| September 20, 2022, Issue #831 For people who were among the top 5 percent of healthcare spenders in 2019, 36.7 percent of their expenses were for inpatient hospital stays. (Source: AHRQ, Medical Expenditure Panel Survey Statistical Brief #540, Concentration of Healthcare Expenditures and Selected Characteristics of High Spenders, U.S. Civilian Noninstitutionalized Population, 2019)  Despite the frequency of diagnostic errors, clinicians and healthcare organizations seldom learn from diagnostic events due to the complexity of identification and analysis, according to a commentary published in International Journal for Quality in Healthcare. The paper discusses AHRQ's new resource, Measure Dx, which synthesizes knowledge from diagnostic safety measurement researchers to provide pragmatic guidance on how healthcare organizations can identify and analyze diagnostic errors for learning and improvement. According to the authors, the resource can be used by any healthcare organization that has a safety infrastructure in place and is interested in discovering improvement opportunities from analysis of diagnostic errors. Access the abstract. |  It's Falls Prevention Awareness Week, and AHRQ's newest grantee profile features Patricia Dykes, Ph.D., an associate professor of medicine at Harvard Medical School and research program director at Brigham and Women's Hospital's Center for Patient Safety, Research, and Practice in Boston. Dr. Dykes has dedicated her career to developing and disseminating evidence-based resources to reduce patient falls. With funding from AHRQ, Dr. Dykes evaluated the benefits of a falls prevention toolkit for hospitals and created software that helps primary care physicians develop falls prevention strategies. Through these efforts, she is helping prevent patient falls in both inpatient and outpatient care settings. Read more about Dr. Dykes' research and other AHRQ grantees. | As the nation celebrates National Hispanic Heritage Month, Sept. 15–Oct. 15, AHRQ is uniting with other HHS agencies to raise awareness about information and resources for Spanish-speaking consumers and tools to help clinicians improve patient and family engagement and health literacy, such as AHRQ's QuestionBuilder app in Spanish. Be sure to follow us on Twitter, LinkedIn and Facebook for details on resources to help Latino patients more easily access care and better understand how they can use healthcare services. AHRQ is requesting public comments to inform future planning and the agency's research agenda to improve care for people at risk for, or living with, multiple chronic conditions (MCC). A Request for Information seeks input on the current state of shared, person-centered care planning for people with MCC, including insights into current and innovative models of shared care planning used in practice, scale of implementation, barriers and facilitators to implementation, and promising strategies and solutions to overcome implementation barriers. Input is sought on care models across a variety of care settings, including health systems, primary care, home and other ambulatory practices. Comments are due Nov. 15. Access the Request for Information for more information and submit responses to MCC@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). An expert panel has devised updated guidelines to inform decisions regarding the inclusion of nonrandomized studies of interventions in systematic reviews. The new guidance, published in the Journal of Clinical Epidemiology, updates the 2010 AHRQ Evidence-based Practice Center (EPC) Methods Guide for Effectiveness and Comparative Effectiveness Reviews chapter on selecting observational studies for comparing medical interventions. The guidance applies to reviews conducted in AHRQ's EPC Program but can be adopted by other systematic review producers. Access the study abstract and the full report from AHRQ's Effective Health Care Program. AHRQ is seeking applications for its National Research Service Award (NRSA) Institutional Research Training Program. The NRSA program offers advanced training to predoctoral and postdoctoral fellows at eligible institutions with programs in health services research. AHRQ encourages all institutions, including minority-serving institutions, to apply for this T32 grant program. Letters of intent are due Oct. 14, and applications are due Dec. 1. Access more information. A technical assistance call is scheduled Oct. 5 from 1 to 2 p.m. ET. Registration is required. | AHRQ in the Professional Literature Understanding the surgical experience for Black and White patients with inflammatory bowel disease (IBD): the importance of health literacy. Dos Santos Marques IC, Herbey II, Theiss LM, et al. Am J Surg. 2022 Feb;223(2):303-11. Epub 2021 Jun 9. Access the abstract on PubMed®. The association of health literacy and postoperative complications after colorectal surgery: a cohort study. Theiss LM, Wood T, McLeod MC, et al. Am J Surg. 2022 Jun;223(6):1047-52. Epub 2021 Oct 16. Access the abstract on PubMed®. Change in worry over time among Hispanic women with thyroid cancer. Jackson Levin N, Zhang A, Reyes-Gastelum D, et al. J Cancer Surviv. 2022 Aug;16(4):844-52. Epub 2021 Oct 11. Access the abstract on PubMed®. Risk of metabolic and cardiovascular adverse events with abiraterone or enzalutamide among men with advanced prostate cancer. Lai LY, Oerline MK, Caram MEV, et al. J Natl Cancer Inst. 2022 Aug 8;114(8):1127-34. Access the abstract on PubMed®. Physician compensation arrangements and financial performance incentives in US health systems. Reid RO, Tom AK, Ross RM, et al. JAMA Health Forum. 2022 Jan 28;3(1):e214634. eCollection 2022 Jan. Access the abstract on PubMed®. Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. Wang Y, Eldridge N, Metersky ML, et al. JAMA Netw Open. 2022 May 2;5(5):e2214586. Access the abstract on PubMed®. Trajectories of prescription opioid dose and risk of opioid-related adverse events among older Medicare beneficiaries in the United States: a nested case-control study. Wei YJ, Chen C, Lewis MO, et al. PLoS Med. 2022 Mar 15;19(3):e1003947. eCollection 2022 Mar. Access the abstract on PubMed®. Improving health equity through clinical innovation. Alfred M, Tully KP. BMJ Qual Saf. 2022 Jul 26. [Epub ahead of print.] 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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