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441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46571/psn-pdf
     October 25, 2017 - Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care … Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care … https://psnet.ahrq.gov/issue/incorporating-nursing-complexity-reimbursement-coding-systems-potential- … impact-missed-care Multiple factors in the hospital environment influence the incidence of missed nursing … https://psnet.ahrq.gov/issue/incorporating-nursing-complexity-reimbursement-coding-systems-potential-impact-missed-care

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37379/psn-pdf
     March 28, 2012 - Identifying modifiable barriers to medication error reporting in the nursing home setting. … Identifying modifiable barriers to medication error reporting in the nursing home setting. … https://psnet.ahrq.gov/issue/identifying-modifiable-barriers-medication-error-reporting-nursing-home-setting … rather than individual-level interventions are the key to improving medication error reporting in nursing … https://psnet.ahrq.gov/issue/nursing-home-administrators-opinions-resident-safety-culture-nursing-homes

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40599/psn-pdf
     November 23, 2011 - Organizational climate determinants of resident safety culture in nursing homes. … Organizational climate determinants of resident safety culture in nursing homes. … https://psnet.ahrq.gov/issue/organizational-climate-determinants-resident-safety-culture-nursing-homes … https://psnet.ahrq.gov/issue/organizational-climate-determinants-resident-safety-culture-nursing-homes … psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41161/psn-pdf
     February 22, 2012 - An education-service partnership to achieve safety and quality improvement competencies in nursing. … An Education-Service Partnership to Achieve Safety and Quality Improvement Competencies in Nursing. … Journal of Nursing Education. 2011;50(12). doi:10.3928/01484834-20110916- 02. … psnet.ahrq.gov/issue/education-service-partnership-achieve-safety-and-quality-improvement- competencies-nursing … This commentary describes how a nursing college and regional health care system collaborated to develop

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44203/psn-pdf
     August 04, 2015 - Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes … Variability in Antibiotic Use Across Nursing Homes and the Risk of Antibiotic-Related Adverse Outcomes … https://psnet.ahrq.gov/issue/variability-antibiotic-use-across-nursing-homes-and-risk-antibiotic-related … This study found increased harms related to antibiotic use among older patients living in nursing homes … with higher antibiotic use compared to nursing homes with overall lower antibiotic use.

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47105/psn-pdf
     August 10, 2018 - A systems approach to identify factors influencing adverse drug events in nursing homes. … A Systems Approach to Identify Factors Influencing Adverse Drug Events in Nursing Homes. … https://psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing … - homes Prior research has shown that nursing home residents are frequently exposed to inappropriate … In this study involving nursing home residents, researchers found an ADE rate of 6.13 per 100 residents

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73097/psn-pdf
     March 31, 2011 - The Future of Nursing: Leading Change, Advancing Health. March 31, 2011 Institute of Medicine. … https://psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health The effective engagement … of nursing is key to patient safety and care quality improvement. … /nursing-and-patient-safety https://psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition … https://psnet.ahrq.gov/issue/barriers-and-facilitators-nursing-handoffs-recommendations-redesign

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41824/psn-pdf
     November 07, 2012 - Using simulation to teach nursing students and licensed clinicians obstetric emergencies. … Using simulation to teach nursing students and licensed clinicians obstetric emergencies. … https://psnet.ahrq.gov/issue/using-simulation-teach-nursing-students-and-licensed-clinicians-obstetric … - emergencies This commentary discusses the benefits of simulation in nursing education and recommends … https://psnet.ahrq.gov/issue/using-simulation-teach-patient-safety-behaviors-undergraduate-nursing-education

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38657/psn-pdf
     September 27, 2016 - Medication Administration Time Study (MATS): nursing staff performance of medication administration. … Medication Administration Time Study (MATS): nursing staff performance of medication administration. … https://psnet.ahrq.gov/issue/medication-administration-time-study-mats-nursing-staff-performance- medication-administration … This study analyzed nursing workflow during medication administration and found that the potential … https://psnet.ahrq.gov/issue/quantifying-nursing-workflow-medication-administration

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39125/psn-pdf
     September 27, 2017 - Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork? … Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork? … https://psnet.ahrq.gov/issue/nurse-and-nurse-assistant-perceptions-missed-nursing-care-what-does-it-tell … - us-about-teamwork Suboptimal teamwork between nurses and nursing assistants was a major contributor … to missed nursing care, according to this mixed-methods study.

