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´óÏóÊÓƵStats: Sepsis-related Inpatient Stays Increased between 2016-2021

From 2016 to 2019, the number of all sepsis-related inpatient stays in the U.S. increased by 20.1 percent to 2.1 million stays. With the emergence of COVID-19, inpatient stays related to sepsis reached about 2.5 million in 2021. (Source: ´óÏóÊÓƵHealthcare Cost and Utilization Project Statistical Brief #306 –  [PDF, 1 MB].)

Today's Headlines:

• Healthcare Spending Higher Among Adults Who Had Adverse Childhood Experiences.
• Impact Case Study: New Mexico Hospital Uses ´óÏóÊÓƵToolkit To Slash Catheter Use, Eliminate Infections.
• Consumer Surveys on Clinicians and Group Practices Valuable But Underused.
• Register Now: September 17 Virtual Research Meeting on the Use of Patient-reported Experience and Outcome Measures.
• Highlights From ´¡±á¸é²Ï’s Patient Safety Network.
• New Research and Evidence From AHRQ.
• Upcoming ´óÏóÊÓƵWebinars.
• ´óÏóÊÓƵin the Professional Literature.

Healthcare Spending Higher Among Adults Who Had Adverse Childhood Experiences

A first-time estimate of healthcare spending among adults with adverse childhood experiences (ACEs) is the subject of a new ´óÏóÊÓƵViews blog post. ´¡±á¸é²Ï’s research team—Thomas M. Selden, Ph.D.; Didem M. Bernard, Ph.D.; Sandra L. Decker, Ph.D.; and Zhengyi Fang, M.S.—found that in 2021, 62.6 percent of adults reported at least one ACE, such as household members' substance abuse or mental illness, divorced or separated parents, and physical, verbal, or sexual abuse. Adults with ACEs had 26.3 percent higher healthcare expenditures compared to those without ACEs, according to the research published in . In their blog post, ´óÏóÊÓƵDirector Robert Otto Valdez, Ph.D., M.H.S.A., and Dr. Selden emphasize how the research provides an urgent signal to improve the quality of healthcare and social services for those with ACEs by transforming our care delivery systems to be more person-centered. Access the blog post. To receive all blog posts, .

Impact Case Study: New Mexico Hospital Uses ´óÏóÊÓƵToolkit To Slash Catheter Use, Eliminate Infections

Sierra Vista Hospital in Truth or Consequences, New Mexico, implemented practices from ´¡±á¸é²Ï’s Toolkit for Reducing Catheter-Associated Urinary Tract Infections (CAUTIs) in Hospitals. The result: the 11-bed critical access hospital reduced the number of indwelling urinary catheter days by more than 90 percent and has not had a recurrence of CAUTI in more than a year. Catheter utilization per 1,000 patient days fell from 0.42 in 2021 to 0.19 in 2023 and sits at 0.20 through the first half of 2024. Learn more about the efforts of the Sierra Vista Hospital team (shown above) in the ´óÏóÊÓƵImpact Case Study.

Consumer Surveys on Clinicians and Group Practices Valuable But Underused

Healthcare providers widely and successfully use data from ´¡±á¸é²Ï’s Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey to assess changes in their ratings and specific aspects of patient experience, but the data have untapped potential for studying consumer choice, an AHRQ-funded literature review found. Researchers concluded that the survey is being used by healthcare providers successfully to assess a wide range of pre-post interventional changes in global ratings, such as overall provider rating or would recommend office or provider, and in specific aspects of patient experience, such as provider communication, access, courteous office staff, and patient-centeredness. They concluded that healthcare providers value the survey as a means of assessing change, evaluating interventions, and improving critical aspects of patient care experiences and healthcare delivery. Access the .

Register Now: September 17 Virtual Research Meeting on the Use of Patient-reported Experience and Outcome Measures

Registration is open for ´¡±á¸é²Ï’s Consumer Assessment of Healthcare Systems and Providers virtual research meeting on Sept. 17 from 11 a.m. to 4 p.m. ET to explore the differences between patient-reported experience measures and patient-reported outcome measures, how they are connected, and how they can be used to measure and improve the quality and value of healthcare. Access more information, including how to register and a meeting agenda (PDF, 289 KB).

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&Ms (Morbidity and Mortality Rounds on the Web).

New Research and Evidence From AHRQ

• Systematic Review: .
• Systematic Review (draft open for comment): .

Upcoming ´óÏóÊÓƵWebinars

• Sept. 5: Research on Women's Health in Primary Care.
• Sept. 10-12: Medical Expenditure Panel Survey Household Component Data Users'.
• Sept. 11: Integrated Behavioral Health: The Journey to Becoming the Standard of Care.

´óÏóÊÓƵin the Professional Literature

Racial and ethnic disparities in attendance to well-child visit recommendations during COVID-19. Abdus S, Selden TM. Acad Pediatr 2024 Aug;24(6):922-9. Epub 2024 Apr 16. Access the on PubMed®.

Mental health care use and quality among Medicaid adults with serious mental illness receiving care at Federally Qualified Health Centers vs. other settings. Myong C, Yang Z, Behr C, et al. BMC Health Serv Res 2024 Jul 17;24(1):825. Access the on PubMed®.

Interventions to improve system-level coproduction in the Cystic Fibrosis Learning Network. Gamel B, Albon D, Bandla S, et al. BMJ Open Qual 2024 Jul 27;13(3):e002860. Access the on PubMed®.

National trends in billing patient portal messages as e-visit services in traditional Medicare. Liu T, Zhu Z, Holmgren AJ, et al. Health Affairs Scholar 2024 Apr;2(4):qxae040. Epub 2024 Apr 3. Access the on PubMed®.

Scaling the EQUIPPED medication safety program: traditional and hub-and-spoke implementation models. Vandenberg AE, Hwang U, Das S, et al. J Am Geriatr Soc 2024 Jul;72(7):2184-94. Epub 2024 Jan 23. Access the on PubMed®.

Development and implementation of a digital quality measure of emergency cancer diagnosis. Kapadia P, Zimolzak AJ, Upadhyay DK, et al. J Clin Oncol 2024 Jul 20;42(21):2506-15. Epub 2024 May 8. Access the on PubMed®.

Management of depression in adults: a review. Simon GE, Moise N, Mohr DC. JAMA 2024 Jul 9;332(2):141-52. Access the on PubMed®.

An institutional approach to equity and improvement in child health outcomes. Unaka N, Kahn RS, Spitznagel T, et al. Pediatrics 2024 Aug 1;54(2). Access the on PubMed®.