level of care due to hazardous conditions in the bathroom. The commentary discusses the challenges in providing adequate care in group home settings, especially during weekends with reduced staffing levels.
Verbal Orders and Medication Overrides: A Dangerous Combination Catherine Mueller, PharmD, CPPS, Paul MacDowell, PharmD, BCPS, and James A. Bourgeois, OD, MD | April 24, 2024
Verbal Orders and Medication Overrides: A Dangerous Combination
Catherine Mueller, PharmD, CPPS, Paul MacDowell, PharmD, BCPS, and James A. Bourgeois, OD, MD | April 24, 2024
https://psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
In this WebM&M Case, a 26-year-old man presented to the emergency department (ED) with abdominal pain, displaying tachycardia and extreme agitation. Despite negative findings on physical examination and laboratory tests, his aggressive behavior escalated, necessitating physical and chemical restraint for the safety of both himself and ED staff. The ED physician verbally ordered 10 mg of intramuscular haloperidol, but the primary nurse overrode the automated dispensing unit and mistakenly pulled a vial of midazolam 10 mg instead of haloperidol. Flumazenil was subsequently administered to reverse benzodiazepine toxicity, and the patient recovered without further complications. The commentary discusses best practices to promote safe medication administration in the context of verbal orders and medication overrides.
Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery Christian Bohringer, MBBS, Manuel Fierro, MD, and Sandhya Venugopal, MD | April 24, 2024Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery Christian Bohringer, MBBS, Manuel Fierro, MD, and Sandhya Venugopal, MD | April 24, 2024
Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery
Christian Bohringer, MBBS, Manuel Fierro, MD, and Sandhya Venugopal, MD | April 24, 2024
https://psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
In this WebM&M Spotlight Case with CE/MOC, a 77-year-old man was admitted for coronary artery bypass graft surgery with aortic valve replacement. The operation went smoothly but the patient went into atrial fibrillation with hypotension during removal of the venous cannula. The patient was shocked at 10 Joules but did not convert to sinus rhythm; the surgeon requested 20 Joules synchronized cardioversion, after which the patient went into ventricular fibrillation and was immediately and successfully defibrillated with 20 Joules. While the patient was being transferred to his gurney, the operating room team noticed that electrocardiogram cable that enables synchronized cardioversion was only connected into the anesthesia monitor and was never connected to the patient’ defibrillator. The commentary discusses the risks of unsynchronized shocks or unsynchronized pacing, the role of standardized processes to ensure that operating room equipment is prepared and set-up correctly, and the importance of operating room team preparation to urgently address life threatening complications.
jueves, 25 de abril de 2024
Pay-for-performance and patient safety in acute care: a systematic review. April 24, 2024
https://psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
Pay-for-performance and patient safety in acute care: a systematic review.
Slawomirski L, Hensher M, Campbell JL, et al. Health Policy. 2024;143:105051.
Pay-for-performance (P4P) policies and programs (such as the Hospital-Acquired Condition [HAC] Reduction Program) intend to incentivize high-quality care and reduce medical errors. This systematic review including 53 articles explored the impact of P4P on the incidence of adverse events in acute care settings. The researchers found that half of the included studies did not identify improvements in adverse event rates after P4P, and that studies reporting improvements were of poor methodological quality.
Comparing hospital leadership and front-line workers' perceptions of patient safety culture: an unbalanced panel study. April 24, 2024
https://psnet.ahrq.gov/issue/comparing-hospital-leadership-and-front-line-workers-perceptions-patient-safety-culture
Comparing hospital leadership and front-line workers' perceptions of patient safety culture: an unbalanced panel study.
Forbes J, Arrieta A. BMJ Lead. 2024;Epub Apr 3.
Front-line workers (e.g., nurses and physicians) and leaders frequently perceive the safety culture in their organization differently. This study uses data from AHRQ’s Hospital Survey on Patient Safety Culture (HSOPS) V.1.0 from 2008 - 2017 to compare leadership and front-line workers' perceptions of patient safety culture. With responses from 1,810 hospitals and more than 800,000 individuals identified as leaders or front-line workers, results show that leadership has a consistently more positive perception of patient safety culture, particularly on items related to managers.
Diagnostic error in mental health: a review. April 24, 2024
https://psnet.ahrq.gov/issue/diagnostic-error-mental-health-review
Diagnostic error in mental health: a review.
Bradford A, Meyer AND, Khan S, et al. BMJ Qual Saf. 2024;Epub Apr 4.
