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461. 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.

462. 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

463. 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

464. 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

465. 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

466. 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

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38776/psn-pdf
     March 04, 2011 - Medication administration errors in nursing homes using an automated medication dispensing system. … Medication administration errors in nursing homes using an automated medication dispensing system. … https://psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication … - dispensing-system This study discovered that medication administration at nursing homes is an error-prone … commentary discussed a case of a nurse who bypassed the safeguards of an automated dispensing system at a nursing

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44641/psn-pdf
     October 26, 2016 - Resident Safety Practices in Nursing Home Settings. … https://psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings Efforts to maintain patient … autonomy can detract from ensuring residents' safety in nursing homes. … Common safety issues in nursing homes are medication errors, falls, and inappropriate use of restraints … /patient-safety-culture-and-association-safe-resident-care-nursing-homes https://psnet.ahrq.gov/issue

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43962/psn-pdf
     December 04, 2015 - Undergraduate baccalaureate nursing students' self- reported confidence in learning about patient safety … Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety … https://psnet.ahrq.gov/issue/undergraduate-baccalaureate-nursing-students-self-reported-confidence- … learning-about-patient This survey of nursing students found that their comfort with sociocultural aspects … These findings suggest a need to address how the practice environment affects nursing students' confidence

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40989/psn-pdf
     December 07, 2011 - The criminalization of mistakes in nursing. December 7, 2011 Philipsen NC. … The Criminalization of Mistakes in Nursing. J Nurs Pract. 2011;7(9):719-726. … https://psnet.ahrq.gov/issue/criminalization-mistakes-nursing This commentary describes how treating … medical mistakes in a punitive manner could have a detrimental effect on safe nursing practice and … https://psnet.ahrq.gov/issue/criminalization-mistakes-nursing https://psnet.ahrq.gov/primer/nursing-and-patient-safety

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39957/psn-pdf
     September 27, 2017 - The impact of teamwork on missed nursing care. September 27, 2017 Kalisch BJ, Lee KH. … The impact of teamwork on missed nursing care. Nurs Outlook. 2010;58(5):233-41. … https://psnet.ahrq.gov/issue/impact-teamwork-missed-nursing-care In this survey conducted in 50 nursing … units, the frequency of missed nursing care was at least partly attributable to poor teamwork between … https://psnet.ahrq.gov/issue/impact-teamwork-missed-nursing-care

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45389/psn-pdf
     September 27, 2016 - Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic … Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic … https://psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-use-older-adults-living- nursing-homes … Adverse drug events in older patients are common, and those living in nursing homes may be at particularly … This systematic review found that almost half of nursing home residents are exposed to potentially inappropriate

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43387/psn-pdf
     August 20, 2014 - The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional … The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional … https://psnet.ahrq.gov/issue/occurrence-adverse-events-potentially-attributable-nursing-care-medical-units … organizations are still struggling to determine the incidence of adverse outcomes associated with nursing … used chart reviews to identify the rates of six adverse events considered to be directly related to nursing

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44686/psn-pdf
     March 15, 2016 - Standardized handoff report form in clinical nursing education: an educational tool for patient safety … Standardized handoff report form in clinical nursing education: An educational tool for patient safety … https://psnet.ahrq.gov/issue/standardized-handoff-report-form-clinical-nursing-education-educational-tool … This commentary describes a standardized change-of-shift form designed to help improve nursing students … https://psnet.ahrq.gov/issue/standardized-handoff-report-form-clinical-nursing-education-educational-tool-patient-safety

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42784/psn-pdf
     January 15, 2014 - A multi-disciplinary approach to medication safety and the implication for nursing education and practice … A multi-disciplinary approach to medication safety and the implication for nursing education and practice … https://psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing- … education-and-practice This study used direct observation and interviews to examine medication safety in nursing … https://psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing-education-and-practice

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41569/psn-pdf
     August 27, 2012 - An exploration of safety climate in nursing homes. … An exploration of safety climate in nursing homes. J Patient Saf. 2012;8(3):104-24. … https://psnet.ahrq.gov/issue/exploration-safety-climate-nursing-homes This study reports on the initial … findings of a novel survey intended to evaluate safety culture in nursing homes, the Survey on Resident … Safety in Nursing Homes.

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35799/psn-pdf
     March 29, 2006 - The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion … https://psnet.ahrq.gov/issue/ethics-and-practical-importance-defining-distinguishing-and-disclosing-nursing … - errors The authors provide a definition of "nursing error," discuss the importance of disclosing … nursing errors, and advocate for a non-punitive system. … https://psnet.ahrq.gov/issue/ethics-and-practical-importance-defining-distinguishing-and-disclosing-nursing-errors

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45719/psn-pdf
     June 29, 2017 - Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing … Systematic Review of the Prevalence of Medication Errors Resulting in Hospitalization and Death of Nursing … This systematic review examined medication errors in nursing homes and found a high prevalence of errors … The authors emphasize the difficulty of attributing harm to medications versus underlying illness in nursing … home residents, and they call for designing safer systems for medication administration in nursing

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41753/psn-pdf
     March 11, 2013 - Barriers and facilitators to communicating nursing errors in long-term care settings. … Barriers and facilitators to communicating nursing errors in long- term care settings. … https://psnet.ahrq.gov/issue/barriers-and-facilitators-communicating-nursing-errors-long-term-care-settings … This qualitative study examined nursing error communication in long-term care settings. … https://psnet.ahrq.gov/primer/nursing-and-patient-safety

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38790/psn-pdf
     July 15, 2009 - The SBAR communication technique: teaching nursing students professional communication skills. … The SBAR communication technique: teaching nursing students professional communication skills. … https://psnet.ahrq.gov/issue/sbar-communication-technique-teaching-nursing-students-professional- communication-skills … This article describes the use of a communication technique to better prepare nursing school graduates … https://psnet.ahrq.gov/issue/sbar-communication-technique-teaching-nursing-students-professional-communication-skills