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621. Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial. | PSNet
     psnet.ahrq.gov/issue/effect-pharmacist-counseling-intervention-health-care-utilization-following-hospital
     November 26, 2014 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary

622. Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. | PSNet
     psnet.ahrq.gov/issue/collaboration-regulators-support-quality-and-accountability-following-medical-errors
     September 29, 2017 - View More Related Resources Hospital Reporting Program: Annual Summary

623. The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? | PSNet
     psnet.ahrq.gov/issue/dollar-or-disease-burden-caps-healthcare-spending-may-save-money-what-cost-patients
     March 01, 2011 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary

624. The cost of opioid–related adverse drug events. | PSNet
     psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events
     August 30, 2017 - Review The cost of opioid–related adverse drug events. Citation Text: Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889. Copy Citation Format: …

625. VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. | PSNet
     psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses-adverse-events
     November 22, 2017 - Summary Free full text (PDF) Related news article Save Save to your library

626. Information overload and missed test results in electronic health record–based settings. | PSNet
     psnet.ahrq.gov/issue/information-overload-and-missed-test-results-electronic-health-record-based-settings
     April 14, 2011 - Study Information overload and missed test results in electronic health record–based settings. Citation Text: Singh H, Spitzmueller C, Petersen NJ, et al. Information overload and missed test results in electronic health record-based settings. JAMA Intern Med. 2013;173(8):702-4. doi:10.1…

627. Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. | PSNet
     psnet.ahrq.gov/issue/healthcare-inspection-evaluation-veterans-health-administrations-national-consult-delay
     September 10, 2014 - May 1, 2015 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination

628. Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery. | PSNet
     psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-adverse-events-after-outpatient-orthopaedic
     December 19, 2017 - March 9, 2022 Evaluation of an electronic health record structured discharge summary

629. Shining a Light: Safer Health Care Through Transparency. | PSNet
     psnet.ahrq.gov/issue/shining-light-safer-health-care-through-transparency
     November 23, 2016 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

630. Liability claims and costs before and after implementation of a medical error disclosure program. | PSNet
     psnet.ahrq.gov/issue/liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program
     April 24, 2018 - Summary for Patients PubMed citation Available at Related Editorial Save Save

631. Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. | PSNet
     psnet.ahrq.gov/issue/using-patient-safety-morbidity-and-mortality-conferences-promote-transparency-and-culture
     March 28, 2011 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

632. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. | PSNet
     psnet.ahrq.gov/issue/impact-clinical-pharmacy-admission-medication-reconciliation-program-medication-errors-high
     August 30, 2017 - Study Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. Citation Text: Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "hig…

633. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. | PSNet
     psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
     July 12, 2016 - September 23, 2015 Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary

634. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. | PSNet
     psnet.ahrq.gov/issue/changes-safety-and-teamwork-climate-after-adding-structured-observations-patient-safety
     August 20, 2018 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

635. Creating a safer health care system: finding the constraint. | PSNet
     psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
     February 24, 2011 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

636. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety | PSNet
     psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
     March 01, 2017 - In summary, research suggests a number of concrete actions that leaders can take to help promote cultural … Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

637. Design and implementation of an automated email notification system for results of tests pending at discharge. | PSNet
     psnet.ahrq.gov/issue/design-and-implementation-automated-email-notification-system-results-tests-pending-discharge
     March 04, 2015 - Study Design and implementation of an automated email notification system for results of tests pending at discharge. Citation Text: Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am M…

638. What is the return on investment for implementation of a crew resource management program at an academic medical center? | PSNet
     psnet.ahrq.gov/issue/what-return-investment-implementation-crew-resource-management-program-academic-medical
     April 24, 2018 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

639. Consequences of inadequate sign-out for patient care. | PSNet
     psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care
     November 07, 2012 - Study Classic Consequences of inadequate sign-out for patient care. Citation Text: Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755. Copy Cit…

640. Surgical checklists: a systematic review of impacts and implementation. | PSNet
     psnet.ahrq.gov/issue/surgical-checklists-systematic-review-impacts-and-implementation
     January 06, 2018 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary