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  1. 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
  2. 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
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46707/psn-pdf
    October 13, 2018 - Medication errors involving nursing students: a systematic review. … Medication Errors Involving Nursing Students: A Systematic Review. … https://psnet.ahrq.gov/issue/medication-errors-involving-nursing-students-systematic-review Learning … This systematic review found that few studies have examined the incidence of nursing student medication … https://psnet.ahrq.gov/issue/medication-errors-involving-nursing-students-systematic-review https://psnet.ahrq.gov
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46282/psn-pdf
    October 13, 2018 - Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation … Effects of an Intervention to Reduce Hospitalizations From Nursing Homes: A Randomized Implementation … https://psnet.ahrq.gov/issue/effects-intervention-reduce-hospitalizations-nursing-homes-randomized- … implementation-trial Reducing acute care hospitalizations from nursing homes is a patient safety priority … care facilities and found no difference in the rate of acute care hospitalizations compared to usual nursing
  10. 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
  11. 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
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49623/psn-pdf
    March 01, 2011 - National accreditation of nursing programs, which requires a higher level of quality than state nursing … Specializing in Nursing Education   References 1. … The Future of Nursing: Leading Change, Advancing Health. … Teaching Nursing: The Art and Science. Vol 3. 2nd ed. … Examining the impending gap in clinical nursing expertise.
  13. psnet.ahrq.gov/issue/overcoming-barriers-patient-safety
    September 24, 2016 - September 24, 2016 What does nursing teamwork look like? A qualitative study. … January 23, 2012 Nurse staffing levels and patient-reported missed nursing care. … September 27, 2017 Errors of omission: missed nursing care. … September 27, 2017 Improving nursing unit teamwork. … September 27, 2017 The impact of teamwork on missed nursing care.
  14. 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
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42945/psn-pdf
    February 19, 2014 - Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing … Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing … psnet.ahrq.gov/issue/integrating-patient-safety-health-professionals-curricula-qualitative-study- medical-nursing … In 2010, patient safety was seen as a critical unmet need in medical and nursing education. … This study explored the perspectives of frontline medical, nursing, and pharmacy faculty on integrating
  16. 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.
  17. 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
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43765/psn-pdf
    February 04, 2015 - Differences in medication knowledge and risk of errors between graduating nursing students and working … Differences in medication knowledge and risk of errors between graduating nursing students and working … https://psnet.ahrq.gov/issue/differences-medication-knowledge-and-risk-errors-between-graduating- nursing-students-and … Nursing skill mix and training may be linked to patient outcomes, and one study showed lower inpatient … In this study, practicing nurses had greater medication knowledge than graduating nursing students,
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46310/psn-pdf
    October 29, 2017 - Do safety culture scores in nursing homes depend on job role and ownership? … Do Safety Culture Scores in Nursing Homes Depend on Job Role and Ownership? … https://psnet.ahrq.gov/issue/do-safety-culture-scores-nursing-homes-depend-job-role-and-ownership- results-national-survey … This study demonstrated that staff responses to AHRQ's Nursing Home Survey on Safety Culture were higher … https://psnet.ahrq.gov/issue/do-safety-culture-scores-nursing-homes-depend-job-role-and-ownership-results-national-survey
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35673/psn-pdf
    June 28, 2010 - Recovery from medical errors: the critical care nursing safety net. … Recovery from medical errors: the critical care nursing safety net. … incident reports and observed nursing care in a coronary care unit and found that medical errors are … frequently recovered by nursing staff. … https://psnet.ahrq.gov/issue/recovery-medical-errors-critical-care-nursing-safety-net

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