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������ƵStats: Spending on Mental Disorders Treatment

Approximately 44 million adults, 17.3 percent of the U.S. population, reported expenditures for treatment of mental disorders totaling over $106 billion in 2019. (Source: AHRQ, Medical Expenditure Panel Survey Statistical Brief #539, .)

Today's Headlines:

• Opioid Prescribing, Adverse Outcomes Increase Significantly When Patients Turn 18.
• Highlights From ������’s Patient Safety Network.
• Now Available: Recorded ������ƵWebinar on Bringing Person-Centered Care to Patients With Multiple Chronic Conditions.
• ������Ƶin the Professional Literature.

Opioid Prescribing, Adverse Outcomes Increase Significantly When Patients Turn 18

An AHRQ-funded review of emergency department (ED) data published in Health Affairs suggests that, despite medical similarities, adolescents who transition from “child” to “adult” at age 18 are nearly 10 percent more likely to receive an opioid prescription in the ED than 17-year-old patients. Compared with those still classified as children, patients just over 18 were over 12 percent more likely to be diagnosed with opioid use disorder, engage in long-term opioid use or experience an overdose in the year after their ED visit. The project team estimated that adult prescribing habits may result in a more than 14 percent increased risk in adverse opioid-use events when “adults” just over 18 were prescribed opioids that they would not have received the previous year. Researchers suggested that the results indicate that more attention should be focused on these opioid prescribing differences. Access the .

Highlights From ������’s Patient Safety Network

������’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 ������’s WebM&M (Morbidity and Mortality Rounds on the Web).

Now Available: Recorded ������ƵWebinar on Bringing Person-Centered Care to Patients With Multiple Chronic Conditions

A webinar that showcased findings from a of the journal HSR on ������’s research agenda for transforming care for people with multiple chronic conditions is now available as a . The webinar, “A Conversation with the Authors: Health Services Research Special Issue on the Science of Care for People with Multiple Chronic Conditions,” was led by Arlene Bierman, M.D., M.S., director of ������’s Center for Evidence and Practice Improvement.

������Ƶin the Professional Literature

Development and validation of a prognostic tool: pulmonary embolism short-term clinical outcomes risk estimation (PE-SCORE). Weekes AJ, Raper JD, Lupez K, et al. PLoS One 2021 Nov 18;16(11):e0260036. Access the on PubMed®.

Preconception care and severe maternal morbidity in the United States. Dude AM, Schueler K, Schumm LP, et al. Am J Obstet Gynecol MFM 2021 Dec 4. [Epub ahead of print.] Access the on PubMed®.

What is the role of shared decision-making with parents of children with bronchiolitis? Natarajan E, Florin TA, Constantinou C, et al. Hosp Pediatr 2022 Jan;12(1):e50-e53. Access the on PubMed®.

Completeness of operative reports for rectal cancer surgery. Kanters AE, Vu JV, Schuman AD, et al. Am J Surg 2020 Jul;220(1):165-9. Epub 2019 Sep 28. Access the on PubMed®.

How type of practice ownership affects participation with quality improvement external facilitation: findings from EvidenceNOW. Perry CK, Lindner S, Hall J, et al. J Gen Intern Med 2022 Jan 3. Epub 2022 Jan 3. Access the on PubMed®.

Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. Nether KG, Thomas EJ, Khan A, et al. J Healthc Qual 2022 Jan-Feb;44(1):23-30. Access the on PubMed®.

Disparities in use of video telemedicine among patients with limited English proficiency during the COVID-19 pandemic. Hsueh L, Huang J, Millman AK, et al. JAMA Netw Open 2021 Nov;4(11):e2133129. Access the on PubMed®.

Strategies for sustaining high-quality pediatric asthma care in community hospitals. Jaladanki S, Schechter SB, Genies MC, et al. Health Serv Res 2022 Feb;57(1):125-36. Epub 2021 Sep 7. Access the on PubMed®.