The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services value-based purchasing metrics. August 28, 2024

https://psnet.ahrq.gov/issue/relationship-between-hospital-patient-safety-culture-and-performance-centers-medicare The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services value-based purchasing metrics. Noghrehchi P, Hefner JL, Walker DM. Health Care Manage Rev. 2024;49(4):281-290. Previous research has shown that a positive safety culture can improve patient outcomes. This cross-sectional study examined the association between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services (CMS) Hospital Value-Based Purchasing (HVBP) metrics. The researchers found that a positive patient safety culture was associated with better overall hospital performance scores and better scores on specific HVBP domains reflecting safety and patient engagement.

Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic excellence. August 28, 2024

https://psnet.ahrq.gov/issue/diagnostic-errors-obstetric-morbidity-and-mortality-methods-and-challenges-seeking-diagnostic Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic excellence. Krenitsky NM, Perez-Urbano I, Goffman D. J Clin Med. 2024;13(14):4245. Eliminating preventable maternal morbidity and mortality is a global public health challenge. Missed and delayed diagnosis is a key contributor to preventable maternal harm. This article outlines five research methods and a framework in which researchers can study rates of harm due to diagnostic error.

The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review. August 28, 2024

https://psnet.ahrq.gov/issue/lingering-safety-menace-10-year-review-enteral-misconnection-adverse-events-and-narrative The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review. Ethington S, Volpe A, Guenter P, et al. Nutr Clin Prac. 2024;Epub Jul 18. Despite organizational guidelines, federal reports, and equipment redesign, tubing misconnections continue to occur. This review updates the 2011 article, Tubing misconnections: normalization of deviance, with a further 96 case reports of errors resulting from tubing misconnections. Harm was reported in 69% of cases and death was reported in 4% of cases. The authors urge all healthcare organizations to transition from universal connectors to syringes and tubing designed to be compatible only with themselves (for example, use of enteral tube with a unique connector that cannot be connected to an intravenous syringe).

The Lancet Cardiology Commissions: advancing cardiac care Joint session with The Lancet calendar_month 1 September from 13:45 to 15:00 place Valletta co_present Official Joint Session ecg_heart e-Cardiology/Digital Health

https://esc365.escardio.org/ESC-Congress/sessions/12137?utm_campaign=conferencealerts&utm_medium=email&_hsenc=p2ANqtz-_cRhhsDNgLeLXXcC50kxQHptlHIdzZikMUgdwsNMaoUfjJ2ed5340_uCHeAoX-vWRnI_oALyLi3Dv2fJtu-QsFA___rw&_hsmi=322237161&utm_content=322237161&utm_source=hs_email We are pleased to announce our session at the upcoming European Society of Cardiology Congress 2024 in London, UK. Session co-chairs, Richard Horton, The Lancet, Silvia Giuliana Priori, University of Pavia, and Flávia Geraldes, The Lancet, are joined by Commissioners who will provide updates to and announce new Lancet Commissions dedicated to advancing cardiac care.

Forum on Advancing Diagnostic Excellence: Register Now for Sept. 23–24 Workshop on Advancing Equity in Diagnostic Excellence

https://www.nationalacademies.org/our-work/forum-on-advancing-diagnostic-excellence The National Academies of Sciences, Engineering, and Medicine have established the Forum on Advancing Diagnostic Excellence to foster ongoing dialogue examining the current scientific landscape and research opportunities for improving diagnosis within the U.S. health care system, with emphasis on conditions and populations with the greatest risk of harm from diagnostic errors. Roundtable on the Promotion of Health Equity The Roundtable on the Promotion of Health Equity hosts workshops two times per year on issues relating to health disparities and the promotion of health equity, specifically concerning racial and ethnic populations. Following the workshops, proceedings (a written account of the workshop) are disseminated to the public for free download. https://www.nationalacademies.org/our-work/roundtable-on-the-promotion-of-health-equity Advancing Equity in Diagnostic Excellence to Reduce Health Disparities: A Workshop https://www.nationalacademies.org/event/43298_09-2024_advancing-equity-in-diagnostic-excellence-to-reduce-health-disparities-a-workshop

Patient Safety Research Summaries

Patient Safety Research Summaries: As the lead federal agency for advancing patient safety, AHRQ invests in research and implementation projects that bridge the gap between research and the delivery of safer patient care. AHRQ's patient safety research summaries reflect the work of agency grantees and contractors. Organized by theme, the summaries provide brief descriptions of individual projects as well as research highlights.

AHRQ Papers on Diagnostic Safety Topics

AHRQ Papers on Diagnostic Safety Topics: Diagnostic errors occur in all settings of care, contribute to about 10 percent of patient deaths, and are the primary reason for medical liability claims. AHRQ is the lead Federal agency investing in research to improve diagnostic safety and reduce diagnostic error. AHRQ is currently developing a series of papers on different diagnostic safety issues, which will be released over the next year.

Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study

Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study: Diagnostic error was found to be one of the most prominent patient safety risks at the Sociedade Beneficente Israelita Brasileira Albert Einstein (SBIBAE), a tertiary care health system in São Paolo, Brazil. This health system consists of five high-complexity hospitals, two private (with 746 beds) and three public (with 889 beds) and provides both inpatient and outpatient care. The health system uses an anonymous incident reporting system, enabling employees to report potential adverse events, near-misses, or areas of risk across the entire health system.

20 Years of Impactful Telehealthcare Research from AHRQ’s Digital Healthcare Research Program

20 Years of Impactful Telehealthcare Research from AHRQ’s Digital Healthcare Research Program: AHRQ’s Digital Healthcare Research Program, which this year commemorates its 20th anniversary, has consistently encouraged the adoption of technologies to enhance not only healthcare quality and safety, but access too. This blog describes AHRQ’s instrumental role in building the foundation for telehealthcare.

4 Tips: Start Talking With Your Health Care Providers About Complementary Health Approaches

https://www.nccih.nih.gov/health/tips/tips-start-talking-with-your-health-care-providers-about-complementary-health-approaches?nav=govd If you use complementary health approaches, you may want to share this information with your health care providers. Keeping your providers fully informed helps you stay in control and effectively manage your health. Telling your providers about the dietary supplements you use is especially important. Some supplements can interact in harmful ways with medicines. If your providers know what you’re taking, they can help you avoid this problem. Your health care providers may be able to help you find information about the safety and effectiveness of any complementary approaches you’re considering. And if the approach involves seeing a practitioner, such as an acupuncturist, chiropractor, or massage therapist, they may be able to recommend someone in your area.

FDA Drug Topics: The Bad Ad Program Fecha y hora24 sept 2024 02:00 p. m.

https://fda.zoomgov.com/webinar/register/WN_T_cL5O7ISnWIpgBbJ-Zhyg?utm_medium=email&utm_source=govdelivery#/registration Description: This series of educational webinars is designed to aid physicians, physician assistants, nurse practitioners, nurses, pharmacists, pharmacy technicians, certified public health professionals, other health care professionals, and students, to provide better patient care by knowing how to find relevant FDA regulatory information that will improve drug safety. There are several innovative opportunities to collaborate with the FDA. This webinar will focus in on the FDA's Bad Ad Program. It will provide an overview of prescription drug promotion and its regulation along with information on how healthcare professionals can report potentially false or misleading prescription drug promotion to the FDA.

Examining patterns of family resilience and neighborhood cohesion as moderators of the effects of adverse childhood experiences on the mental health of Black adolescents

https://pubmed.ncbi.nlm.nih.gov/39146071/ Examining patterns of family resilience and neighborhood cohesion as moderators of the effects of adverse childhood experiences on the mental health of Black adolescents Adverse childhood experiences (ACEs) confer risk to the mental health of Black youth, but few studies have examined how youth gender, family, and neighborhood factors jointly influence the psychological impact of adversity. This study investigates if family resilience and neighborhood cohesion jointly moderate the link between latent ACE profiles and mental health among Black girls and boys. The study uses data from the National Survey of Children's Health, combined across the years 2016 through 2021, and includes a nationally representative sample of 5,493 Black youth (48% female) between the ages of 12 and 17. Author: Donte L. Bernard, Todd M. Jensen, and Paul J. Lanier Journal: Journal of Psychopathology and Clinical Science, August 15

The population-level effects of omitting chemotherapy guided by a 21-gene expression assay in node-positive breast cancer: a simulation modeling study

https://pubmed.ncbi.nlm.nih.gov/39118050/ The population-level effects of omitting chemotherapy guided by a 21-gene expression assay in node-positive breast cancer: a simulation modeling study In this study, researchers adapted an existing, validated, discrete-event simulation model to extend the published RxPONDER trial data to estimate long-term, population-level breast cancer outcomes in women diagnosed with HR+, HER2-, node-positive (1–3 nodes) breast cancer with a RS of ≤ 25. The overarching goal of this study was to extend trial results to estimate population-level outcomes and support the integration of trial findings into clinical practice. Author: Kaitlyn M. Wojcik*, Jennifer L. Caswell-Jin, Oliver W. A. Wilson*, Clyde Schechter, Dalya Kamil*, Allison W. Kurian, and Jinani Jayasekera Journal: BMC Cancer, August 8