Diagnostic errors in mental health disorders have not yet received the same attention as diagnostic errors in other care settings. This article describes diagnostic pitfalls for common mental health disorders including schizophrenia, anxiety, attention deficit hyperactivity (ADHD), autism spectrum, mood, and bipolar disorders. The authors urge parallel development of interventions to reduce misdiagnosis and estimating error rates.
A Practical Guide for Implementing the Digital Healthcare Equity Framework
https://digital.ahrq.gov/health-it-tools-and-resources/digital-healthcare-equity/digital-healthcare-equity-framework-and-guide
Use of digital healthcare technologies – for clinicians and patients – is growing. To ensure these solutions benefit all patient groups, creators and users must be intentional about equity.
To address this, the Agency for Healthcare Research and Quality (AHRQ) developed evidence- and consensus-based resources to help organizations intentionally consider equity in the development and use of digital healthcare technologies and solutions.
The Practical Implementation Guide provides digital healthcare developers and vendors, healthcare systems, clinical providers, and payers an interactive checklist of steps and real-world examples for how to advance equity across all phases of the Digital Healthcare Lifecycle. Regardless of the size of an organization or the complexity of the solution this expert Guide can help.
If you are interested in learning more about these resources, including the Evidence- and Consensus-Based Digital Healthcare Equity Framework which included an environmental scan, engagement of the technical expert panel (TEP), and reviews by internal and external advisors, visit the AHRQ Digital Healthcare Equity Framework project profile.
DHEF Cover 2024
Access the guide
Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data
Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data: The webinar will discuss how patient experience professionals use multiple feedback methods to fully capture the patient voice. Speakers will describe how additional feedback methods complement CAHPS data, and how this integration of data sources informs their efforts to identify improvement areas and potential solutions.
REMINDER: Register for May 8 Webcast — Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data
Date: Wed., May 8, 2024
Time: 1-2 p.m. ET
OTP Town Hall: CMC Readiness for Gene Therapy BLAs JUNE 4, 2024
https://www.fda.gov/news-events/otp-town-hall-cmc-readiness-gene-therapy-blas-06042024?utm_medium=email&utm_source=govdelivery
The FDA’s Center for Biologics Evaluation and Research (CBER) Office of Therapeutic Products (OTP) is hosting its next virtual town hall on Tuesday, June 4, 2024, to answer stakeholder questions regarding the chemistry, manufacturing, and controls (CMC) information submitted with biologics license applications (BLAs) for gene therapy products. Experts from OTP’s Office of Gene Therapy CMC will be on hand to answer questions.
FDA CBER Webinar: Considerations for the Development of CAR T Cell Products MARCH 7, 2024
https://www.fda.gov/news-events/otp-events-meetings-and-workshops/fda-cber-webinar-considerations-development-car-t-cell-products-03072024?utm_medium=email&utm_source=govdelivery
View the recording for the FDA CBER Webinar on Considerations for the Development of CAR T Cell Products.
miércoles, 24 de abril de 2024
Development of a comprehensive survey to assess key socioecological determinants of health
Development of a comprehensive survey to assess key socioecological determinants of health
https://pubmed.ncbi.nlm.nih.gov/38158309/
Engaging Family Caregivers With Structured Communication for Safe Care Transitions
Engaging Family Caregivers With Structured Communication for Safe Care Transitions: The Agency for Healthcare Research and Quality (AHRQ) Making Healthcare Safer (MHS) reports consolidate information for healthcare providers, health system administrators, researchers, and government agencies about practices that can improve patient safety across the healthcare system—from hospitals to primary care practices, long-term care facilities, and other healthcare settings.
Patient Safety Practices Focused on Sepsis Prediction and Recognition
Patient Safety Practices Focused on Sepsis Prediction and Recognition: The Agency for Healthcare Research and Quality (AHRQ) Making Healthcare Safer (MHS) reports consolidate information for healthcare providers, health system administrators, researchers, and government agencies about practices that can improve patient safety across the healthcare system — from hospitals to primary care practices, long-term care facilities, and other healthcare settings.
Prevention in Adults of Transmission of Infection With Multidrug-Resistant Organisms
Prevention in Adults of Transmission of Infection With Multidrug-Resistant Organisms: The Agency for Healthcare Research and Quality (AHRQ) Making Healthcare Safer (MHS) reports consolidate information for healthcare providers, health system administrators, researchers, and government agencies about practices that can improve patient safety across the healthcare system—from hospitals to primary care practices, long-term care facilities, and other healthcare settings.
