What's New at NGC and NQMC

Really Simple Syndication brings you the latest postings from three AHRQ-sponsored Web resources:

National Guideline Clearinghouse™

A public resource for evidence-based clinical practice guidelines.

• NIH State-of-the-Science Conference Statement on manifestations and management of chronic insomnia in adults.
• (1) ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to revise the 1999 guidelines for the Management of Acute Myocardial Infarction). (2) 2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.
• Ordering parenteral nutrition. In: Safe practices for parenteral nutrition.
• Labeling parenteral nutrition formulations. In: Safe practices for parenteral nutrition.
• Nutrient requirements. In: Safe practices for parenteral nutrition.
• Sterile compounding of parenteral nutrition formulations. In: Safe practices for parenteral nutrition.
• Stability and compatibility of parenteral nutrition formulations. In: Safe practices for parenteral nutrition.
• Parenteral nutrition administration. In: Safe practices for parenteral nutrition.
• Modifications in endoscopic practice for pediatric patients.
• Infliximab for subacute manifestations of ulcerative colitis.
• Abatacept for the treatment of rheumatoid arthritis.
• Guideline for management of wounds in patients with lower-extremity arterial disease.
• Management of adults with major depression.

National Quality Measures Clearinghouse™

A public repository for evidence-based quality measures and measure sets.

• End Stage Renal Disease Physician Performance Measurement Set
• Intensive Care Indicators
• Access and exit block to the ICU: percentage of appropriate patients referred to an intensive care unit, who are not admitted to the unit because of inadequate resources, during the 6 month time period.
• Access and exit block to the ICU: percentage of elective surgical cases deferred or cancelled due to the lack of ICU/HDU bed, during the 6 month time period.
• Access and exit block to the ICU: percentage of patients who were transferred to another facility/area/ICU due to unavailability of an ICU bed, during the 6 month time period.
• Intensive care patient treatment: percentage of patients receiving thromboembolism prophylaxis treatment within 24 hours of admission to the intensive care unit (ICU), during the 6 month time period.
• End stage renal disease (ESRD): percentage of patients aged 18 years and older with a diagnosis of ESRD and receiving dialysis who received the influenza vaccination during the flu season (September through February).
• End stage renal disease (ESRD): percentage of patients aged 18 years and older with a diagnosis of ESRD and receiving hemodialysis who have a functioning AV fistula OR patients who are referred for an AV fistula at least once during the 12 month reporting period.
• End stage renal disease (ESRD): percentage of patients aged 18 years and older with a diagnosis of ESRD receiving hemodialysis with a permanent catheter who are referred for evaluation for AV fistula at least once during the 12 month reporting period.
• End stage renal disease (ESRD): percentage of patient calendar months during the 12 month reporting period in which patients aged 18 years and older with a diagnosis of ESRD who are receiving dialysis have a Hgb greater than or equal to 11g/dL OR have a Hgb less than 11g/dL with a documented plan of care for anemia.
• End stage renal disease (ESRD): percentage of patient calendar months during the 12 month reporting period in which patients aged 18 years and older with a diagnosis of ESRD receiving hemodialysis have a Kt/V greater than or equal to 1.2 OR patients have a Kt/V less than 1.2 with a documented plan of care for inadequate hemodialysis.
• End stage renal disease (ESRD): percentage of patients aged 18 years and older with a diagnosis of ESRD receiving peritoneal dialysis who have a Kt/V greater than or equal to 1.7 OR patients who have a Kt/V less than 1.7 with a documented plan of care for inadequate peritoneal dialysis at least three times during the 12 month reporting period.
• Diagnosis and management of asthma: percentage of patients with asthma with spirometry or peak flow meter reading documented in the medical record at the last visit.
• Diagnosis and management of asthma: percentage of children with uncontrolled asthma who are on inhaled corticosteroids medication.
• Diagnosis and management of asthma: percentage of adults with uncontrolled asthma who are on inhaled corticosteroids medication.
• Diagnosis and management of asthma: percentage of patients with asthma with education about asthma documented in the medical record.

QualityTools

A clearinghouse for practical, ready-to-use tools for measuring and improving health care quality.

• Congestive Heart Failure (CHF) Clinical Pathway
• Preventing Wrong-Site Surgery Toolkit
• State Health Policy Survey Report: 2007 Guide to State Adverse Event Reporting Systems
• Consumer Financial Incentives: A Decision Guide For Purchasers
• Improving Chlamydia Screening: Strategies from Top Performing Health Plans
• Ideal Discharge of Heart Failure Patients: A Hospitalist Checklist

Send Questions & Comments to: info@ahrq.gov

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