Study of Postacute Sequelae of COVID-19 Using Digital Wearables: Protocol for a Prospective Longitudinal Observational Study

https://pubmed.ncbi.nlm.nih.gov/39150750/ Study of postacute sequelae of COVID-19 using digital wearables: Protocol for a prospective longitudinal observational study Postacute sequelae of COVID-19 (PASC) remain understudied in nonhospitalized patients. Digital wearables allow for a continuous collection of physiological parameters such as respiratory rate and oxygen saturation that have been predictive of disease trajectories in hospitalized patients. This protocol outlines the design and procedures of a prospective, longitudinal, observational study of PASC that aims to identify wearables-collected physiological parameters that are associated with PASC in patients with a positive diagnosis. Author: Sherine El-Toukhy*, Phillip Hegeman*, Gabrielle Zuckerman*, Anirban Roy Das, Nia Moses*, James Troendle, and Tiffany M. Powell-Wiley* Journal: JMIR Research Protocols, August 16

FDA Releases Important Information About Risk of COVID-19 Due to SARS-CoV-2 Viral Variants with Substantially Reduced Susceptibility to Pemgarda (pemivibart)

https://content.govdelivery.com/accounts/USFDA/bulletins/3b1344f The U.S. Food and Drug Administration today revised the Emergency Use Authorization (EUA) for Pemgarda (pemivibart) to limit its use to when the combined national frequency of variants with substantially reduced susceptibility to Pemgarda is less than or equal to 90%. This revision is based on available information including variant susceptibility to Pemgarda and national variant frequencies. FDA is proactively incorporating this Limitation of Authorized Use in the event that variants with substantially reduced susceptibility to Pemgarda reach this threshold. Pemgarda remains authorized for emergency use for pre-exposure prevention of COVID-19, consistent with its terms and conditions as detailed in the Letter of Authorization, at this time. FDA also added important information to the authorized fact sheets to inform health care providers and individuals receiving Pemgarda of the increased risk for developing COVID-19 when exposed to variants of SARS-CoV-2 that have substantially reduced susceptibility to Pemgarda. Detailed neutralization data can be found in the revised authorized Fact Sheet for Health Care Providers. Health care providers should inform patients of this risk and advise patients who develop signs or symptoms of COVID-19 to test for SARS-CoV-2 infection and promptly seek medical attention, including starting treatment for COVID-19, as appropriate, if they test positive. The most frequently reported SARS-CoV-2 viral variants circulating at this time in the US are KP.3 and KP.3.1.1. Based on CDC’s Nowcast estimates from August 17, 2024, KP.3 comprises approximately 17% of circulating variants in the US and KP.3.1.1 comprises approximately 37% of circulating variants in the US. Based on the data currently available (see Section 12.4 of the Fact Sheet for Health Care Providers), Pemgarda is likely to retain adequate neutralization activity against KP.3. Preliminary, non-peer reviewed data in the public domain indicate that KP.3.1.1 may have substantially reduced susceptibility to Pemgarda. The fact sheet will be updated as more data become available.

Upcoming Opportunity to Join AHRQ’s Evidence-based Practice Center Division

https://www.ahrq.gov/ The Agency for Healthcare Research and Quality (AHRQ) announces an upcoming exciting job opportunity: Deputy Director of the Evidence-based Practice Center Division. AHRQ produces evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and work within the U.S. DHHS and with other partners to make sure that evidence is understood and used. In support of this mission, the EPC Division produces evidence syntheses using robust and rigorous methodologies and advances the methods of evidence synthesis to ensure scientific rigor and unbiased reviews. Duties of the Deputy Division Director include: (1) overseeing evidence synthesis on a variety of clinical or healthcare delivery topics such as models of care, behavioral or other complex interventions, pharmaceuticals, devices, etc., as well as on systematic review and other translation methodologies; (2) providing direction on the program’s portfolio of new evidence review topics (3) representing the Center for Evidence and Practice Improvement (CEPI) and AHRQ on committees and workgroups that focus on evidence synthesis methods, within AHRQ, Department of Health and Human Services (DHHS), the federal government, or with other groups; and (4) developing, managing, and analyzing studies/projects within his/her area of expertise, and serving as a subject matter expert for major research projects conducted and supported in his/her area of expertise. The successful candidate should have knowledge in evidence synthesis and evidence-based practice; ability to lead and direct projects involving the input of groups and individuals with differing interests and views; and ability to establish and maintain productive relationships with national organizations to stay aware of the newest research, methods, and developments. Additional information about the EPC Program can be found in the link here: https://effectivehealthcare.ahrq.gov/about/epc.

Evidence-based Practice Centers

Evidence-based Practice Centers: The Agency for Healthcare Research and Quality (AHRQ) created the Evidence-based Practice Centers (EPCs) in 1997 to conduct evidence reports for the Effective Health Care (EHC) Program. In December 2019, the latest 5-year contracts were awarded to 9 EPCs.