Failure To Rescue – Rapid Response Systems
Failure To Rescue – Rapid Response Systems: The Agency for Healthcare Research and Quality (AHRQ) Making Healthcare Safer (MHS) reports consolidate information for healthcare providers, health system administrators, researchers, and government agencies about practices that can improve patient safety across the healthcare system—from hospitals to primary care practices, long-term care facilities, and other healthcare settings. In spring 2023, AHRQ launched its fourth iteration of the MHS Report (MHS IV).
Making Healthcare Safer IV
Making Healthcare Safer IV: AHRQ’s fourth iteration of Making Healthcare Safer intends to address this issue by publishing evidence-based reviews of patient safety practices and topics as they are completed. This intentional release of updated reviews will aid healthcare organization leaders in prioritizing implementation of evidence-based practices in a timelier way. The report also will help researchers identify where more research is needed in a timelier way and assist policymakers in understanding which patient safety practices have the supporting evidence for promotion.
Workplace Safety Supplemental Item Set for Hospital SOPS
Workplace Safety Supplemental Item Set for Hospital SOPS: The SOPS® Workplace Safety Supplemental Items for the Hospital Survey were developed and pilot tested for use with the core SOPS Hospital Survey to help hospitals assess the extent to which their organization’s culture supports workplace safety for providers and staff.
Hospital Survey on Patient Safety Culture
Hospital Survey on Patient Safety Culture: The Hospital SOPS asks providers and staff for their opinions about the culture of patient safety in their hospitals.
Using AHRQ’s SOPS® Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association (Webcast)
Using AHRQ’s SOPS® Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association (Webcast): This webcast discussed Indiana Hospital Association’s experiences using the Surveys on Patient Safety Culture® (SOPS®) Hospital Survey and Workplace Safety Item Set. They shared their member organizations’ survey results, how SOPS resources were used, and their focus on initiatives to address workplace safety, including burnout. Recent research about the relationship between hospital workplace safety and patient safety culture, job satisfaction, and intent to leave was also shared.
May 23, 3:30 to 4:30 p.m. ET: Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey and Workplace Safety Item Set will highlight how the Indiana Hospital Association used AHRQ’s Surveys on Patient Safety Culture® (SOPS®) Hospital Survey and Workplace Safety Supplemental Item Set to assess patient safety culture and workplace safety.
Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data
Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data: The webinar will discuss how patient experience professionals use multiple feedback methods to fully capture the patient voice. Speakers will describe how additional feedback methods complement CAHPS data, and how this integration of data sources informs their efforts to identify improvement areas and potential solutions.
May 8, 1 to 2 p.m. ET: Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data will highlight how patient experience professionals use multiple patient feedback methods to complement AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS®) data.
Webinar Series: Strengthening Primary Care Research
Webinar Series: Strengthening Primary Care Research: This series of webinars focuses on how to strengthen AHRQ’s primary research. For recordings of the presentations and slides, reference the webinars.
May 2, noon to 1:15 p.m. ET: Research Methods for Studying the Primary Care Workforce will feature three AHRQ grantees who developed methodologies to understand the optimal structure and composition of primary care teams and measure the impacts of adding nurse practitioners into primary care.v
Procedure Classes Refined for ICD-10-PCS, v2024.1
https://hcup-us.ahrq.gov/toolssoftware/procedureicd10/procedure_icd10.jsp
The Procedure Classes Refined for the ICD-10-PCS is one in a family of databases and software tools developed as part of the Healthcare Cost and Utilization Project (HCUP), a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality (AHRQ). HCUP databases, tools, and software inform decision making at the national, State, and community levels.
Surgery Flags Software for Services and Procedures, v2023.1
https://hcup-us.ahrq.gov/toolssoftware/surgeryflags_svcproc/surgeryflagssvc_proc.jsp
The Surgery Flags Software for Services and Procedures is one in a family of databases and software tools developed as part of the Healthcare Cost and Utilization Project (HCUP), a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality (AHRQ). HCUP databases, tools, and software inform decision making at the national, State, and community levels.
Clinical Classifications Software for Services and Procedures, v2023.1
https://hcup-us.ahrq.gov/toolssoftware/ccs_svcsproc/ccssvcproc.jsp
The Clinical Classifications Software for Services and Procedures (CCS-Services and Procedures) is one in a family of databases and software tools developed as part of the Healthcare Cost and Utilization Project (HCUP), a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality. HCUP databases, tools, and software inform decision making at the national, State, and community levels.
