| September 27, 2022, Issue #832  Access more on this topic in the associated data visualization, plus additional AHRQ data infographics.  A new AHRQ resource, "Reducing Healthcare Carbon Emissions: A Primer on Measures and Actions for Healthcare Organizations to Mitigate Climate Change," is now available to help healthcare organizations reduce their carbon footprint and protect communities from climate threats. AHRQ contracted with the Institute for Healthcare Improvement to develop the primer. It describes six domains contributing to greenhouse gas emissions in healthcare: building energy; transportation; anesthetic gas; pharmaceuticals and chemicals; medical devices and supplies; and food. The primer identifies measures to track progress toward reducing greenhouse gas emissions in each domain. It also features vignettes of what health systems have done to reduce emissions and includes resources and tools to support implementation. Access the primer and an AHRQ press release. |  AHRQ's newest challenge competition will explore the feasibility and resources and infrastructure needed to integrate real-world healthcare system data into AHRQ's systematic review findings. Incorporating unpublished healthcare system data into systematic review findings may be particularly valuable when systematic review results are limited by the number of research studies, or only include studies with narrow patient populations. The competition's top award winner could earn up to $200,000. The first phase seeks proposals to supplement identified AHRQ systematic reviews with healthcare system data to address relevant problems in the applicant's healthcare system. The second phase requests an analysis of healthcare system data alongside systematic review findings to address those problems. Phase one submissions are due to Challenge.gov on Jan. 9, 2023. Access more information and AHRQ's press release. |  A new AHRQ study demonstrated that indexes based on structured data from electronic health records (EHRs) can be used by healthcare providers to identify patients who are frail. Research has shown that frailty increases a person's risk for functional impairment, cognitive decline, hospitalization and institutionalization. Identifying frailty and functional disability helps inform clinical care, risk-adjustment in patient-centered outcomes research, and evaluation of performance and payments in value-based care programs. In recent years, multiple frailty indexes based on insurance claims have been developed. However, healthcare providers often lack access to the insurance claims records of their entire patient population, thus necessitating the development of reliable EHR-based frailty indexes. AHRQ's study provides a systematic approach for health systems to examine EHR data quality and prepare it for the application of EHR-based frailty measures. | 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 will host a panel of experts as part of a webinar on Oct. 19 from 1 to 2:30 p.m. ET, to discuss their research on how to best use data visualization to improve care. The webinar will explore how data visualization tools within a digital healthcare system can improve cognitive processes, work flows and the patient experience. Register now for the webinar, which will feature panelists who will share findings from their own research on how to best use data visualization to improve care. | | AHRQ in the Professional Literature Medicaid and accelerated approval: spending on drugs with and without proven clinical benefits. Sachs RE, Jazowski SA, Gavulic KA, et al. J Health Polit Policy Law. Epub 2022 Jul 14. Access the abstract on PubMed®. Therapeutic hyperthermia is associated with improved survival in afebrile critically ill patients with sepsis: a pilot randomized trial. Drewry AM, Mohr NM, Ablordeppey EA, et al. Crit Care Med. 2022 Jun;50(6):924-34. Epub 2022 Feb 7. Access the abstract on PubMed®. Mental health emergency department visits by children before and during the COVID-19 pandemic. Shankar LG, Habich M, Rosenman M, et al. Acad Pediatr. 2022 Sep-Oct;22(7):1127-32. Epub 2022 Jun 3. Access the abstract on PubMed®. Assessing proximate intermediates between ambient temperature, hospital admissions, and mortality in hemodialysis patients. Remigio RV, Turpin R, Raimann JG, et al. Environ Res. 2022 Mar;204(Pt B):112127. Epub 2021 Sep 25. Access the abstract on PubMed®. Temporal trends in antimicrobial prescribing during hospitalization for potential infection and sepsis. Prescott HC, Seelye S, Wang XQ, et al. JAMA Intern Med. 2022 Aug;182(8):805-13. Access the abstract on PubMed®. A prospective observational study of video laryngoscopy-guided coaching in the pediatric intensive care unit. Laverriere EK, Fiadjoe JE, McGowan N, et al. Paediatr Anaesth. 2022 Sep;32(9):1015-23. Epub 2022 Jun 24. Access the abstract on PubMed®. Perceived susceptibility to chronic kidney disease and hypertension self-management among Black and White live kidney donors. Gianaris K, Vargas GB, Johnson M, et al. Ethn Dis. 2022 Spring;32(2):101-8. Epub 2022 Apr 21. Access the abstract on PubMed®. Trends and distribution of in-hospital mortality among pregnant and postpartum individuals by pregnancy period. Admon LK, Ford ND, Ko JY, et al. JAMA Netw Open. 2022 Jul;5(7):e2224614. 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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