| August 31, 2021, Issue #778  Access more data on this topic in the associated statistical brief, plus additional AHRQ data infographics.  A new AHRQ toolkit can help engage patients and family members in the diagnostic process. The toolkit, developed for patients and clinicians regardless of practice setting, is composed of two evidence-based strategies that promote meaningful engagement and communication to improve diagnostic safety. The resource includes a patient note sheet to help patients share their symptoms and several practice orientation and training tools to help clinicians foster deep listening and "presence" in clinical encounters. Download the Toolkit for Engaging Patients To Improve Diagnostic Safety. | An AHRQ-funded study published in Infection Control & Hospital Epidemiology identified five barriers to appropriate antibiotic prescribing at the time of hospital discharge: - Clinician perceptions that patients expect to receive an antibiotic prescription
- Diagnostic uncertainty
- Differences in prescribing between an attending physician-led versus a multidisciplinary team culture
- Not accounting for all antibiotics prescribed during the patient's entire course of illness
- Discharging a patient before all clinical data is received
Researchers who interviewed 37 healthcare workers and 16 patients at a tertiary-care hospital and a community hospital suggested targeted interventions may lead to more effective outcomes for antibiotic use during the hospital-to-home transition. Access the study abstract as well as two AHRQ resources to improve antibiotic use: AHRQ Toolkits To Improve Antibiotic Use and Four Moments of Antibiotic Decision Making. A new Data Spotlight from AHRQ shows that emergency department (ED) visits for opioid-related diagnoses more than doubled from 2015 to 2018, but access to substance abuse treatment at specialty facilities remained flat. Furthermore, disparities between racial/ethnic groups and Whites related to treatment access have grown. The Data Spotlight, which also describes ways that EDs can better link patients to specialty substance abuse treatment, was released in observance of International Overdose Awareness Day. It is based on measures reported in the 2019 National Healthcare Quality and Disparities Report and was developed jointly by AHRQ and the Substance Abuse and Mental Health Services Administration. An upcoming Notice of Funding Opportunity from AHRQ will describe the agency's plans to support research on disseminating and implementing patient-centered outcomes research findings to reduce healthcare disparities. According to a recent Notice of Intent, interventions will focus on reducing disparities by wide-scale implementation of evidence-based care. Grant applicants may propose interventions in different healthcare settings. Areas where interventions have evidence for decreasing disparities include promoting improved cancer and chronic condition screening, improving control of chronic conditions, and improving prenatal care, maternal health, and infant mortality. Applications are not requested at this time. Email questions to celeste.torio@ahrq.hhs.gov. AHRQ's Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include: Review additional new publications in PSNet's current issue or access recent cases and commentaries in AHRQ's WebM&M (Morbidity and Mortality Rounds on the Web). | AHRQ in the Professional Literature Avoiding "toxic knowledge": the importance of framing personalized risk information in clinical decision-making. Kostick KM, Blumenthal-Barby JS. Per Med. 2021 Mar;18(2):91-5. Epub 2021 Feb 22. Access the abstract on PubMed®. Harmonized outcome measures for use in degenerative lumbar spondylolisthesis patient registries and clinical practice. Harbaugh RE, Devin C, Leavy MB, et al. J Neurosurg Spine. 2021 Mar 19. [Epub ahead of print.] Access the abstract on PubMed®. BedsideNotes: sharing physicians' notes with parents during hospitalization. Zellmer BM, Nacht CL, Coller RJ, et al. Hosp Pediatr. 2021 May;11(5):503-8. Epub 2021 Apr 1. Access the abstract on PubMed®. Sustained improvement in tracheal intubation safety across a 15-center quality-improvement collaborative: an interventional study from the national emergency airway registry for children investigators. Nishisaki A, Lee A, Li S, et al. Crit Care Med. 2021 Feb;49(2):250-60. Access the abstract on PubMed®. The impact of urgent care centers on nonemergent emergency department visits. Allen L, Cummings JR, Hockenberry JM. Health Serv Res. 2021 Aug;56(4):721-30. Epub 2021 Feb 8. Access the abstract on PubMed®. A best-worst scaling experiment to identify patient-centered claims-based outcomes for evaluation of pediatric antipsychotic monitoring programs. Mackie TI, Kovacs KM, Simmel C, et al. Health Serv Res. 2021 Jun;56(3):418-31. Epub 2020 Dec 28. Access the abstract on PubMed®. Personal health information management among healthy older adults: varying needs and approaches. Turner AM, Taylor JO, Hartzler AL, et al. J Am Med Inform Assoc. 2021 Feb 15;28(2):322-33. Access the abstract on PubMed®. Family caregiver training needs and Medicare home health visit utilization. Burgdorf JG, Stuart EA, Arbaje AI, et al. Med Care. 2021 Apr;59(4):341-7. Access the abstract on PubMed®. Contact Information For comments or questions about AHRQ News Now, contact Bruce Seeman, (301) 427-1998 or Bruce.Seeman@ahrq.hhs.gov. |
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