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´óÏóÊÓƵStats: Disorders Commonly Associated With Readmission

Sepsis, heart failure and complications from diabetes were the most common conditions associated with hospital readmissions in 2020, accounting for nearly 20 percent of all adult readmissions. (Source: ´óÏóÊÓƵHealthcare Cost and Utilization Project Statistical Brief #307: .)

Today's Headlines:

• Artificial Intelligence Tool Shows Strong Performance in Predicting Patient Deterioration During Pandemic.
• Issue Brief Explores the Impact of Electronic Health Records on Diagnostic Safety.
• AHRQ-Funded Study Sheds Light on Hospital Overcrowding During COVID-19 Pandemic.
• Apply by Sept. 12 for Grant Funding To Implement and Evaluate Patient-Centered Clinical Decision Support Strategies.
• Highlights From ´¡±á¸é²Ï’s Patient Safety Network.
• New Research and Evidence From AHRQ.
• ´óÏóÊÓƵin the Professional Literature.

Artificial Intelligence Tool Shows Strong Performance in Predicting Patient Deterioration During Pandemic

An AHRQ-funded study published in Physiological Measurement concluded that a predictive analytics tool called CoMET, developed five years before the COVID-19 pandemic, was very accurate in predicting which patients declined in the hospital during the pandemic. Tested in a randomized controlled trial with more than 10,000 patient visits, the tool accurately predicted significant health declines, primarily due to respiratory issues. The study found that the tool’s predictions remained accurate despite changes in clinical practices over time, including during the pandemic. The analysis underscores the importance of real-world validation for predictive models, researchers concluded. Access the .

Issue Brief Explores the Impact of Electronic Health Records on Diagnostic Safety 

Electronic health records are essential in modern healthcare, centralizing patient data and supporting clinical decision-making and continuity of care. A new issue brief explores the history of documentation legislation, outstanding challenges and best practices to improve documentation, and identifies future developments and opportunities for improvement. Access the issue brief and other ´óÏóÊÓƵpublications on diagnostic safety.

AHRQ-Funded Study Sheds Light on Hospital Overcrowding During COVID-19 Pandemic

Despite widespread reports of overcrowding, hospital emergency department (ED) visits were lower than pre-pandemic levels by the end of the COVID-19 public health emergency, a new AHRQ-funded study found. In the study, published in Health Affairs, researchers reviewed records of fee-for-service Medicare beneficiaries and found that ED visits were 25 percent lower than pre-pandemic levels by the end of the public health emergency study. However, hospitals experienced longer patient stays and higher overall capacity, which did not stabilize until 2022. In addition, discharges to postacute-care facilities dropped initially, then leveled off slightly below baseline. Researchers said the data suggest that overcrowding was due more to prolonged hospital stays and fewer available post-acute care beds rather than a surge in ED visits. Access the .

Apply by Sept. 12 for Grant Funding To Implement and Evaluate Patient-Centered Clinical Decision Support Strategies

A from ´óÏóÊÓƵseeks grant applications for developing and testing patient-centered clinical decision support (CDS) strategies in real-world settings. In contrast to traditional clinician-facing CDS, patient-centered CDS facilitates the active involvement of patients and caregivers in healthcare decision-making. Through the AHRQ-funded Patient Centered Outcomes Research CDS Initiative, patient-centered CDS resources are available for researchers to further build upon. Research is needed to understand how to make clinician-facing CDS more patient centered, while also engaging patients, families and caregivers in designing and implementing these tools.

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 , including recent cases and commentaries and ´¡±á¸é²Ï’s WebM&M (Morbidity and Mortality Rounds on the Web).

New Research and Evidence From AHRQ

• Evidence Report (draft open for comment): . 

´óÏóÊÓƵin the Professional Literature

Using 42 CFR part 2 revisions to integrate substance use disorder treatment information into electronic health records at a safety net health system. Tillman AR, Bacon E, Bender B, et al. Addict Sci Clin Pract 2024 Jun 7;19(1):48. Access the on PubMed®.

Clinical outcomes of female external urine wicking devices as alternatives to indwelling catheters: a systematic review and meta-analysis. Pryor N, Wang J, Young J, et al. Infect Control Hosp Epidemiol 2024 May 6:1-9. [Epub ahead of print.] Access the on PubMed®.

Acceptance of automated social risk scoring in the emergency department: clinician, staff, and patient perspectives. Mazurenko O, Hirsh AT, Harle CA, et al. West J Emerg Med 2024 Jul;25(4):614-23. Access the on PubMed®.

Geographic and physician-level variation in the use of hypofractionated radiation therapy for breast cancer in the U.S.: a cross-classified multilevel analysis. Sun Y, Saulsberry L, Liao C, et al. Adv Radiat Oncol 2024 Jun;9(6):101487. Epub 2024 Mar 12. Access the on PubMed®.

Supporting ColoREctal Equitable Navigation (SCREEN): a protocol for a stepped-wedge cluster randomized trial for patient navigation in primary care. Rivera Rivera JN, AuBuchon KE, Schubel LC, et al. Implement Sci Commun 2024 Jun 3;5(1):60. Access the on PubMed®.

Safety of primary nasotracheal intubation in the pediatric intensive care unit (PICU). Ducharme-Crevier L, Furlong-Dillard J, Jung P, et al. Intensive Care Med Paediatr Neonatal 2024;2(1):7. Epub 2024 Feb 23. Access the on PubMed®.

Which older adults are at highest risk of prescribing cascades? A national study of the gabapentinoid-loop diuretic cascade. Growdon ME, Jing B, Morris EJ, et al. J Am Geriatr Soc 2024 Jun;72(6):1728-40. Epub 2024 Mar 28. Access the on PubMed®.

Measuring primary care spending in the US by state. Cohen DJ, Totten AM, Phillips RL, Jr., et al. JAMA Health Forum 2024 May 3;5(5):e240913. Access the on PubMed®.