Healthcare Delivery of Clinical Preventive Services for People with Disabilities
Healthcare Delivery of Clinical Preventive Services for People with Disabilities: The purpose of this systematic review was to document and summarize reported barriers and facilitators to the receipt of selected clinical preventive services among people with disabilities, and to identify and synthesize the literature on the effectiveness of interventions to improve the receipt of selected clinical preventive services among people with disabilities.
martes, 23 de abril de 2024
Comparison of Hospital Mortality and Readmission Rates by Physician and Patient Sex
https://www.acpjournals.org/doi/10.7326/M23-3163?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_30aDXNEtLbavuVKRV5OvjYdCyE6spguYnGsepq4vWt98xfe0vNhmQFU8nczLTcPccPKyW1ElTLbe_toHTZrL3PJfk3w&_hsmi=303866047&utm_content=303866047&utm_source=hs_email
Female physicians deliver better results, especially for female patients
A large new study published yesterday in Annals of Internal Medicine found that in a cohort of close to 800,000 Medicare patients, those who were treated by a female physician had lower mortality and readmission rates. While previous research has shown that patients see better outcomes with female physicians, here the improvement was especially significant for female patients, STAT’s Nalis Merelli tells us.
“Generally speaking, miscommunication, misunderstanding, and bias are more likely to occur when those in the majority become advocates for the minority,” Atsushi Miyawaki, the study’s corresponding author, said in an email to STAT — like when a male physician treats a female patient. Male patients had similar mortality and readmission rates regardless of their physician’s gender, something that Miyawaki said should be subject to further investigation.
National Center for Excellence in Primary Care Research
National Center for Excellence in Primary Care Research: AHRQ’s research to advance primary care infrastructure, delivery and outcomes. The National Center for Excellence in Primary Care Research (NCEPCR) is the intellectual home for primary care research at AHRQ. The NCEPCR is focused on the Nation's primary care system, providing evidence, practical tools, and other resources for researchers and evaluators, clinicians and clinical teams, quality improvement experts, and healthcare decision makers to improve the quality and safety of care. The NCEPCR is committed to listening to and learning from all members of the primary care community, including patients and families.
Webinar Series: Strengthening Primary Care Research May 2 Webinar
Webinar Series: Strengthening Primary Care Research: This series of webinars focuses on how to strengthen AHRQ’s primary research. For recordings of the presentations and slides, reference the webinars.
lunes, 22 de abril de 2024
Using AHRQ’s SOPS® Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association (Webcast)
Using AHRQ’s SOPS® Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association (Webcast): This webcast discussed Indiana Hospital Association’s experiences using the Surveys on Patient Safety Culture® (SOPS®) Hospital Survey and Workplace Safety Item Set. They shared their member organizations’ survey results, how SOPS resources were used, and their focus on initiatives to address workplace safety, including burnout. Recent research about the relationship between hospital workplace safety and patient safety culture, job satisfaction, and intent to leave was also shared.
Join us for the National Center on Substance Abuse and Child Welfare’s (NCSACW) upcoming webinar! Peer Support: A Path to Hope and Family Recovery Thursday, May 2, 2024, 1 – 2 p.m. ET
https://cffutures.zoom.us/webinar/register/WN_kvphAEWeRcqo7FzmkbhbTA?utm_source=SAMHSA&utm_campaign=ae0dea18ab-EMAIL_CAMPAIGN_2024_04_17_12_19&utm_medium=email&utm_term=0_-ae0dea18ab-%5BLIST_EMAIL_ID%5D#/registration
Join this webinar to learn how peer support specialists instill hope and illuminate a pathway to recovery for families affected by substance use and involved with child welfare services. Peer support specialists will offer details on what makes these powerful programs work and what you can do to start one in your community.
Peer support programs play an integral role in an effective system of care for families. Goals of peer support programs include to: 1) expedite access to substance use services and treatment, 2) reduce obstacles to recovery, 3) support families to meet the requirements of their treatment and child welfare case plans, and 4) help families remain together.
Attendees will learn how to implement the new Four-Module Toolkit for Peer and Recovery Support Programs for Families Affected by Substance Use and Involved with Child Welfare Services and
Understand the benefits of peer support specialist programs to engage families in substance use and other services.
Identify considerations to design a peer support specialist program.
Identify strategies to hire and retain peer support specialists.
Presenters: Hanh Dao, Dawnia R. Flonnoy, Semaj Newton, and Chelsea Schoetzow
NCSACW is a national resource center providing information, expert consultation, training, and technical assistance to child welfare, dependency court, and substance use treatment professionals to improve the safety, permanency, well-being, and recovery outcomes for children, parents, and families.
