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´óÏóÊÓƵStats: Hospital Stays Among High Spenders

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, )

Today's Headlines:

• ´¡±á¸é²Ï’s Measure Dx Tool: Discover and Learn From Diagnostic Errors.
• ´óÏóÊÓƵGrantee Helps Prevent Patient Falls in Hospital and Community Care Settings.
• Spanish-Language Resources and Health Literacy Tools Featured During Hispanic Heritage Month.
• Input Sought on How To Support Better Care for People With Multiple Chronic Conditions.
• Highlights From ´¡±á¸é²Ï’s Patient Safety Network.
• Updated Guidance Available on Including Nonrandomized Studies in Systematic Reviews.
• ´óÏóÊÓƵSeeks Applicants for National Research Service Award Institutional Research Training Program.
• ´óÏóÊÓƵin the Professional Literature.

´¡±á¸é²Ï’s Measure Dx Tool: Discover and Learn From Diagnostic Errors

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 ´¡±á¸é²Ï’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 .

´óÏóÊÓƵGrantee Helps Prevent Patient Falls in Hospital and Community Care Settings

It’s Falls Prevention Awareness Week, and ´¡±á¸é²Ï’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 ´óÏóÊÓƵgrantees.

Spanish-Language Resources and Health Literacy Tools Featured During Hispanic Heritage Month

As the nation celebrates National Hispanic Heritage Month, Sept. 15–Oct. 15, 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 ´¡±á¸é²Ï’s QuestionBuilder app in Spanish. Be sure to follow us on , and for details on resources to help Latino patients more easily access care and better understand how they can use healthcare services.

Input Sought on How To Support Better Care for People With Multiple Chronic Conditions

´óÏóÊÓƵis 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 for  more information and submit responses to MCC@ahrq.hhs.gov.

Highlights From ´¡±á¸é²Ï’s Patient Safety Network

´¡±á¸é²Ï’s highlights journal articles, books and tools related to patient safety. Articles featured this week include:

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Review additional new publications in PSNet’s or access recent in ´¡±á¸é²Ï’s WebM&M (Morbidity and Mortality Rounds on the Web).

Updated Guidance Available on Including Nonrandomized Studies in Systematic Reviews

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 ´óÏóÊÓƵEvidence-based Practice Center (EPC) chapter on selecting observational studies for comparing medical interventions. The guidance applies to reviews conducted in ´¡±á¸é²Ï’s EPC Program but can be adopted by other systematic review producers. Access the study and the from ´¡±á¸é²Ï’s Effective Health Care Program.

´óÏóÊÓƵSeeks Applicants for National Research Service Award Institutional Research Training Program

´óÏóÊÓƵis 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. ´óÏóÊÓƵencourages 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 . A technical assistance call is scheduled Oct. 5 from 1 to 2 p.m. ET. is required.

´óÏóÊÓƵin 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 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 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 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 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 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 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 on PubMed®.

Improving health equity through clinical innovation. Alfred M, Tully KP. BMJ Qual Saf 2022 Jul 26. [Epub ahead of print.] Access the on PubMed®.