Israel implements automated doctors note, revolutionizing sick days Insured Israelis will soon be able to obtain a digitalized doctor's certificate without visiting a doctor, significantly reducing doctors' loads. By DR. ITAY GAL AUGUST 27, 2024 17:01

Israel implements automated doctors note, revolutionizing sick days Insured Israelis will soon be able to obtain a digitalized doctor's certificate without visiting a doctor, significantly reducing doctors' loads. By DR. ITAY GAL AUGUST 27, 2024 17:01 https://www.jpost.com/health-and-wellness/article-816612

Environmental Measurement Workshop

https://www.nist.gov/news-events/events/2024/09/environmental-measurement-workshop The National Institute of Standards and Technology (NIST) is having a workshop on September 10 – 12, 2024 being held both in-person at the National Cybersecurity Center of Excellence in Rockville, MD, and online. The purpose of this workshop is to assess the present state-of-the-art of sensors and supporting infrastructure used to measure and quantify the local, regional, and global state of the environment and how it is changing in time and in response to natural and anthropogenic forcings. Additionally, NIST is seeking information on what new measurement technologies, testbeds, measurement comparisons, calibration services, Standard Reference Materials (SRMs), and documentary standards are needed to advance the breadth, accuracy, continuity, and comparability of environmental measurements. The agenda will feature talks by the following speakers: Lucy Hutyra, Boston University Ken Davis, Penn State University Janae Csavina, NEON / Battelle Jonathan Thompson, Harvard Forest Trevor Keenan, UC Berkeley / AmeriFlux / FluxNet Registration Information In-person Registration Fee: $120/person (fee includes all-day beverage service, AM/PM snacks, and a boxed lunch for both days) Virtual Registration Fee: $45/person Hotel Information A block of rooms has been reserved at the following location: Sheraton Rockville Address: 920 King Farm Boulevard Rockville, MD 20850 Rate: $119/person (excluding taxes) Rate includes: Breakfast and Shuttle to and from NCCoE, as well as free parking and WiFi. Last day to book your room at this rate is September 2, 2024. Please see event page for more information. In-person registration closes this Friday, August 30. Virtual registration will close on September 2, 2024.

Common Formats for Surveillance - Hospital Version 1.0: Event Descriptions

https://www.psoppc.org/psoppc_web/publicpages/surveillancecommonformats Now Available: Common Formats for Surveillance - Hospital Version 1.0 The Agency for Healthcare Research and Quality (AHRQ) has recently released Common Formats for Surveillance – Hospital Version 1.0. Common Formats for Surveillance are designed to be used in retrospective health record review to identify whether specified patient safety events occurred. These formats facilitate improved detection of events and calculation of adverse event rates in populations reviewed. The CFS – Hospital Version 1.0 includes: Description of adverse events (Event Descriptions) Technical Release Notes Event Descriptions Overview and Application Guide Tabular accounting of data collected for the application of event descriptions https://www.psoppc.org/psoppc_web/publicpages/openforcomment

20 Years of Impactful Telehealthcare Research from AHRQ’s Digital Healthcare Research Program

20 Years of Impactful Telehealthcare Research from AHRQ’s Digital Healthcare Research Program: AHRQ’s Digital Healthcare Research Program, which this year commemorates its 20th anniversary, has consistently encouraged the adoption of technologies to enhance not only healthcare quality and safety, but access too. This blog describes AHRQ’s instrumental role in building the foundation for telehealthcare.

Cautious Optimism in San Francisco as New Cases of HIV in Latinos Decrease By Vanessa G. Sánchez Updated August 22, 2024 Originally Published August 21, 2024

https://kffhealthnews.org/news/article/hiv-cases-hispanic-latino-disparity-san-francisco-cautious-optimism/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-8HXAm6TeSf6qtXB0duwD_AE8m3TePLH-7qWY3np6-NzCRDEGPZW4jBoHi2W4Wqb0X9Q3CgAc7UbfNWtFEk7dpWKzzVNg&_hsmi=321442079&utm_content=321442079&utm_source=hs_email Cautious Optimism in San Francisco as New Cases of HIV in Latinos Decrease By Vanessa G. Sánchez New HIV diagnoses have decreased among Latinos in San Francisco, potentially marking the first time in five years that the group hasn’t accounted for the largest number of new cases. Public health experts express cautious optimism, but outreach workers warn that many Latinos still struggle to find testing and treatment.

Disability Rights Activist Pushes Government To Let Him Participate in Society By Tony Leys August 23, 2024

https://kffhealthnews.org/news/article/disability-rights-activist-iowa-federal-policy-caregiver-pay/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-8lfEpbeeueQpFoV1882-3waWBBje9d0giNBz2rWEPdkyovoBX7PfcVCrnceTf9VJy6IdNMUZrBu56GezBSdi9tTbvUxg&_hsmi=321442079&utm_content=321442079&utm_source=hs_email Disability Rights Activist Pushes Government To Let Him Participate in Society By Tony Leys Garret Frey won a U.S. Supreme Court case as a teenager who needed assistance to attend high school. Now, he’s gained concessions under Iowa’s Medicaid program to help him live at home instead of in a care facility.

