domingo, 15 de septiembre de 2024
sábado, 14 de septiembre de 2024
viernes, 13 de septiembre de 2024
Advancing Patient Safety through Diagnostic Excellence, September 17, 12-1 PM ET
https://cma.ahrq.gov/cma/welcome.jsp?code=actionallianceseptember
Registration Is Open for Our September 17 Webinar: “Advancing Patient Safety Through Diagnostic Excellence”
Celebrate World Patient Safety Day with AHRQ’s National Action Alliance by joining us September 17, 12:00-1:00 PM ET, for a webinar on improving patient safety through better diagnosis. Experts from the University of Toronto, Baylor College of Medicine, University of Texas MD Anderson Cancer Center, and RAND will share recently developed tools and strategies for reducing diagnostic error.
Kelly Smith, PhD, Michael Garron Chair in Patient-Oriented Research, Michael Garron Hospital, and associate professor, Institute of Health Policy, Management, & Evaluation, University of Toronto, will provide an overview of the Toolkit for Engaging Patients to Improve Diagnostic Safety. She will discuss the critical role patients played in the toolkit’s development and feature examples from the pilot test to showcase lessons learned and effective organizational implementation strategies.
Andrea Bradford, PhD, associate professor, Baylor College of Medicine, and assistant professor, University of Texas MD Anderson Cancer Center, will introduce the Measure Dx toolkit, designed to help healthcare organizations identify diagnostic safety events and learn from them. She will offer real-world examples from the toolkit’s pilot test to demonstrate the most effective ways organizations can use these tools to measure and improve diagnostic safety.
Sangeeta C. Ahluwalia, PhD, senior policy researcher and associate research department director, Behavioral and Policy Sciences Department, RAND, will outline an exciting AHRQ implementation opportunity. She will detail what participation will involve and how organizations can advance diagnostic safety practices within their healthcare settings.
This webinar offers an excellent opportunity to gain practical knowledge and actionable strategies for improving patient safety through more accurate diagnosis. Don’t miss the chance to learn from experts and discover how your organization can implement these critical tools.
https://www.ahrq.gov/action-alliance/index.html
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults: This issue brief presents the unique considerations and challenges of studying and improving diagnostic safety for older adults.
AHRQ Announces Historic Funding Opportunities to Establish State-based Solutions to Accelerate Health Care Improvement
AHRQ Announces Historic Funding Opportunities to Establish State-based Solutions to Accelerate Health Care Improvement: Agency for Healthcare Research and Quality (AHRQ) announced a Notice of Funding Opportunity (NOFO) to establish state-based Healthcare Extension Cooperatives, representing a historic investment to accelerate the implementation and dissemination of patient-centered outcomes research (PCOR) into health care delivery through improvements in health care policy, payment, and practice, and to reduce health care disparities, especially among people who receive Medicaid, are uninsured, and/or are medically underserved.
CAHPS Research Meetings: Upcoming: Patient-Reported Experience and Outcome Measures (PREMs and PROMs) in Research and Clinical Practice (September 17, 2024) Date: September 17, 2024 Time: 11:00 a.m. - 4:00 p.m. ET
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.
Guidance Snapshot Pilot - Medication Guides: Patient Medication Information
https://www.fda.gov/drugs/guidances-drugs/guidance-snapshot-pilot?utm_medium=email&utm_source=govdelivery
Medication Guides: Patient Medication Information
https://www.federalregister.gov/documents/2023/05/31/2023-11354/medication-guides-patient-medication-information?utm_medium=email&utm_source=govdelivery
jueves, 12 de septiembre de 2024
Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis.
Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis.
https://psnet.ahrq.gov/issue/impact-rounding-checklists-outcomes-patients-admitted-icus-systematic-review-and-meta
The problem with 'never events'.
https://psnet.ahrq.gov/issue/problem-never-events
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.
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults: This issue brief presents the unique considerations and challenges of studying and improving diagnostic safety for older adults.
SOPS Nursing Home Database
SOPS Nursing Home Database: The Nursing Home SOPS Database is a central repository for survey data from nursing homes that administered the AHRQ patient safety culture survey.
Workplace Safety Supplemental Item Set for Nursing Home SOPS
Workplace Safety Supplemental Item Set for Nursing Home SOPS: AHRQ is developing a Workplace Safety Supplemental Item Set for the Surveys on Patient Safety Culture™ (SOPS®) Nursing Home Survey.
Nursing Home Survey on Patient Safety Culture
Nursing Home Survey on Patient Safety Culture: The Nursing Home SOPS asks providers and staff for their opinions about the culture of patient safety in their nursing homes.
eCare Plan: New Standards Support Integrating Data for Person-Centered Care Planning
eCare Plan: The eCare Plan project aims to build care planning tools that will improve how we do research and provide healthcare for people with multiple chronic conditions. These tools include data standards and electronic care plan applications that allow all members of the healthcare team (including patients and caregivers) to see and share critical health data from multiple electronic health records across many healthcare settings.
Person-centered data often are not easily shared from one health setting to another, in part because electronic health records (EHR) at different settings don’t “talk” to one another. To address this challenge, AHRQ and the National Institute of Diabetes and Digestive and Kidney Diseases developed a Health Level 7 (HL7) implementation guide that provides data standards for the aggregation and sharing of data from different EHRs and settings to support person-centered care planning and care coordination for people at risk for or living with multiple chronic conditions. The HL7 Implementation Guide is part of the eCare Plan project, which aims to build SMART on FHIR electronic care plan applications that allow all members of the healthcare team—including people receiving care and their caregivers—to see and share critical health data.
Plain Language Summary about HL7 and this Guide
https://hl7.org/fhir/us/mcc/2023Sep/
Resources and Tools on Patient and Healthcare Workforce Safety
Resources and Tools on Patient and Healthcare Workforce Safety: This curated list of resources aligns with the four foundational areas identified by the National Action Plan. These resources will help address many of the issues identified in a safety assessment.
National Action Alliance for Patient and Workforce Safety: Register Now for Sept. 17 National Action Alliance Webinar on Advancing Patient Safety Through Diagnostic Excellence
National Action Alliance for Patient and Workforce Safety
Register Now for Sept. 17 National Action Alliance Webinar on Advancing Patient Safety Through Diagnostic Excellence
https://cma.ahrq.gov/cma/registration.jsp;jsessionid=t0eUTtgWUhfeh6jastP4otYfk3QDy3vI6b2Lm15L5htfyBB3DwFu!-120857671?eventid=284
AHRQ's Healthcare Extension Service: State-Based Solutions to Healthcare Improvement
AHRQ's Healthcare Extension Service: State-Based Solutions to Healthcare Improvement: The Agency for Healthcare Research and Quality (AHRQ) intends to publish a funding opportunity announcement to create State-based Healthcare Extension Cooperatives that can accelerate the implementation of actionable evidence into practice.
