Tuesday, February 8, 2022

AHRQ News Now: opioid prescribing among young adults; new MRSA-prevention program; new patient safety research

AHRQ News Now

February 8, 2022, Issue #799


AHRQ Stats: Spending on Mental Disorders Treatment

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Approximately 44 million adults, 17.3 percent of the U.S. population, reported expenditures for treatment of mental disorders totaling over $106 billion in 2019. (Source: AHRQ, Medical Expenditure Panel Survey Statistical Brief #539, Healthcare Expenditures for Treatment of Mental Disorders: Estimates for Adults Ages 18 and Older, U.S. Civilian Noninstitutionalized Population, 2019.)


Today's Headlines:


Opioid Prescribing, Adverse Outcomes Increase Significantly When Patients Turn 18

pills

An AHRQ-funded review of emergency department (ED) data published in Health Affairs suggests that, despite medical similarities, adolescents who transition from "child" to "adult" at age 18 are nearly 10 percent more likely to receive an opioid prescription in the ED than 17-year-old patients. Compared with those still classified as children, patients just over 18 were over 12 percent more likely to be diagnosed with opioid use disorder, engage in long-term opioid use or experience an overdose in the year after their ED visit. The project team estimated that adult prescribing habits may result in a more than 14 percent increased risk in adverse opioid-use events when "adults" just over 18 were prescribed opioids that they would not have received the previous year. Researchers suggested that the results indicate that more attention should be focused on these opioid prescribing differences. Access the abstract.


Register Now for February Webinars on Joining AHRQ's MRSA Prevention Program

AHRQ is seeking hospital intensive care units (ICUs) and non-ICUs to join a national program aimed at decreasing methicillin-resistant Staphylococcus aureus (MRSA) infections. The free, 18-month program begins in April and will provide expert coaching, online training, tools and resources to protect patients and strengthen patient safety efforts. Access more information about participation requirements and how to register for one of four informational webinars in February.


Highlights From AHRQ's Patient Safety Network

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).


Apply by Feb. 18: AHRQ Seeks Applicants for New Division Director in Center for Evidence and Practice Improvement

AHRQ is seeking federal or nonfederal applicants to serve as division director in the Center for Evidence and Practice Improvement. The supervisory physician will identify and develop solutions to the most pressing problems in clinical practice. The selected candidate will also lead development of policies, objectives and goals to ensure comprehensive and integrated health services research, implementation science and dissemination and implementation projects. Access more information about required qualifications, salary range and how to apply. Applications are due Feb. 18.


Now Available: Recorded AHRQ Webinar on Bringing Person-Centered Care to Patients With Multiple Chronic Conditions

A webinar that showcased findings from a special issue of the journal HSR on AHRQ's research agenda for transforming care for people with multiple chronic conditions is now available as a recorded video. The webinar, "A Conversation with the Authors: Health Services Research Special Issue on the Science of Care for People with Multiple Chronic Conditions," was led by Arlene Bierman, M.D., M.S., director of AHRQ's Center for Evidence and Practice Improvement.


New Research and Evidence From AHRQ


AHRQ in the Professional Literature


Development and validation of a prognostic tool: pulmonary embolism short-term clinical outcomes risk estimation (PE-SCORE). Weekes AJ, Raper JD, Lupez K, et al. PLoS One. 2021 Nov 18;16(11):e0260036. Access the abstract on PubMed®.

Preconception care and severe maternal morbidity in the United States. Dude AM, Schueler K, Schumm LP, et al. Am J Obstet Gynecol MFM. 2021 Dec 4. [Epub ahead of print.] Access the abstract on PubMed®.

What is the role of shared decision-making with parents of children with bronchiolitis? Natarajan E, Florin TA, Constantinou C, et al. Hosp Pediatr. 2022 Jan;12(1):e50-e53. Access the abstract on PubMed®.

Completeness of operative reports for rectal cancer surgery. Kanters AE, Vu JV, Schuman AD, et al. Am J Surg. 2020 Jul;220(1):165-9. Epub 2019 Sep 28. Access the abstract on PubMed®.

How type of practice ownership affects participation with quality improvement external facilitation: findings from EvidenceNOW. Perry CK, Lindner S, Hall J, et al. J Gen Intern Med. 2022 Jan 3. Epub 2022 Jan 3. Access the abstract on PubMed®.

Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. Nether KG, Thomas EJ, Khan A, et al. J Healthc Qual. 2022 Jan-Feb;44(1):23-30. Access the abstract on PubMed®.

Disparities in use of video telemedicine among patients with limited English proficiency during the COVID-19 pandemic. Hsueh L, Huang J, Millman AK, et al. JAMA Netw Open. 2021  Nov;4(11):e2133129. Access the abstract on PubMed®.

Strategies for sustaining high-quality pediatric asthma care in community hospitals. Jaladanki S, Schechter SB, Genies MC, et al. Health Serv Res. 2022 Feb;57(1):125-36. Epub 2021 Sep 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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