Traveling To Die: The Latest Form of Medical Tourism By Debby Waldman August 20, 2024

https://kffhealthnews.org/news/article/aid-in-dying-travel-medical-tourism-vermont-oregon-state-legislation/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz--iTNoi2kVdZLcxqBCY8xAQSPX5hPhkwZwvBoZuUttUPZ-qmUzIUuyV2k9m9eVWnYoW4_F2VrIlCariNlwgi9AnQUeoJw&_hsmi=321442079&utm_content=321442079&utm_source=hs_email Traveling To Die: The Latest Form of Medical Tourism By Debby Waldman Medical aid in death is legal in 10 states and the District of Columbia. But only Oregon and Vermont explicitly allow out-of-state people who are terminally ill to die with assistance there. So far, at least 49 people have made the trek while state legislation stalls elsewhere.

Harris-Walz Ticket Sharpens Contrast With Trump-Vance on Health Care By Stephanie Armour August 19, 2024

https://kffhealthnews.org/news/article/harris-walz-ticket-health-policy-contrast-trump-vance-dnc/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-8xDgaiDVY8uyVS11hzc5kIfXVzbO6zyABF0w8XXKxc4E8ipRy_HO4FGSgTosq7eSGnpcn-MNDRUTrDXiNZhL1FAqKbog&_hsmi=321442079&utm_content=321442079&utm_source=hs_email Harris-Walz Ticket Sharpens Contrast With Trump-Vance on Health Care By Stephanie Armour As Democrats convene in Chicago to make official their presidential and vice presidential nominees, Vice President Kamala Harris and Minnesota Gov. Tim Walz together are raising the prominence of health care as a 2024 election issue.

Biden Administration Blocks Two Private Sector Enrollment Sites From ACA Marketplace By Julie Appleby August 22, 2024

https://kffhealthnews.org/news/article/aca-obamacare-plan-switching-fraud-lawsuit-benefitalign-inshura-blocked-access/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9iNV87TmF61joLE2LhA-aGcGLjK_WbRVaNBMusZP6WbllP3mR0VFbEp5z6uMkKXSoiKkbKL8tddkt6B6gFIx44_hRE-g&_hsmi=321442079&utm_content=321442079&utm_source=hs_email Biden Administration Blocks Two Private Sector Enrollment Sites From ACA Marketplace By Julie Appleby Regulators have been under the gun to curb unauthorized Obamacare enrollment and switching of plans. Separately, a pending lawsuit was amended with additional defendants and new allegations regarding tactics to garner greater ACA sales commissions.

Bipartisan Effort Paves Way for Reviving Shuttered Hospitals in Georgia By Andy Miller and Sam Whitehead August 19, 2024

https://kffhealthnews.org/news/article/certificate-of-need-con-georgia-hospitals-bipartisan/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_ZWX05fEKLQFOYfJfhAcsJI12N27rItN39Eik3Iqvvr26_TB6xbMExsDCOyKo1qVbBQtqLgWd-BXUnaPO4TrVr5QFoWg&_hsmi=321442079&utm_content=321442079&utm_source=hs_email Bipartisan Effort Paves Way for Reviving Shuttered Hospitals in Georgia By Andy Miller and Sam Whitehead “Certificate of need” laws, largely supported by the hospital industry, limit health facility construction in 35 states and Washington, D.C. Georgia lawmakers decided its law was complicating the reviving of two hospitals critical to their communities.

A Teen’s Murder, Mold in the Walls: Unfulfilled Promises Haunt Public Housing By Fred Clasen-Kelly and Renuka Rayasam August 22, 2024

https://kffhealthnews.org/news/article/public-housing-unhealthy-conditions-yamacraw-village-georgia-hud-funding-backlog/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_LiK26MxB2pWquTOCVqSRDRxmR-oEhKmIUVLOFgp8PlJ3Ox_J8P4sBkI7T7ggIC1I0sUt1EYr37kJyyHdWbO0k6XVUsA&_hsmi=321442079&utm_content=321442079&utm_source=hs_email A Teen’s Murder, Mold in the Walls: Unfulfilled Promises Haunt Public Housing By Fred Clasen-Kelly and Renuka Rayasam For years, federal lawmakers have failed to deliver the money needed to fix derelict public housing, leaving tenants — mostly people of color and families with low incomes — living with mold and gun violence that has had lasting health consequences.

