Advancing Patient Safety for Antipsychotic-Treated Children: Examining State Implementation of Safe Use Practices
提高接受抗精神病药物治疗的儿童的患者安全:检查国家安全使用实践的实施情况
基本信息
- 批准号:10456732
- 负责人:
- 金额:$ 37.36万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2018
- 资助国家:美国
- 起止时间:2018-09-30 至 2024-07-31
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
This project will address, at scale, improvement of safe use practices for antipsychotic (AP) treatment of
Medicaid children. Safe and judicious management of APs poses significant challenges, given hazards that
include elevated risk of Type 2 diabetes, weight gain, hyperglycemia, hyperlipidemia, and potential long-term
impact on brain development. Safety evidence and guidelines highlight the importance of several key safe-use
practices that can help mitigate these risks, including monitoring blood glucose and lipids; avoiding concurrent
use of multiple different APs; first-line use of non-pharmacological mental health services; and minimizing use
among pre-school children. Prior AHRQ-supported projects have led to HEDIS/CMS quality metrics for these
practices, but their implementation is highly inconsistent. Many state initiatives have been implemented to
improve these safe-use practices, but the impact of alternative strategies for increasing safe-use is unknown.
Evidence on their effects is critically needed. We will use a mixed-methods strategy to identify and document
state implementation of safe-use initiatives; assess their impact on safe use metrics; investigate causal
mechanisms underlying effectiveness; and actively disseminate results to state decisionmakers, health plans,
clinical communities, and other stakeholders. This process will support translation, implementation, and
improvement of effective strategies across states. We will provide a comprehensive analysis of systems-level
strategies, using a national survey and case studies in 8 purposively sampled states, to investigate distinctive
approaches. We will use key informant interviews and systematic document review to identify implementation
timelines, strategies, causal mechanisms, barriers and solutions, and tools utilized. We will then use Medicaid
claims data to assess change in the use of the targeted practices following the implementation of state
systems-level strategies, using difference-in-difference, triple-difference and other modeling strategies. States
that did not implement similar initiatives will serve as comparators. Finally, we will actively disseminate an
evidence-informed toolkit to state and stakeholder communities, utilizing active dissemination strategies
successfully employed in prior AHRQ-supported partnerships. This toolkit will be developed to facilitate a self-
assessment and prioritization of improvement initiatives, identification of other state strategies, and provide
quality improvement and evaluation tools to assess effectiveness over time. Evidence development and active
dissemination will assure that evidence on effective system-improvement processes is available, understood,
and effectively used to improve patient safety across populations of vulnerable children served by state
Medicaid/CHIP systems and reduce AP-related harms.
该项目将大规模地解决抗精神病药物(AP)治疗的安全使用实践的改进
项目成果
期刊论文数量(3)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Antipsychotic treatment for youth in foster care: Perspectives on improving youths' experiences in providing informed consent.
寄养青少年的抗精神病治疗:改善青少年提供知情同意的体验的观点。
- DOI:10.1037/ort0000532
- 发表时间:2021
- 期刊:
- 影响因子:0
- 作者:Simmel,Cassandra;Bowden,CadenceF;Neese-Todd,Sheree;Hyde,Justeen;Crystal,Stephen
- 通讯作者:Crystal,Stephen
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Stephen Crystal其他文献
Stephen Crystal的其他文献
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{{ truncateString('Stephen Crystal', 18)}}的其他基金
Improving MOUD Access, Opioid-Related Outcomes and Equity Among Medicare Beneficiaries with Disability
改善残疾医疗保险受益人的 MOUD 获取、阿片类药物相关成果和公平
- 批准号:
10693295 - 财政年份:2022
- 资助金额:
$ 37.36万 - 项目类别:
Improving MOUD Access, Opioid-Related Outcomes and Equity Among Medicare Beneficiaries with Disability
改善残疾医疗保险受益人的 MOUD 获取、阿片类药物相关成果和公平
- 批准号:
10583892 - 财政年份:2022
- 资助金额:
$ 37.36万 - 项目类别:
Fatal and Non-Fatal Opioid Overdose Risk Following Prison Release: Associations with Individual Risk Factors, In-Prison Medications for Opioid Use Disorder, and Peer Navigation
出狱后致命和非致命阿片类药物过量风险:与个人风险因素、监狱内治疗阿片类药物使用障碍的药物以及同伴导航的关联
- 批准号:
10370150 - 财政年份:2019
- 资助金额:
$ 37.36万 - 项目类别:
Opioid Overdoses among Medicaid Beneficiaries: Predictors, Outcomes, and State Policy Effects
医疗补助受益人中阿片类药物过量:预测因素、结果和国家政策影响
- 批准号:
10348125 - 财政年份:2019
- 资助金额:
$ 37.36万 - 项目类别:
Asian Resource Centers for Minority Aging Research (RCMAR)
亚洲少数民族老龄化研究资源中心 (RCMAR)
- 批准号:
10224080 - 财政年份:2018
- 资助金额:
$ 37.36万 - 项目类别:
Advancing Patient Safety for Antipsychotic-Treated Children: Examining State Implementation of Safe Use Practices
提高接受抗精神病药物治疗的儿童的患者安全:检查国家安全使用实践的实施情况
- 批准号:
10213135 - 财政年份:2018
- 资助金额:
$ 37.36万 - 项目类别:
Advancing Patient Safety for Antipsychotic-Treated Children: Examining State Implementation of Safe Use Practices
提高接受抗精神病药物治疗的儿童的患者安全:检查国家安全使用实践的实施情况
- 批准号:
9980917 - 财政年份:2018
- 资助金额:
$ 37.36万 - 项目类别:
Advancing Patient Safety for Antipsychotic-Treated Children: Examining State Implementation of Safe Use Practices
提高接受抗精神病药物治疗的儿童的患者安全:检查国家安全使用实践的实施情况
- 批准号:
9791352 - 财政年份:2018
- 资助金额:
$ 37.36万 - 项目类别:
Asian Resource Centers for Minority Aging Research (RCMAR)
亚洲少数民族老龄化研究资源中心 (RCMAR)
- 批准号:
10461013 - 财政年份:2018
- 资助金额:
$ 37.36万 - 项目类别:
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