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Perspectives on Safety > Annual Perspective
with commentary by Rachel J. Stern, MD, and Urmimala Sarkar, MD, 2018
Patient engagement is widely acknowledged as a cornerstone of patient safety. Research in 2018 demonstrates that patient engagement, when done correctly, can help health care systems identify safety hazards, regain trust after they occur, and codesign sustainable solutions.
Journal Article > Study
Association of opioid prescriptions from dental clinicians for US adolescents and young adults with subsequent opioid use and abuse.
Schroeder AR, Dehghan M, Newman TB, Bentley JP, Park KT. JAMA Intern Med. 2019;179:145-152.
This retrospective cohort study found that opioid-naive adolescents who received an opioid prescription from a dentist were more likely to receive a subsequent opioid prescription or be diagnosed with an opioid use disorder compared to opioid-naive adolescents who did not receive an opioid prescription from a dentist. This finding is consistent with prior studies in adults, demonstrating increased risk of subsequent opioid use following short-term prescriptions. The authors urge caution in prescribing opioids to adolescents.
Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2019. AHRQ Publication No. 18(19)-0055-EF.
Programs are in place to address hospital discharge process gaps that contribute to readmissions. This report summarizes research on primary care perspectives on reducing readmissions. Interventions identified include automated alerting to primary care providers when patients are hospitalized and the patient-centered medical home model.