https://grants.nih.gov/grants/guide/rfa-files/RFA-HS-24-004.html
AHRQ in the Professional Literature
Market factors associated with comprehensive behavioral health crisis care availability: a resource dependence theory study. Burns A, Vest JR, Menachemi N, et al. Inquiry. 2024 Jan-Dec;61:469580241256822. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/38842194/
Urinary retention evaluation and catheterization algorithm for adult inpatients. Chrouser K, Fowler KE, Mann JD, et al. JAMA Netw Open. 2024 Jul;7(7):e2422281. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39012634/
Differential hospital participation in bundled payments in communities with higher shares of marginalized populations. Crowley AP, Neville S, Sun C, et al. J Gen Intern Med. 2024 May;39(7):1180-7. Epub 2024 Feb 6. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/38319498/
Profile of older dual-enrollees living in areas with managed long-term services and supports. Jopson AD, Fabius CD, Shen K, et al. J Am Med Dir Assoc. 2024 Apr;25(4):722-8. Epub 2023 Dec 13. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/38103571/
Value-based payment models and management of newly diagnosed prostate cancer. Maganty A, Kaufman SR, Oerline MK, et al. Cancer Med. 2024 Jan;13(1):e6810. Epub 2023 Dec 26. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/38146905/
Predictors of transition outcomes in cystic fibrosis: analysis of National Patient Registry and CF RISE (Responsibility. Independence. Self-care. Education) data. Melton K, Liu J, Sadeghi H, et al. J Pediatr. 2024 Feb;265:113812. Epub 2023 Nov 2. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/37918520/
Comparative analysis of machine learning versus traditional method for early detection of parental depression symptoms in the NICU. Sadjadpour F, Hosseinichimeh N, Abedi V, et al. Front Public Health. 2024 May 28;12:1380034. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/38864019/
Barriers and facilitators to harm reduction for opioid use disorder: a qualitative study of people with lived experience. Westafer LM, Beck SA, Simon C, et al. Ann Emerg Med. 2024 Apr;83(4):340-50. Epub 2024 Jan 3. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/38180403/
Providing Regulatory Submissions in Electronic Format — Certain Human Pharmaceutical Product Applications and Related Submissions Using the eCTD Specifications Guidance for Industry September 2024
https://www.fda.gov/regulatory-information/search-fda-guidance-documents/providing-regulatory-submissions-electronic-format-certain-human-pharmaceutical-product-applications
ANDA Submissions – Amendments to Abbreviated New Drug Applications under GDUFA
September 10, 2024
https://www.fda.gov/drugs/news-events-human-drugs/anda-submissions-amendments-abbreviated-new-drug-applications-under-gdufa-09102024
miércoles, 11 de septiembre de 2024
SOPS Additional Resources
SOPS Additional Resources: Find links to resources that can help to improve safety culture for the SOPS surveys and Frequently Asked Questions.
Surveys on Patient Safety Culture (SOPS)
Surveys on Patient Safety Culture (SOPS): Explore AHRQ's Surveys on Patient Safety Culture™ (SOPS®) surveys and supplemental items designed to capture provider and staff perceptions of patient safety culture in their organization.
SOPS Surveys
SOPS Surveys: Explore SOPS® surveys and supplemental items designed to capture provider and staff perceptions of patient safety culture in their organization.
Diagnostic Safety Supplemental Items for Medical Office SOPS
Diagnostic Safety Supplemental Items for Medical Office SOPS: The SOPS® Diagnostic Safety Supplemental Items for the Medical Office Survey are designed to be used in conjunction with the core Medical Office SOPS to help medical offices assess the extent to which their organizations support the diagnostic process, accurate diagnoses, and communication around diagnoses. The supplemental items may be added to the end of the Medical Office Survey, just before the Background Questions (Section H), to assess content in areas not included in the core questionnaire. The Diagnostic Safety Supplemental Items were developed and pilot tested for providers and staff and ask for their opinions about their medical office’s processes around diagnosis.
Streamlining Drug Development and Improving Patient Care: CDER Quantitative Medicine Center of Excellence
https://www.fda.gov/drugs/cder-conversations/streamlining-drug-development-and-improving-patient-care-cder-quantitative-medicine-center?utm_medium=email&utm_source=govdelivery
CDER Conversation: Streamlining Drug Development and Improving Patient Care: CDER Quantitative Medicine Center of Excellence
In this CDER Conversation, Rajanikanth Madabushi, lead for CDER’s Quantitative Medicine (QM) Center of Excellence (CoE) and associate director for Guidance and Scientific Policy in the Office of Clinical Pharmacology in the Office of Translational Science Super Office explains the purpose of the new CoE, provides an overview of current activities and resources, and shares ways the CoE can advance drug development and improve patient care.
martes, 10 de septiembre de 2024
Nursing Home Survey on Patient Safety Culture
Nursing Home Survey on Patient Safety Culture: The Nursing Home SOPS asks providers and staff for their opinions about the culture of patient safety in their nursing homes.