Patient Underwent One Surgery but Was Billed for Two. Even After Being Sued, She Refused To Pay. By Tony Leys August 21, 2024

https://kffhealthnews.org/news/article/bill-of-the-month-one-surgery-charged-for-two-collections-lawsuit/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-8vVQw-HBu1ZQiJopeycQWvyyJoboHUjZhfPzNasUSvNhMeiqFbkwPYbhn-Le1JWGFaFoeTTrXtFKIbQWVs_0iGzaZPJA&_hsmi=321442079&utm_content=321442079&utm_source=hs_email Patient Underwent One Surgery but Was Billed for Two. Even After Being Sued, She Refused To Pay. By Tony Leys A collection agency sought court authority to garnish a patient’s wages to pay a disputed surgery bill. But after the patient showed up in court to argue the bill was bogus, the judge declined to let the bill collector seize her money.

September 13 Council Meeting To Spotlight CARE for Health Network and NIH Nutrition Initiatives

https://www.nccih.nih.gov/research/blog/september-13-council-meeting-to-spotlight-care-for-health-network-and-nih-nutrition-initiatives?nav=govd We welcome you to join us for the upcoming open session of the National Advisory Council for Complementary and Integrative Health (NACCIH) meeting on Friday, September 13, 2024. The open session will be livestreamed on NIH VideoCast from 10:40 a.m. to 4 p.m. ET, and the recorded video will be posted several days later. Registration to watch the livestream is not necessary, and all are invited to attend online. There is also limited space available to attend the meeting in person on the National Institutes of Health (NIH) campus in Bethesda, Maryland. The NACCIH is charged with advising, consulting with, and making recommendations to the director of the National Center for Complementary and Integrative Health (NCCIH) on matters relating to the Center’s research activities and functions. In the open session of the meeting, NCCIH staff provide updates on the Center’s activities, policies, and funding priorities, and one or more speakers from outside NCCIH may be invited to present on topics relevant to the Center.

Beyond COVID-19: the promise of next-generation coronavirus vaccines

https://www.nature.com/articles/s44298-024-00043-3?utm_campaign=+61911015&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term= Acknowledging the potential for a new coronavirus (CoV) to emerge, infect humans, and possibly cause disease, a NIAID research group has shared preparedness recommendations after evaluating more than 10 existing CoV vaccines and another 20 in development. Their advice, published in npj Viruses, emphasizes using a tiered approach and developing vaccines delivered via muscle injection and nasal administration. The tiered approach prioritizes, in descending order: first, creating COVID-19 vaccines that protect against all variants of concern; second, developing an effective vaccine against all sarbecoviruses (e.g. SARS-CoV-1 and SARS-CoV-2); third, making a vaccine against all beta coronaviruses; and lastly, developing a universal coronavirus vaccine. However, the work will be challenging, due to the numerous obstacles CoVs pose as they evolve and diversify.

Medical Therapies for Locally Advanced Gastric Adenocarcinoma

Medical Therapies for Locally Advanced Gastric Adenocarcinoma: The primary goal of this systematic review (SR) is to summarize the pertinent evidence so that patients and clinicians can select the best treatment option and policymakers can make sound recommendations on optimal treatment for non-metastatic, locally advanced gastric adenocarcinoma.

Treatment of Stage I-III Squamous Cell Anal Cancer

Treatment of Stage I-III Squamous Cell Anal Cancer: CRT with 5FU plus MMC has remained the standard treatment for stages I–III SCCA for several decades, despite clinical uncertainties and technological advancements. This systematic review assesses the effectiveness and harms of different strategies for the initial treatment of stages I–III SCCA.

viernes, 23 de agosto de 2024

Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. August 21, 2024

https://psnet.ahrq.gov/issue/digital-maturity-predictor-quality-and-safety-outcomes-us-hospitals-cross-sectional Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. Snowdon A, Hussein A, Danforth M, et al. J Med Internet Res. 2024;26:e56316. Digital maturity in healthcare refers to how well hospitals use digital systems to improve patient care processes, enhance patient safety, and provide quality health care. This study used the Electronic Medical Record Assessment Model (EMRAM) to examine the relationship between digital maturity and Leapfrog’s quality and safety scores. Among 1,026 hospitals, researchers found that higher digital maturity was associated with improved odds of achieving a higher Leapfrog hospital safety grade, indicating advanced patient safety outcomes.

Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. August 21, 2024

https://psnet.ahrq.gov/issue/multi-team-shared-expectations-tool-mt-set-exercise-improve-teamwork-across-health-care-teams Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. Marsteller JA, Rosen MA, Wyskiel R, et al. Jt Comm J Qual Patient Saf. 2024;Epub Jun 3. Effective communication and coordination among care teams is essential to the delivery of high-quality, safe health care. This article introduces the Multi-Team Shared Expectations Tool (MT-SET), which is used to improve team communication, engage teams in eliciting needs, and establish shared expectations among teams and individuals. A pilot evaluation of the MT-SET in perioperative and inpatient care units at Johns Hopkins University School of Medicine found that the MT-SET tool fostered better cross-unit teamwork and coordination, but issues such as care delays and inconsistent communication persist.

Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. August 21, 2024

https://psnet.ahrq.gov/issue/using-behavioral-insights-strengthen-strategies-change-practical-applications-quality Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. Johansen RLR, Tulloch S. J Patient Saf. 2024;20(5):e78-e84. Quality improvement (QI) and patient safety initiatives can be challenging to implement and sustain. The article proposes incorporating behavioral insights (BI) into QI to enhance and reinforce behaviors to support positive change. The authors describe using BI in a QI program to increase actions and behaviors more aligned with safe use of intravenous antibiotics at one hospital in Denmark.

Information Session: NIMH Intramural Research Program Training Opportunities (August) August 30, 2024 12:00–2:00 p.m. ET

https://www.nimh.nih.gov/news/events/information-session-nimh-intramural-research-program-training-opportunities-august Information Session: NIMH Intramural Research Program Training Opportunities Date and Time: August 30, 2024 from 12:00–2:00 p.m. ET Location: Virtual Do you have questions about the National Institute of Mental Health (NIMH) Intramural Research Program (IRP)? Join the NIMH Office of Fellowship Training for its next virtual information session! These information sessions are open to undergraduates, graduate students, medical students, postdoctoral fellows, and anyone else interested in learning more about opportunities with the NIMH Intramural Research Program. The sessions will provide information about a variety of National Institutes of Health (NIH) training programs, exciting research being done in NIMH IRP laboratories, and give attendees a chance to chat with current NIMH staff and trainees.

20 Years of Impactful Telehealthcare Research from AHRQ’s Digital Healthcare Research Program

20 Years of Impactful Telehealthcare Research from AHRQ’s Digital Healthcare Research Program: AHRQ’s Digital Healthcare Research Program, which this year commemorates its 20th anniversary, has consistently encouraged the adoption of technologies to enhance not only healthcare quality and safety, but access too. This blog describes AHRQ’s instrumental role in building the foundation for telehealthcare.

Global Risks Report 2024

https://www.weforum.org/publications/global-risks-report-2024/?utm_campaign=KFF-Misinformation-Trust&utm_medium=email&_hsenc=p2ANqtz-8hkpeq9Hy7R1-nnXD6Qu0XRiuyZ0XjjkmYPP4-t_1Cy63zeqgFZn4qnPZsiUx1PMAO0gEi9udnltoKCETo8XdUjPW6NQ&_hsmi=321161180&utm_content=321161180&utm_source=hs_email AI Chatbots Can Also Spread Election Misinformation The World Economic Forum’s Global Risks Report (2024) identified misinformation and disinformation fueled by generative AI as the leading short-term threat to global stability and democratic processes. Ahead of the 2024 U.S. election, a New York Times (NYT) article demonstrated how easily AI chatbots can be manipulated to spread misinformation. NYT staffers customized chatbots by feeding them millions of social media posts from platforms like Reddit and Parler, allowing the bots to develop both liberal and conservative viewpoints. When asked about the election and other contentious issues, the chatbots generated extreme, biased, and often misleading responses, demonstrating how AI could flood social media with disinformation.

Notice of Funding Opportunities

Notice of Funding Opportunities: Grant announcements from AHRQ for supporting research to improve the quality, effectiveness, accessibility, and cost effectiveness of health care

AHRQ in the Professional Literature

Racial and ethnic disparities in attendance to well-child visit recommendations during COVID-19. Abdus S, Selden TM. Acad Pediatr. 2024 Aug;24(6):922-9. Epub 2024 Apr 16. Access the abstract on PubMed®. https://pubmed.ncbi.nlm.nih.gov/38614214/ Mental health care use and quality among Medicaid adults with serious mental illness receiving care at Federally Qualified Health Centers vs. other settings. Myong C, Yang Z, Behr C, et al. BMC Health Serv Res. 2024 Jul 17;24(1):825. Access the abstract on PubMed®. https://pubmed.ncbi.nlm.nih.gov/39020336/ Interventions to improve system-level coproduction in the Cystic Fibrosis Learning Network. Gamel B, Albon D, Bandla S, et al. BMJ Open Qual. 2024 Jul 27;13(3):e002860. Access the abstract on PubMed®. https://pubmed.ncbi.nlm.nih.gov/39067867/ National trends in billing patient portal messages as e-visit services in traditional Medicare. Liu T, Zhu Z, Holmgren AJ, et al. Health Affairs Scholar. 2024 Apr;2(4):qxae040. Epub 2024 Apr 3. Access the abstract on PubMed®. https://pubmed.ncbi.nlm.nih.gov/38756169/ Scaling the EQUIPPED medication safety program: traditional and hub-and-spoke implementation models. Vandenberg AE, Hwang U, Das S, et al. J Am Geriatr Soc. 2024 Jul;72(7):2184-94. Epub 2024 Jan 23. Access the abstract on PubMed®. https://pubmed.ncbi.nlm.nih.gov/38259070/ Development and implementation of a digital quality measure of emergency cancer diagnosis. Kapadia P, Zimolzak AJ, Upadhyay DK, et al. J Clin Oncol. 2024 Jul 20;42(21):2506-15. Epub 2024 May 8. Access the abstract on PubMed®. https://pubmed.ncbi.nlm.nih.gov/38718321/ Management of depression in adults: a review. Simon GE, Moise N, Mohr DC. JAMA. 2024 Jul 9;332(2):141-52. Access the abstract on PubMed®. https://pubmed.ncbi.nlm.nih.gov/38856993/ An institutional approach to equity and improvement in child health outcomes. Unaka N, Kahn RS, Spitznagel T, et al. Pediatrics. 2024 Aug 1;54(2). Access the abstract on PubMed®.https://pubmed.ncbi.nlm.nih.gov/38953125/

