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  1. Medicare's decision to withhold payment for hospital errors: the devil is in the details. | PSNet

    psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details
    March 13, 2013 - Commentary Classic Medicare's decision to withhold payment for hospital errors: the devil is in the details. Citation Text: Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patie…

  2. The benefits of health information technology: a review of the recent literature shows predominantly positive results. | PSNet

    psnet.ahrq.gov/issue/benefits-health-information-technology-review-recent-literature-shows-predominantly-positive
    December 21, 2018 - Review Classic The benefits of health information technology: a review of the recent literature shows predominantly positive results. Citation Text: Buntin MB, Burke MF, Hoaglin MC, et al. The Benefits Of Health Information Technology: A Review Of The Recent Lit…

  3. Characteristics of critical incident reporting systems in primary care: an international survey. | PSNet

    psnet.ahrq.gov/issue/characteristics-critical-incident-reporting-systems-primary-care-international-survey
    September 07, 2022 - Study Characteristics of critical incident reporting systems in primary care: an international survey. Citation Text: Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care: an international survey. J Patient Saf. 2022;18(1):e85-e91.…

  4. Association of household opioid availability and prescription opioid initiation among household members. | PSNet

    psnet.ahrq.gov/issue/association-household-opioid-availability-and-prescription-opioid-initiation-among-household
    April 24, 2018 - Study Association of household opioid availability and prescription opioid initiation among household members. Citation Text: Seamans MJ, Carey TS, Westreich DJ, et al. Association of Household Opioid Availability and Prescription Opioid Initiation Among Household Members. JAMA Intern Me…

  5. Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. | PSNet

    psnet.ahrq.gov/issue/classifying-safety-events-related-diagnostic-imaging-safety-reporting-system-using-human
    November 02, 2018 - Study Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. Citation Text: Lacson R, Cochon L, Ip I, et al. Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Frame…

  6. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. | PSNet

    psnet.ahrq.gov/issue/systematic-review-impact-health-information-technology-quality-efficiency-and-costs-medical
    March 30, 2022 - Review Classic Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Citation Text: Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and …

  7. Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report. | PSNet

    psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture-2019-user-comparative-database-report
    February 20, 2019 - Book/Report Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report. Citation Text: Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report. Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Res…

  8. Managing diagnostic uncertainty in primary care: a systematic critical review. | PSNet

    psnet.ahrq.gov/issue/managing-diagnostic-uncertainty-primary-care-systematic-critical-review
    February 15, 2017 - Review Managing diagnostic uncertainty in primary care: a systematic critical review. Citation Text: Alam R, Cheraghi-Sohi S, Panagioti M, et al. Managing diagnostic uncertainty in primary care: a systematic critical review. BMC Fam Pract. 2017;18(1):79. doi:10.1186/s12875-017-0650-0. …

  9. Pharmacist medication reviews to improve safety monitoring in primary care patients. | PSNet

    psnet.ahrq.gov/issue/pharmacist-medication-reviews-improve-safety-monitoring-primary-care-patients
    April 24, 2018 - Study Pharmacist medication reviews to improve safety monitoring in primary care patients. Citation Text: Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh…

  10. Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. | PSNet

    psnet.ahrq.gov/issue/information-technology-based-approaches-reducing-repeat-drug-exposure-patients-known-drug
    December 21, 2022 - Commentary Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. Citation Text: Cresswell K, Sheikh A. Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. J Allergy Cli…

  11. Improved medication management with introduction of a perioperative and prescribing pharmacist service. | PSNet

    psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing-pharmacist-service
    August 05, 2020 - Study Improved medication management with introduction of a perioperative and prescribing pharmacist service. Citation Text: Nguyen AD, Lam A, Banakh I, et al. Improved medication management with introduction of a perioperative and prescribing pharmacist service. J Pharm Pract. 2020;33(3…

  12. Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-regimen-checks-performed-pharmacists-contribute-safe-administration-chemotherapy
    April 01, 2010 - Study Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. Citation Text: Suzuki S, Chan A, Nomura H, et al. Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. J Oncol Pract. 2017;23(1…

  13. Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/postsurgical-prescriptions-opioid-naive-patients-and-association-overdose-and-misuse
    October 19, 2022 - Study Classic Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. Citation Text: Brat GA, Agniel D, Beam A, et al. Postsurgical prescriptions for opioid naive patients and association with ov…

  14. Defining, estimating, and communicating overdiagnosis in cancer screening. | PSNet

    psnet.ahrq.gov/issue/defining-estimating-and-communicating-overdiagnosis-cancer-screening
    October 13, 2018 - Commentary Defining, estimating, and communicating overdiagnosis in cancer screening. Citation Text: Davies L, Petitti DB, Martin L, et al. Defining, estimating, and communicating overdiagnosis in cancer screening. Ann Intern Med. 2018;169(1):36-43. doi:10.7326/M18-0694. Copy Citation …

  15. Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. | PSNet

    psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-preventability
    April 03, 2019 - Study Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. Citation Text: Manaseki-Holland S, Lilford RJ, Bishop JRB, et al. Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. BMJ Qual Saf. 2017;2…

  16. RISE: exploring volunteer retention and sustainability of a second victim support program. | PSNet

    psnet.ahrq.gov/issue/rise-exploring-volunteer-retention-and-sustainability-second-victim-support-program
    April 21, 2021 - Study RISE: exploring volunteer retention and sustainability of a second victim support program. Citation Text: Connors C, Dukhanin V, Norvell M, et al. RISE: Exploring Volunteer Retention and Sustainability of a Second Victim Support Program. J Healthc Manag. 2021;66(1):19-32. doi:10.10…

  17. A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing-relationships-between
    February 14, 2024 - Study A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. Citation Text: Schraagen JM, Schouten T, Smit M, et al. A prospective study of paediatric cardiac surgical microsystems: assessi…

  18. Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors. | PSNet

    psnet.ahrq.gov/issue/adverse-events-veterans-affairs-inpatient-psychiatric-units-staff-perspectives-contributing
    January 30, 2019 - Study Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors. Citation Text: True G, Frasso R, Cullen SW, et al. Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and prote…

  19. Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. | PSNet

    psnet.ahrq.gov/issue/challenges-implementing-centers-disease-control-and-prevention-opioid-guideline-consensus
    January 25, 2017 - Commentary Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. Citation Text: Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consens…

  20. A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. | PSNet

    psnet.ahrq.gov/issue/systems-analysis-work-related-violence-hospitals-stakeholders-contributory-factors-and
    February 01, 2023 - Study A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. Citation Text: Salmon PM, Coventon L, Read GJM. A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. Safe…
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