The Lancet Summit: cancer control in China Feb 21-23, 2025 | Shanghai, China
https://thelancetsummit.com/cancer-control-china/index.html
Deadline for submission of abstracts: Sept 23, 2024
Abstracts are invited by Sept 23, 2024. A selection of the best abstracts will be nominated for oral presentation. The rest will be poster only. All accepted abstracts will be published in The Lancet Regional Health—Western Pacific.
https://thelancetsummit.com/cancer-control-china/submit-abstract.html?utm_campaign=update-lanonc&utm_medium=email&_hsenc=p2ANqtz-9d7880qTM199sxMmdsLxj0-gZrzGcocOc1g5HCHvuzm_gpCJU5e2Z53j_6FLJTo8hV0ortfsAwjPQ38MnXRn7ZOwf2Bg&_hsmi=323800094&utm_content=323781618&utm_source=hs_email
lunes, 9 de septiembre de 2024
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.
Publishing and Communications Guidelines
Publishing and Communications Guidelines: The AHRQ Publishing and Communications Guidelines outline the standards for Agency for Healthcare Research and Quality (AHRQ) products developed in-house and by contractors. AHRQ staff should remember that all contracts must include wording that requires contractors to follow these guidelines when creating deliverables for the Agency.
United States Health Information Knowledgebase
United States Health Information Knowledgebase: The United States Health Information Knowledgebase (USHIK) was an online, publicly accessible registry and repository of healthcare-related metadata, specifications, and standards. USHIK standards, data, and other artifacts were separated into several portals.
AHRQ Quality Indicator Tools for Data Analytics
AHRQ Quality Indicator Tools for Data Analytics: AHRQ Quality Indicators (AHRQ QIs) are standardized, evidence-based measures of healthcare quality that can be used to measure and track clinical performance and outcomes.
National Healthcare Quality and Disparities Report Data Tools
National Healthcare Quality and Disparities Report Data Tools: The NHQDR Data Tools allow users to identify populations experiencing disparities in care and areas for improvement in the delivery of healthcare in the United States, as well as the performance of each state.
Medical Expenditure Panel Survey (MEPS)
Medical Expenditure Panel Survey (MEPS): MEPS is the only national data source measuring how Americans use and pay for medical care, health insurance, and out-of-pocket spending. Annual surveys of individuals and families, as well as their health care providers, provide data on health status, the use of medical services, charges, insurance coverage, and satisfaction with care.
Healthcare Cost and Utilization Project (HCUP)
Healthcare Cost and Utilization Project (HCUP): HCUP is the Nation’s most comprehensive source of hospital data, including information on in-patient care, ambulatory care, and emergency department visits. HCUP enables researchers, insurers, policymakers and others to study health care delivery and patient outcomes over time, and at the national, regional, State, and community levels.
All-Payer Claims Databases
All-Payer Claims Databases: All-payer claims databases (APCDs) are large State databases that include medical claims, pharmacy claims, dental claims, and eligibility and provider files collected from private and public payers.
AHRQ Data Tools
AHRQ Data Tools: The AHRQ Data Tools allow you to explore AHRQ data sources in depth through bar charts, trend charts, geographic maps, and more. Create and download charts and datasets to support your research.
Calibrate Dx: A Resource To Improve Diagnostic Decisions
Calibrate Dx: A Resource To Improve Diagnostic Decisions: Calibrate Dx is a self-evaluation tool for clinicians to improve their diagnostic decision making. This resource provides structured exercises and tools to help clinicians learn from reviewing their clinical practice. Anyone whose scope of practice includes medical diagnosis can use Calibrate Dx.
Antibiotic Stewardship Toolkits
Antibiotic Stewardship Toolkits: The Antibiotic Stewardship Toolkits provide materials to develop an antibiotic stewardship program, engage frontline staff in improving prescribing behavior, and diagnose and treat hospitalized patients with common infectious syndromes.
Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Program
Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Program: The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Program supports survey development, voluntary databases, and research on patient experience with healthcare.
Data Visualizations
Data Visualizations: AHRQ's interactive data visualization tools allow researchers, policymakers, healthcare leaders, and others to view visual depictions of healthcare trends.
Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement: The purpose of this guide is to share guidance about developing and sustaining state-based cooperatives that aim to strengthen the capacity of healthcare systems, other healthcare organizations, and clinicians to deliver evidence-based whole-person care.
domingo, 8 de septiembre de 2024
In April 2024, an inspection of Yamacraw apartments conducted by the federal Department of Housing and Urban Development, which oversees taxpayer-supported public housing nationwide, found 29 “life-threatening” deficiencies that pose a high risk of death to residents. (Renuka Rayasam/KFF Health News) Systemic Sickness A Teen’s Murder, Mold in the Walls: Unfulfilled Promises Haunt Public Housing
Payback Tracking the Opioid Settlement Cash
https://kffhealthnews.org/opioid-settlements/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_-WztUKlxaOrXU12kPmArnu1-SdMG35KTNyQE69jRYA-0vIZvCpeHSqJjROxz0hL0g_POpSUa_XTaMEbsQL3bX6DD1IA&_hsmi=323474256&utm_content=323474256&utm_source=hs_email
Opioid manufacturers, distributors, and retailers are paying tens of billions of dollars in restitution to settle lawsuits about their role in the overdose epidemic, with little oversight on how the money is spent. We’re tracking how state and local governments use — or misuse — the cash.
sábado, 7 de septiembre de 2024
viernes, 6 de septiembre de 2024
The problem with 'never events'. September 4, 2024
https://psnet.ahrq.gov/issue/problem-never-events
The problem with 'never events'.
Zaslow J, Fortier J, Garber G. BMJ Qual Saf. 2024;33(9):613-616.
Never events are serious, but preventable, adverse events that result in serious patient harm or death. This article compares how organizations define never events with respect to preventability, presence and severity of harm, and public accountability. The authors discuss how varying definitions present challenges in conceptualizing and standardizing never event measurement and reporting.
Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis. September 4, 2024
https://psnet.ahrq.gov/issue/impact-rounding-checklists-outcomes-patients-admitted-icus-systematic-review-and-meta
Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis.
MacKinnon KM, Seshadri S, Mailman JF, et al. Crit Care Explor. 2024;6(8):e1140.
Although evidence of their effectiveness is somewhat mixed, checklists are ubiquitous in hospital care. This meta-analysis found some improved patient outcomes (e.g., reduced in-hospital and intensive care unit mortality) in facilities using a rounding checklist in the ICU. Providers had a generally positive perception of rounding checklists, particularly around team collaboration. Further randomized studies are needed to increase certainty of evidence.
Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. September 4, 2024
https://psnet.ahrq.gov/issue/hospital-commitments-address-diagnostic-errors-assessment-95-us-hospitals
Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals.
Campione Russo A, Tilly J‐L, Kaufman L, et al. J Hosp Med. 2024;Epub Aug 20.
In 2021, the Leapfrog Group established the Recognizing Excellence in Diagnosis initiative to prevent patient harm due to diagnostic errors. They subsequently issued the report "Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals," detailing 29 practices to improve diagnostic safety. This article summarizes the extent to which 95 Leapfrog hospitals have implemented the recommended practices. The most frequently implemented practices were ensuring access to medical interpreters, continuous access to radiologists, ensuring staff and patients can report diagnostic errors and concerns, and having a formal process to identify and notify patients when diagnostic errors occur. The practice with the most room for improvement is CEO commitment to diagnostic excellence.
jueves, 5 de septiembre de 2024
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