| December 7, 2021, Issue #792  Access the report: Living Systematic Review on Cannabis and Other Plant-Based Treatments for Chronic Pain.  Although some emergency department physicians who had served at COVID-19 outbreak epicenter locations reported that they had not yet fully processed their experiences, nearly all developed heightened anxiety and other symptoms during the pandemic. Researchers interviewed 26 emergency physicians who worked in New York City and the metro Boston region when their COVID-19 outbreaks peaked between September 2020 and February 2021 to identify their emotional experiences and coping strategies. As transmission precautions created an impersonal environment, staff increasingly accepted emotional roles when family members were prevented from visiting sick loved ones. Evolving guidance from leadership left physicians anxious, frustrated and uncertain about how best to protect themselves and their families. While several respondents felt they were coping poorly, many relied on communication with each other to manage their stress. Access the abstract in the Journal of the American College of Emergency Physicians. | A final report on strategies to improve patient safety and reduce medical errors has been delivered to Congress by the U.S. Department of Health and Human Services in consultation with AHRQ. Required by the Patient Safety and Quality Improvement Act of 2005, the report was made available for public review and comment and review by the National Academy of Medicine. It outlined several strategies to accelerate progress in improving patient safety, including using analytic approaches in patient safety research, measurement and practice improvement to monitor risk; implementing evidence-based practices into real-world settings through clinically useful tools and infrastructure; encouraging the development of learning health systems that integrate continuous learning and improvement in day-to-day operations; and encouraging the use of patient safety strategies outlined in the National Action Plan by the National Steering Committee for Patient Safety. Access the final report, "Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005."  Ineffective communication between providers and deaf and hard-of-hearing patients who use American Sign Language (ASL) could put the latter at high risk for lower-quality care, according to an AHRQ-supported study published in the Journal of the American Medical Informatics Association. The authors present barriers to improving health equity for deaf and hard-of-hearing people because ASL is misclassified by large-scale informatics networks such as the Patient-Centered Clinical Outcomes Research Network and the U.S. Census Bureau. Researchers highlight areas where clinical research networks, electronic health record (EHR) developers, healthcare institutions and users can improve to promote health equity research and patient-centered care for this population, including timely and appropriate identification and recording of patient language preferences in the EHR. Access the abstract. | AHRQ is funding innovative research proposals to prevent healthcare-associated infections (HAIs) and combat antibiotic-resistant bacteria (CARB). Applications are due Jan. 25 for demonstration and dissemination projects (R18) and on Feb. 5 for large research projects (R01). HAI projects in both grant categories should demonstrate new ways to detect, prevent and reduce HAIs. CARB projects should address ways to promote appropriate antibiotic use, reduce the transmission of resistant bacteria or prevent HAIs. Potential applicants are encouraged to carefully review these program announcements, which have been renewed within the past year and include several important policy updates. The funding is available to support research in all healthcare settings: long-term care, ambulatory care, acute care hospitals and those focusing on transitions between care settings. 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 experts will be speaking at the AcademyHealth 14th Annual Conference on the Science of Dissemination and Implementation in Health, which will be held virtually Dec. 14–16, 2021. Workshops and sessions featuring AHRQ staff include: - Dec. 14, 2–3 p.m. ET: Arlene S. Bierman, M.D., M.S., director, Center for Evidence and Practice Improvement, will present on "Averting Unintended Consequences: Implementation Interventions Designed to Eliminate and Not Widen Health Inequities"
- Dec. 14, 2–3 p.m. ET: Michael Harrison, Ph.D., senior social scientist, Center for Evidence and Practice Improvement; and Amanda Borsky, Dr.P.H., dissemination and implementation advisor, U.S. Preventive Services Task Force Program, will present on "How Implementation Scientists Within Delivery Systems Can Make Their Research Useful and Contribute to Learning Health System Development"
- Dec. 15, 1:15–1:30 p.m. ET: Dr. Harrison will present on "Learning Health System Programs in Delivery Systems - Contributions and Limitations of Externally Funded Implementation Research."
Attendees are encouraged to visit AHRQ's online exhibit booth and poster session to learn more about AHRQ dissemination and implementation products and research. Results from AHRQ's Surveys on Patient Safety Culture™ (SOPS®) Ambulatory Surgery Center Survey (ASC) Database Report are now available. The new report includes results from the SOPS ASC survey. The database serves as an important resource for patient safety culture improvement. Learn more about the results from participating ASCs in the 2021 database report. | AHRQ in the Professional Literature Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups. Khidir H, McWilliams JM, O'Malley AJ, et al. JAMA Netw Open. 2021 Sep;4(9):e2125193. Access the abstract on PubMed®. Using electronic health records in longitudinal studies: estimating patient attrition. Huguet N, Kaufmann J, O'Malley J, et al. Med Care. 2020 Jun;58(Suppl 1):S46-S52. Access the abstract on PubMed®. Quality of care for youth hospitalized for suicidal ideation and self-harm. Connell SK, Burkhart Q, Tolpadi A, et al. Acad Pediatr. 2021 Sep-Oct;21(7):1179-86. Epub 2021 May 28. Access the abstract on PubMed®. Treatment and follow-up care associated with patient-scheduled primary care telemedicine and in-person visits in a large integrated health system. Reed M, Huang J, Graetz I, et al. JAMA Netw Open. 2021 Nov;4(11):e2132793. Access the abstract on PubMed®. Outcomes of a presurgical optimization program for elective hernia repairs among high-risk patients. Delaney LD, Howard R, Palazzolo K, et al. JAMA Netw Open. 2021 Nov;4(11):e2130016. Access the abstract on PubMed®. Time trends in patient characteristics and in-hospital adverse events for primary total knee arthroplasty in the United States: 2010-2017. Halawi MJ, Gronbeck C, Metersky ML, et al. Arthroplast Today. 2021 Oct;11:157-62. Epub 2021 Sep 22. Access the abstract on PubMed®. Sustainment of proactive physical therapy for individuals with early-stage Parkinson's disease: a quality improvement study over 4 years. MacDonald J, Doyle L, Moore JL, et al. Implement Sci Commun. 2021 Sep 27;2(1):111. Access the abstract on PubMed®. Nonprofit hospital community benefits: collaboration with local health departments to address the drug epidemic. Santos T, Lindrooth RC. Med Care. 2021 Sep;59(9):829-35. 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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