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Rural Health
Resources by State: Washington

Identifying Adverse Drug Events in Rural Hospitals: An Eight-State Study
Analyzes adverse drug events (ADEs), or events involving patient injury resulting from medication use, and identifies ways to improve medication safety in rural hospitals. Uses 2013 data from 8 states with significant rural populations, and examines ADE rates based on hospital characteristics and across 4 main categories: steroids, antibiotics, opiates/narcotics, and anticoagulants. Companion brief lists resources that can be used to reduce and prevent ADEs in rural hospitals, including rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs).
Additional links: Resources to Reduce Adverse Drug Events in Rural Hospitals
Author(s): Michelle Casey, Peiyin Hung, Emma Distel, Shailendra Prasad
Date: 05/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Opioid Prevention and Treatment Strategies: The Experience in Four States
Study examining strategies for dealing with the rural opioid crisis, including prevention, treatment, and recovery services. Uses data from interviews with key stakeholders in Indiana, North Carolina, Vermont, and Washington.
Additional links: Research and Policy Brief
Author(s): John A. Gale, Anush Y. Hansen, Martha Elbaum Williamson
Date: 04/2017
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Passive Sampling for Indoor and Outdoor Exposures to Chlorpyrifos, Azinphos-Methyl, and Oxygen Analogs in a Rural Agricultural Community
Examines pesticides and oxygen analogs in the air following spray applications in Washington and California. Compares indoor and outdoor air and surface concentrations in farmworker and non-farmworker households.
Author(s): Jenna L. Gibbs, Michael G. Yost, Maria Negrete, Richard A. Fenske
Citation: Environmental Health Perspectives
Date: 03/2017
Type: Document
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Behavioral Health Treatment Needs and Outcomes for Washington Counties
Provides county-level behavioral health data for Medicaid enrollees in Washington. Includes data breakdowns for those covered under Medicaid expansion, adults with disabilities, and by race/ethnicity and age group. Covers mental health, substance abuse, co-occurring disorders, criminal justice involvement, emergency department use, homelessness, and more.
Date: 03/2017
Type: Website
Sponsoring organization: Washington State Department of Social and Health Services
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Evaluation of Rural vs Urban Trauma Patients Served by 9-1-1 Emergency Medical Services
Evaluates differences in rural and urban emergency medical services (EMS) using injury severity, care process, and mortality among injured patients based on data from rural and urban Oregon and Washington. Addresses distance to trauma centers, EMS structures, timing of death, and other factors.
Author(s): Craig D. Newgard, Rongwei Fu, Eileen Bulger, et al.
Citation: JAMA Surgery, 152(1), 11-18
Date: 01/2017
Type: Document
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Assessing Differences in the Availability of Opioid Addiction Therapy Options: Rural Versus Urban and American Indian Reservation Versus Non-Reservation
Examines differences in the number of opioid agonist therapy (OAT) facilities and physicians with Drug Addiction Treatment Act (DATA) waivers in the state of Washington. Includes rural versus urban and tribal land versus non-tribal land comparisons.
Author(s): Katherine A. Hirchak, Sean M. Murphy
Citation: Journal of Rural Health, 33(1), 102-109
Date: 01/2017
Type: Document
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New Partner Recruitment to Rural Versus Urban Ob-Gyn Practices: A Survey of Practicing Ob-Gyns
Discusses the results of a survey of obstetrics and gynecology practices in rural and urban areas located in 5 Northwestern states to examine their recruitment efforts. Information and data about their background, practice setting, partner recruitment, and retention was collected and analyzed, with comparisons noted between rural, suburban, and urban providers.
Author(s): Michael F. Fialkow, Carrie M. Snead, Jay Schulkin
Citation: Health Services Research and Managerial Epidemiology, 2017(4)
Date: 2017
Type: Document
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Project Extension for Community Healthcare Outcomes (ECHO) in Multiple Sclerosis: Increasing Clinician Capacity
Reports on a pilot program conducted by the National Multiple Sclerosis Society and faculty from the University of Washington School of Medicine using the Project Extension for Community Healthcare Outcomes (Project ECHO) model. Determines if the Project Echo model was a viable option to support the capacity of clinicians in rural areas to effectively treat patients with Multiple Sclerosis (MS) in underserved areas.
Author(s): Kurt L. Johnson, Deborah Hertz, Gary Stobbe, et al.
Citation: International Journal of MS Care, 9(6), 283–289
Date: 2017
Type: Document
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Hydration and Cooling Practices Among Farmworkers in Oregon and Washington
Details a study on farmworkers' knowledge and practice of hydration and cooling measures in Oregon and Washington. Breaks down data by crops grown, main job tasks, and modes of hydration and cooling, among others factors.
Author(s): Jeffrey W. Bethel, June T. Spector, Jennifer Krenz
Citation: Journal of Agromedicine, 22(3), 222-228
Date: 2017
Type: Document
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Strengthening the Connection Between the Supplemental Nutrition Assistance Program and Farmer's Markets
Study showing the geographic distribution of farmer's markets with Food Insecurity Nutrition Incentive (FINI) programs in Washington, in relation to areas with high Supplemental Nutrition Assistance Program populations. Includes breakdowns by rural and urban locations.
Author(s): Bridget Igoe, Dennis McDermot, Mandy Stahre
Citation: Preventing Chronic Disease, 13
Date: 12/2016
Type: Document
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