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401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42472/psn-pdf
     August 07, 2013 - Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association … Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association … Patients in nursing homes are generally elderly, chronically ill, and take multiple medications, which … The state of North Carolina maintains a mandatory medication error reporting system for all nursing … psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45272/psn-pdf
     October 12, 2016 - Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. … Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. … qualitative-study Missed nursing care is a significant patient safety concern. … task—as a safety gap in inpatient nursing. … https://psnet.ahrq.gov/primer/missed-nursing-care https://psnet.ahrq.gov/primer/nursing-and-patient-safety

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44658/psn-pdf
     November 18, 2015 - The relationship between registered nurses and nursing home quality: an integrative review (2008–2014 … The Relationship Between Registered Nurses and Nursing Home Quality: An Integrative Review (2008-2014 … https://psnet.ahrq.gov/issue/relationship-between-registered-nurses-and-nursing-home-quality-integrative … - review-2008-2014 Adverse events in the nursing home setting are a common, and often preventable, … https://psnet.ahrq.gov/primer/nursing-and-patient-safety

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43037/psn-pdf
     October 31, 2014 - Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. … https://psnet.ahrq.gov/issue/adverse-events-skilled-nursing-facilities-national-incidence-among-medicare … These results mirror previous studies documenting an overall poor level of safety culture in nursing … A past AHRQ WebM&M interview discussed unique issues surrounding patient safety in the nursing home … measuring-administrators-and-direct-care-workers-perceptions-safety-culture-assisted-living https://psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41339/psn-pdf
     January 03, 2017 - Relationship between nursing home safety culture and Joint Commission accreditation. … Relationship between nursing home safety culture and Joint Commission accreditation. … https://psnet.ahrq.gov/issue/relationship-between-nursing-home-safety-culture-and-joint-commission- … This study used the AHRQ Nursing Home Survey on Patient Safety Culture to examine the relationship between … https://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture https://psnet.ahrq.gov/issue

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33735/psn-pdf
     August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It August 1, 2012 Gurwitz JH. … Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012. … CMS Nursing Home Compendium 2010 Edition. … Improving medication safety in the nursing home setting: the case of warfarin. … The safety of warfarin therapy in the nursing home setting. Am J Med. 2007;120:539-544.

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36636/psn-pdf
     January 14, 2011 - Nursing home administrators' opinions of the resident safety culture in nursing homes. … Nursing home administrators' opinions of the resident safety culture in nursing homes. … https://psnet.ahrq.gov/issue/nursing-home-administrators-opinions-resident-safety-culture-nursing-homes … The researchers surveyed nursing home administrators and found that safety cultures were less developed … https://psnet.ahrq.gov/issue/nursing-home-administrators-opinions-resident-safety-culture-nursing-homes

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47066/psn-pdf
     July 11, 2018 - The association between nurse staffing and omissions in nursing care: a systematic review. … The association between nurse staffing and omissions in nursing care: A systematic review. … https://psnet.ahrq.gov/issue/association-between-nurse-staffing-and-omissions-nursing-care-systematic … Two of the authors summarized the science of missed nursing care in a recent PSNet perspective. … https://psnet.ahrq.gov/primer/missed-nursing-care https://psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety

409. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
     September 01, 2011 - Annual Review of Nursing Research. New York, NY: Springer Publishing Co.; 2006;24. … * Challenges of Nursing Home Care Nursing home residents are often frail Predominantly elderly … * Challenges of Nursing Home Care (2) Many nursing homes do not have adequate resources to manage … is declining Nursing home residents frequently transition between settings Transfers from nursing … Changes in nursing home staff staffing levels, 1997 to 2007.