Development and Validation of an 18-Gene Urine Test for High-Grade Prostate Cancer
https://jamanetwork.com/journals/jamaoncology/fullarticle/2817657
From the article: "Can a new 18-gene urinary test for high-grade prostate cancer (ie, grade group [GG] 2 or greater) improve prostate-specific antigen (PSA) screening outcomes relative to existing biomarker tests? Findings: In this diagnostic study including 761 men in the development cohort and 743 men in the validation cohort, novel cancer-specific and high-grade cancer-specific genes were identified from RNA sequencing data and optimally modeled in a development cohort, yielding an 18-gene test for high-grade prostate cancer. Applying a testing approach with 95% sensitivity for high-grade prostate cancer to an external validation population, use of the 18-gene test would have reduced the number of unnecessary biopsies performed relative to current guideline-endorsed tests. Meaning: The new 18-gene prostate cancer test may reduce more burdensome additional testing (eg, imaging and biopsy) while maintaining highly sensitive detection of high-grade cancer in patients undergoing PSA screening. "
Microbiome-based therapeutics Published: April 8, 2024
https://www.thelancet.com/series/Microbiome-based-therapeutics
The gut microbiome plays an important part in a number of gastrointestinal conditions, including Clostridioides difficile infection and inflammatory bowel disease. Interest in modulating the gut microbiome, through prebiotics, probiotics, and natural or artificial microbiota therapeutics, has increased markedly in the past decade. Although the field has developed rapidly, it has faced reproducibility issues and encountered safety and regulatory hurdles. This two-part Series explores the development and promise of artificial microbiome therapeutics, and the current and future perspectives for microbiota therapies for treating inflammatory bowel disease.
Genome-first evaluation with exome sequence and clinical data uncovers underdiagnosed genetic disorders in a large healthcare system
https://www.cell.com/cell-reports-medicine/fulltext/S2666-3791(24)00187-3
From the abstract: "Population-based genomic screening may help diagnose individuals with disease-risk variants. Here, we perform a genome-first evaluation for nine disorders in 29,039 participants with linked exome sequences and electronic health records (EHRs). We identify 614 individuals with 303 pathogenic/likely pathogenic or predicted loss-of-function (P/LP/LoF) variants, yielding 644 observations; 487 observations (76%) lack a corresponding clinical diagnosis in the EHR."
domingo, 21 de abril de 2024
AHRQ EPC Program Grand Rounds - Making Healthcare Safer. April 17, 2024
Agency for Healthcare Research and Quality Evidence-based Practice Center and the Scientific Resource Center. April 29, 2024, 12:00-2:00 PM (eastern)
https://psnet.ahrq.gov/issue/ahrq-epc-program-grand-rounds-making-healthcare-safer
"Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. April 17, 2024
https://psnet.ahrq.gov/issue/black-women-should-not-die-giving-life-lived-experiences-black-women-diagnosed-severe
"Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States.
Post W, Thomas AD, Sutton KM. Birth. 2024;Epub Apr 2.
Structural racism and discrimination can impede safe maternal care. This qualitative study among Black women highlighted how their severe maternal morbidity (SMM) experiences relate to manifestations of racism through communication failures and stereotyping, differential treatment, and medical errors/near misses.
Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. April 17, 2024
https://psnet.ahrq.gov/issue/unmasking-bias-artificial-intelligence-systematic-review-bias-detection-and-mitigation
Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models.
Chen F, Wang L, Hong J, et al. J Am Med Inform Assoc. 2024.
When biased data are used for research, the results may reflect the same biases if appropriate precautions are not taken. In this systematic review, researchers describe possible types of bias (e.g., implicit, selection) that can result from research with artificial intelligence (AI) using electronic health record (EHR) data. Along with recommendations to reduce introducing bias into the data model, the authors stress the importance of standardized reporting of model development and real-world testing.
Impact of repeated reimbursement penalties on hospital total quality scores. April 17, 2024
https://psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores
Impact of repeated reimbursement penalties on hospital total quality scores.
Brewer A, Hughes MC, Patel KN. J Patient Saf. 2024;20(3):198-201.
The Hospital-Acquired Condition (HAC) Reduction Program (HACRP) assesses penalties on hospitals with high rates of HAC. This study explores the impact of repeated HACRP penalties on hospital improvement and variation by hospital characteristics. When considering all hospitals, repeated HACRP penalties resulted in improved HAC scores. Hospitals with disproportionate shares of Medicare and Medicaid patients showed less improvement; the researchers note that the differential improvement may be due to resource limitations at hospitals serving vulnerable populations (i.e., Medicare and Medicaid patients).