Study Examines Effectiveness of Measures To Control Blood Sugar
An AHRQ-supported study published in the
journal Endocrine Practice found that a multidisciplinary intervention
was effective in treating uncontrolled hyperglycemia and iatrogenic hypoglycemia
among nearly 23,000 patients at an academic medical center. Findings showed
consistent improvements in glycemic control over time, ultimately cutting severe
inpatient hypoglycemia by more than half, as well as reductions in the length of
hospital stays. From 2009 to 2013, AHRQ grantee Greg Maynard, M.D., and
colleagues at the University of California, San Diego, studied the effectiveness
of the intervention, which included a hypoglycemia reduction bundle (such as
order sets and education), daily measurement of glycemic outliers with
concurrent intervention, and clinical decision support. The interventions
addressed common occurrences that impact glycemic control in hospitals, such as
inappropriate insulin prescribing, failure to address unexpected nutritional
interruption and failure to respond appropriately to the first hypoglycemic
event. “Impact of a Hypoglycemia Reduction Bundle and a Systems Approach to
Inpatient Glycemic Management” and the abstract were published online December 22,
Report Assesses Therapies for Menopause
A new comparative effectiveness review from AHRQ
examined the benefits and harms of treatments for menopause, including
prescription, nonprescription and complementary therapies. The report assesses
treatments and therapies for the symptoms of menopause, specifically hot
flashes, sleep disturbance, psychologic symptoms, urogenital atrophy and sexual
function. It evaluated a number of treatments, including the use of hormonal
therapies (estrogen, alone or with progestogen or androgen), selective serotonin
reuptake inhibitors and eszocpiclone. Both improvement in menopausal symptoms
and adverse events were evaluated. The title of the review is “Menopausal
Symptoms: Comparative Effectiveness of Therapies.”
AHRQ’s Health Care Innovations Exchange Focuses on
Supporting Caregivers of Patients With Dementia
The March issue of AHRQ’s Health Care Innovations Exchange features three
programs that used innovative strategies to support caregivers of patients with
dementia. One of the profiles describes a program that uses trained
consultants throughout the state of North Dakota who conduct in-depth initial
assessments with caregivers of dementia patients. The assessments offer
caregivers emotional support, education about the typical progression pattern
for dementia and referrals to local support services. The consultant and the
caregiver then work together to develop a specific care plan that will help
support the caregiver and their patient. Afterward, the consultant provides
ongoing support through follow-up conversations. By alleviating the burden on
caregivers, the program has reduced the need for costly medical services for
patients and placement in long-term care facilities. These reductions have
generated an estimated $40 million in savings across the state, primarily due to
the reductions in likelihood of long-term care.
Register Now for MEPS Data Users’ Workshop April
Registration is open for a two-day, hands-on data users' workshop
on the Medical Expenditure Panel Survey (MEPS) April 28–29 in Rockville,
Maryland. Day one of the workshop consists of lectures that provide a general
overview of MEPS, including information about survey design, file content and
the construction of analytic files. Particular emphasis will be on health care
utilization, expenditures and medical conditions. On the second day, a laptop
will be provided for each participant to use to apply the knowledge gained from
the previous day's lectures and work with programmers and analysts on MEPS data.
To fully benefit from the second day, participants should have some prior
knowledge of MEPS. A basic knowledge of SAS software is desirable, but not
Register Now for April 30 HCUP Data Users’ Workshop
Registration is open for the HCUP Data Users’
Workshop scheduled for April 30 at AHRQ headquarters in Rockville, Maryland.
This one-day hands-on workshop provides participants with experience working
with Healthcare Cost and Utilization Project (HCUP)
resources, providing in-depth exposure to several HCUP databases and tools. The
focus will be on the newly redesigned 2012 National Inpatient Sample. Faculty will be
available for consultation on how HCUP data can support participants’ research
interests. Instructional and reference materials will be distributed and
discussed. Given the content and pace of this course, prior experience with
large administrative databases or with HCUP is recommended. Registrants may find
it helpful to take HCUP’s April 15 and April 22 HCUP webinar series overview presentations or to
review the Online HCUP Overview Course prior to the workshop. There
is no charge for the webinars, online overview course or the workshop. HCUP
registration information is available here. Email questions to firstname.lastname@example.org.
AHRQ in the Professional
Stineman MG, Kwong PL, Bates BE, et al.
Development and validation of a discharge planning index for achieving home
discharge after hospitalization for acute stroke among those who received
rehabilitation services. Am J Phys Med Rehabil. 2014 Mar;93(3):217-230.
Select to access the abstract on PubMed®.
Moore JE, Low LK, Titler MG, et al. Moving toward
patient-centered care: women's decisions, perceptions, and experiences of the
induction of labor process. Birth. 2014 Jun;41(2):138-46. Epub 2014 Apr
6. Select to access the abstract on PubMed®.
Meddings J, Rogers MA, Krein SL, et al. Reducing
unnecessary urinary catheter use and other strategies to prevent
catheter-associated urinary tract infection: an integrative review. BMJ Qual
Saf. 2014 Apr;23(4):277-89. Epub 2013 Sep 27. Select to access the abstract on PubMed®.
Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a
systematic review of impacts and implementation. BMJ Qual Saf. 2014
Apr;23(4):299-318. Epub 2013 Aug 6. Select to access the abstract on PubMed®.
Weaver SJ, Dy SM, Rosen MA. Team-training in
healthcare: a narrative synthesis of the literature. BMJ Qual Saf. 2014
May;23(5):359-72. Epub 2014 Feb 5. Select to access the abstract on PubMed®.
Raghavan R, Brown DS, Allaire BT, et al.
Racial/ethnic differences in Medicaid expenditures on psychotropic medications
among maltreated children. Child Abuse Negl. 2014 Jun;38(6):1002-10.
Epub 2014 Mar 16. Select to access the abstract on PubMed®.
Wang F, Stone E, Skubic M, et al. Toward a passive
low-cost in-home gait assessment system for older adults. IEEE J Biomed
Health Inform. 2013 Mar;17(2):346-55. Select to access the abstract on PubMed®.
Morris MS, Deierhoi RJ, Richman JS, et al. The
relationship between timing of surgical complications and hospital readmission.
JAMA Surg. 2014 Apr;149(4):348-54. Select to access the abstract on PubMed®.
Please address comments and questions about
the AHRQ Electronic Newsletter to Linwood Norman at: (301) 427-1248