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41426/psn-pdf
     June 06, 2012 - Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient … Nursing Mortality and Morbidity and Journal Club Cycles. … https://psnet.ahrq.gov/issue/nursing-mortality-and-morbidity-and-journal-club-cycles-paving-way-nursing … https://psnet.ahrq.gov/issue/nursing-mortality-and-morbidity-and-journal-club-cycles-paving-way-nursing-autonomy-patient … https://psnet.ahrq.gov/issue/nursing-mortality-and-morbidity-and-journal-club-cycles-paving-way-nursing-autonomy-patient

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43915/psn-pdf
     September 27, 2017 - The quality of hospital work environments and missed nursing care is linked to heart failure readmissions … https://psnet.ahrq.gov/issue/quality-hospital-work-environments-and-missed-nursing-care-linked-heart- … One proposed mechanism to explain this relationship is missed nursing care. … A recent AHRQ WebM&M perspective discusses the nursing workforce and patient safety. … /preparing-health-reform-federal-government-and-nursing-workforce

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45327/psn-pdf
     September 27, 2016 - A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care … A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care … https://psnet.ahrq.gov/issue/concept-analysis-undergraduate-nursing-students-speaking-patient-safety- … https://psnet.ahrq.gov/issue/narrativizing-nursing-students-experiences-medical-errors-during-clinicals … https://psnet.ahrq.gov/issue/errors-omission-missed-nursing-care https://psnet.ahrq.gov/issue/spotlight-strategies-increasing-safety-reporting-nursing-education

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46170/psn-pdf
     July 12, 2017 - Missed nursing care in pediatrics. July 12, 2017 Lake ET, de Cordova PB, Barton S, et al. … Missed Nursing Care in Pediatrics. Hosp Pediatr. 2017;7(7):378- 384. doi:10.1542/hpeds.2016-0141. … https://psnet.ahrq.gov/issue/missed-nursing-care-pediatrics Missed nursing care is common and has been … https://psnet.ahrq.gov/issue/missed-nursing-care-pediatrics https://psnet.ahrq.gov/primer/missed-nursing-care … https://psnet.ahrq.gov/issue/patient-reported-missed-nursing-care-correlated-adverse-events https://

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44050/psn-pdf
     September 27, 2017 - Unfinished nursing care, missed care, and implicitly rationed care: state of the science review. … Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. … https://psnet.ahrq.gov/issue/unfinished-nursing-care-missed-care-and-implicitly-rationed-care-state- … science-review This review found that missed nursing care is common and appears to be associated with … Predictors of missed nursing care include poor safety culture and increased nursing workload.

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41964/psn-pdf
     April 17, 2013 - Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. … Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. … https://psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators … Safety problems—particularly medication errors—are common in nursing homes and other long-term care … incidence-adverse-drug-events-two-large-academic-long-term-care-facilities https://psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45598/psn-pdf
     November 23, 2016 - AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. … https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative- … database-report The Agency for Healthcare Research and Quality developed the Nursing Home Survey on … Patient Safety Culture to assess safety culture in the nursing home setting. … The report highlights two areas of safety culture in which nursing homes appear to do well: overall

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44399/psn-pdf
     May 20, 2016 - Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing … Safety culture in long-term care: a cross- sectional analysis of the Safety Attitudes Questionnaire in nursing … Safety problems are common in nursing homes and other long-term care facilities, and prior work has … This is a necessary step for much needed research on nursing home safety. … https://psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41298/psn-pdf
     November 27, 2012 - Patient safety culture and the association with safe resident care in nursing homes. … Patient safety culture and the association with safe resident care in nursing homes. … https://psnet.ahrq.gov/issue/patient-safety-culture-and-association-safe-resident-care-nursing-homes … Safety problems are endemic at many nursing homes, and this study used the AHRQ Nursing Home Survey … fall-prevention-acute-care-hospitals-randomized-trial https://psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43632/psn-pdf
     December 19, 2014 - A qualitative study of barriers to incident reporting among nurses working in nursing homes. … A qualitative study of barriers to incident reporting among nurses working in nursing homes. … In this qualitative study, nursing staff in long-term care facilities described barriers to reporting … These findings highlight the need for multifaceted interventions to improve nursing home safety. … https://psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43688/psn-pdf
     November 30, 2016 - AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. … https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2014-user-comparative- … database-report The AHRQ Nursing Home Survey on Patient Safety Culture, a validated tool for measuring … This comprehensive national survey of registered nurses, nursing aides, and support staff garnered a … https://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture https://psnet.ahrq.gov/primer