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46432/psn-pdf
     October 04, 2017 - Using a Delphi method to identify human factors contributing to nursing errors. … Using a Delphi Method to Identify Human Factors Contributing to Nursing Errors. … https://psnet.ahrq.gov/issue/using-delphi-method-identify-human-factors-contributing-nursing-errors … Using a Delphi consensus method, investigators identified 24 causes of nursing errors, including fatigue … The authors believe their findings should spark discussion about how to improve the safety of nursing

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39050/psn-pdf
     January 04, 2010 - Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, … Safety as a criterion for quality: the critical nursing situation index in paediatric critical care, … This study describes the Critical Nursing Situation Index (CNSI), an observational tool that identifies … deviations from safe practice, and focuses on potential nursing errors before they occur. … https://psnet.ahrq.gov/issue/development-and-psychometric-testing-tool-measure-missed-nursing-care

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40776/psn-pdf
     September 14, 2011 - Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report. … https://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture-2011-user-comparative-database … - report Developed by the Agency for Healthcare Research and Quality (AHRQ), the Nursing Home Survey … This edition shares data from 226 nursing homes and more than 16,000 staff. … An AHRQ WebM&M commentary discussed quality and safety issues in the nursing home setting.

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46499/psn-pdf
     May 17, 2018 - Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures … Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures … https://psnet.ahrq.gov/issue/evaluation-association-between-nursing-home-survey-patient-safety-culture … This prospective cohort study measured nursing home safety culture using the AHRQ Nursing Home Survey … survey results improved and CAUTIs declined over time, after accounting for other factors such as nursing

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34773/psn-pdf
     March 08, 2017 - Medication Errors: The Nursing Experience. March 8, 2017 Wolf ZR. … https://psnet.ahrq.gov/issue/medication-errors-nursing-experience In one of the first professional books … to deal with medication error from the nursing perspective, Wolf provides a comprehensive introduction … to medication error for the nursing community, both students and seasoned practitioners alike. … https://psnet.ahrq.gov/issue/medication-errors-nursing-experience https://psnet.ahrq.gov/primer/nursing-and-patient-safety

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42680/psn-pdf
     October 30, 2013 - Developing a framework for nursing handover in the emergency department: an individualised and systematic … Developing a framework for nursing handover in the emergency department: an individualised and systematic … https://psnet.ahrq.gov/issue/developing-framework-nursing-handover-emergency-department- individualised-and-systematic … In this mixed-methods study of nursing handoffs in the emergency department, 96% of participants felt … Participating nurses believed that the essential data included demographics, presenting problems, nursing

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47393/psn-pdf
     November 28, 2018 - https://psnet.ahrq.gov/issue/still-failing-frail Nursing home patients are vulnerable to preventable … This news investigation reports on how poor practices resulted in resident harm in Pennsylvania nursing … https://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture https://psnet.ahrq.gov/issue … /issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative-database-report https:// … psnet.ahrq.gov/issue/relationship-between-nursing-home-safety-culture-and-joint-commission-accreditation

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44024/psn-pdf
     October 13, 2015 - Cultivating a culture of medication safety in prelicensure nursing students. … Cultivating a Culture of Medication Safety in Prelicensure Nursing Students. … https://psnet.ahrq.gov/issue/cultivating-culture-medication-safety-prelicensure-nursing-students Education … about safety should begin early in nursing students' development. … https://psnet.ahrq.gov/issue/cultivating-culture-medication-safety-prelicensure-nursing-students https

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39072/psn-pdf
     November 04, 2009 - Variations in nursing care quality across hospitals. … Variations in nursing care quality across hospitals. … https://psnet.ahrq.gov/issue/variations-nursing-care-quality-across-hospitals This secondary analysis … of a 1999 survey of registered nurses discovered that two of seven necessary nursing activities were … Investigators analyzed these activities and attributed the differences in nursing care quality with

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39810/psn-pdf
     April 17, 2011 - The missing link: dedicated patient safety education within top-ranked US nursing school curricula. … The missing link: dedicated patient safety education within top-ranked US nursing school curricula. … https://psnet.ahrq.gov/issue/missing-link-dedicated-patient-safety-education-within-top-ranked-us-nursing … - school-curricula This study evaluated for the presence of patient safety curricula among top nursing … https://psnet.ahrq.gov/issue/missing-link-dedicated-patient-safety-education-within-top-ranked-us-nursing-school-curricula