CAHPS Clinician & Group Survey

CAHPS Clinician & Group Survey: Read about the CAHPS Clinician & Group Survey (CG-CAHPS), a standardized instrument assessing patients’ experience with healthcare providers and staff in doctors' offices. Results can help improve ambulatory care and equip consumers with comparative information to choose healthcare providers.

Toolkit for Reducing CAUTI in Hospitals

Toolkit for Reducing CAUTI in Hospitals: This ongoing project will result in resources to help clinicians and hospital staff reduce catheter-associated urinary tract infections (CAUTI) in hospital patients.

Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity August 14, 2024 Nguyen PTL, Phan TAT, Vo VBN, et al. Int J Clin Pharm. 2024;Epub May 11.

Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity August 14, 2024 Nguyen PTL, Phan TAT, Vo VBN, et al. Int J Clin Pharm. 2024;Epub May 11. https://psnet.ahrq.gov/issue/medication-errors-emergency-departments-systematic-review-and-meta-analysis-prevalence-and Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. August 14, 2024 Badr S, Nahle T, Rahman S, et al. J Gen Intern Med. 2024;Epub Jul 19. https://psnet.ahrq.gov/issue/hospital-rating-organizations-quality-and-patient-safety-scores-analysis-result-discrepancies Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. August 14, 2024 Aikens RC, Chen JH, Baiocchi M, et al. Med Decis Making. 2024;44(5):481-496. https://psnet.ahrq.gov/issue/feedback-loop-failure-modes-medical-diagnosis-how-biases-can-emerge-and-be-reinforced

CAHPS Research Meetings: Upcoming: Patient-Reported Experience and Outcome Measures (PREMs and PROMs) in Research and Clinical Practice (September 17, 2024)

CAHPS Research Meetings: AHRQ occasionally hosts research meetings that bring together researchers, subject matter experts and key stakeholders to focus on specific topics of interest related to CAHPS surveys.

Webinar Series: Strengthening Primary Care Research - Research on Women’s Health in Primary Care on September 5 from 2:00- 3:15 PM ET.

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.

A Summer of Studying Cybersecurity — and Human Error’s Role in Attacks August 21, 2024 By: Miles Walker

https://www.nist.gov/blogs/taking-measure/summer-studying-cybersecurity-and-human-errors-role-attacks As more everyday objects, such as cars and even refrigerators, connect to the internet, new opportunities for cyberattacks open up. So, keeping our technology safe and secure is more important than ever. As a cybersecurity student and summer intern at NIST, I’m learning firsthand about the role people play in cybersecurity. You may think that most cybersecurity incidents result from technological errors, but this is a common misconception. As I conducted preliminary research for my internship as part of the Summer Undergraduate Research Fellowship (SURF), I was surprised to learn that human error accounts for more than 80% of cyberattacks. NIST Releases Second Public Draft of Digital Identity Guidelines for Final Review August 21, 2024 https://www.nist.gov/news-events/news/2024/08/nist-releases-second-public-draft-digital-identity-guidelines-final-review When we need to show proof of identity, we might reach for our driver’s license — or perhaps, sooner than many of us imagine, we may opt for a digital credential stored on a smartphone. To ensure we can use both novel and time-tested methods to prove our identities securely when accessing essential services, the U.S. Department of Commerce’s National Institute of Standards and Technology (NIST) has updated its draft digital identity guidance. The draft Digital Identity Guidelines (NIST Special Publication [SP] 800-63 Revision 4 and its companion publications SPs 800-63A, 800-63B and 800-63C) have been updated to reflect the robust feedback that NIST received in 2023 as part of a four-month-long comment period and yearlong period of external engagement.