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psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial
August 09, 2023 - Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing … and reporting patterns for two measures of nursing home care quality ( falls with major injury and … August 9, 2023
Accuracy of pressure ulcer events in US nursing home ratings. … measurement on Nursing Home Compare. … measurement on Nursing Home Compare.
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psnet.ahrq.gov/issue/coronavirus-commission-safety-and-quality-nursing-homes
May 26, 2021 - Book/Report
Coronavirus Commission for Safety and Quality in Nursing Homes. … Citation Text:
Coronavirus Commission for Safety and Quality in Nursing Homes. … Nursing homes have been confronted with numerous barriers to providing safe care during the pandemic … This report summarizes the results of an independent commission to build on the COVID-19 nursing home … September 5, 2018
Nursing Home Compare.
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psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
February 02, 2022 - Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing … Kennesaw, GA: WellStar School of Nursing, WellStar College of Health and Human Services, Kennesaw State … Medication administration practice is a foundational element of nursing education, yet the emphasis … This report discusses gaps in some nursing programs that detract from building safe medication skills … Curriculum weaknesses discussed include punitive orientation to nursing student medication errors,
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psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data
October 20, 2021 - Study
Nursing student errors and near misses: three years of data. … Nursing student errors and near misses: three years of data. … Learning from mistakes is an essential component of medical and nursing education. … This retrospective study examined medical errors and near-misses committed by nursing students at more … Nursing student errors and near misses: three years of data.
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psnet.ahrq.gov/issue/comparing-catheter-associated-urinary-tract-infection-prevention-programs-between-veterans
December 21, 2017 - homes and non–Veterans Affairs nursing homes. … Homes and Non-Veterans Affairs Nursing Homes. … Researchers queried US Department of Veterans Affairs (VA) nursing homes and non-VA nursing homes participating … Out of 494 nursing homes surveyed, 353 responded. … Homes and Non-Veterans Affairs Nursing Homes.
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psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19
April 29, 2020 - Book/Report
Infection Control Deficiencies Were Widespread and Persistent in Nursing … Citation Text:
Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior … This US Government Accountability Office (GAO) report highlights the chronic shortfalls in nursing … from Florida nursing homes. … March 10, 2021
National Nursing Home COVID Action Network.
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psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and-rape-dont-dock-five
December 22, 2021 - Newspaper/Magazine Article
In U.S. nursing homes, where Covid-19 killed scores, even … Citation Text:
In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape … This article outlines how nursing home patients fell victim to both systemic and care failings in … the US nursing homes, yet their facilities still ranked high in a national rating system. … March 29, 2023
Accuracy of pressure ulcer events in US nursing home ratings.
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psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
February 05, 2020 - Accuracy of pressure ulcer events in US nursing home ratings. … Florida nursing homes. … in nursing homes. … Evidence from California skilled nursing facilities. … March 24, 2021
High nursing staff turnover in nursing homes offers important quality
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psnet.ahrq.gov/issue/spotlight-strategies-increasing-safety-reporting-nursing-education
October 19, 2022 - Commentary
A spotlight on strategies for increasing safety reporting in nursing education … A spotlight on strategies for increasing safety reporting in nursing education. … This commentary suggests introducing a safety reporting system early in nursing education as a strategy … A spotlight on strategies for increasing safety reporting in nursing education. … March 13, 2014
From the school of nursing quality and safety officer: nursing students
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psnet.ahrq.gov/issue/factors-associated-missed-nursing-care-and-nurse-assessed-quality-care-during-covid-19
June 09, 2021 - Study
Factors associated with missed nursing care and nurse-assessed quality of care … Factors associated with missed nursing care and nurse‐assessed quality of care during the COVID‐19 pandemic … Missed or incomplete nursing care can adversely affect care quality and safety . … September 16, 2020
Missed nursing care in the critical care unit, before and during the … June 22, 2022
Description and factors associated with missed nursing care in an acute
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psnet.ahrq.gov/issue/designing-intervention-improve-medication-safety-nursing-home-residents-based-experiential
February 14, 2024 - Commentary
Designing an intervention to improve medication safety for nursing home … residents based on experiential knowledge related to patient safety culture at the nursing home front … Designing an intervention to improve medication safety for nursing home residents based on experiential … knowledge related to patient safety culture at the nursing home front line: cocreative process study … knowledge related to patient safety culture at the nursing home front line: cocreative process study
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psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2019-user-comparative-database-report
April 17, 2019 - Book/Report
AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative … Citation Text:
AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report … This report summarizes survey data from nearly 10,500 staff working in 191 nursing homes. … February 28, 2025
Nursing Home Survey on Patient Safety Culture. … November 23, 2016
Resident Safety Practices in Nursing Home Settings.
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psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study
August 26, 2020 - Study
Factors differentiating nursing homes with strong resident safety climate: … Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership … Clinical and non-clinical staff at six Department of Veterans Affairs (VA) nursing homes with diverse … June 29, 2011
Achieving quality improvement in the nursing home: influence of nursing … June 20, 2011
Safety culture of nursing homes: opinions of top managers.
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psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing-homes
March 18, 2020 - Study
A systems approach to identify factors influencing adverse drug events in nursing … 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. … on medication errors during nursing home admission. … nursing homes.
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psnet.ahrq.gov/issue/missed-nursing-care-during-covid-19-pandemic-comparative-observational-study
June 22, 2022 - Study
Missed nursing care during the COVID-19 pandemic: a comparative observational … Missed nursing care during the COVID‐19 pandemic: a comparative observational study. … Incomplete nursing care can be detrimental to care quality and patient safety. … Missed nursing care during the COVID‐19 pandemic: a comparative observational study. … June 9, 2021
Factors associated with missed nursing care and nurse-assessed quality of
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psnet.ahrq.gov/issue/safety-climate-associated-adverse-events-nursing-homes-national-va-study
September 08, 2021 - Study
Safety climate associated with adverse events in nursing homes: a national … Safety climate associated with adverse events in nursing homes: a national VA study. … Safety climate associated with adverse events in nursing homes: a national VA study. … April 28, 2021
Omissions of care in nursing homes: a uniform definition for research … October 28, 2020
Addressing systemic racism in nursing homes: a time for action.
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psnet.ahrq.gov/issue/education-service-partnership-achieve-safety-and-quality-improvement-competencies-nursing
August 30, 2023 - 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. … Journal of Nursing Education . 2011; 50 (12) . … Journal of Nursing Education. 2011;50(12). doi:10.3928/01484834-20110916-02. … September 9, 2011
Patient safety: where is nursing education?
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psnet.ahrq.gov/issue/nursing-student-medication-errors-snapshot-view-school-nursings-quality-and-safety-officer
October 19, 2022 - Commentary
Nursing student medication errors: a snapshot view from a school of nursing's … Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer … This commentary illustrates how a medication error reporting project in nursing school improved student … September 13, 2017
From the school of nursing quality and safety officer: nursing students … October 10, 2018
Exploring how nursing schools handle student errors and near misses.
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psnet.ahrq.gov/issue/how-nursing-homes-worst-offenses-are-hidden-public
September 22, 2021 - Newspaper/Magazine Article
How nursing homes’ worst offenses are hidden from the … Citation Text:
How nursing homes’ worst offenses are hidden from the public. … Nursing homes harbor numerous challenges to patient safety and they should be transparently reported … September 22, 2021
In U.S. nursing homes, where Covid-19 killed scores, even reports … March 30, 2022
Phony diagnoses hide high rates of drugging at nursing homes.
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psnet.ahrq.gov/issue/expanding-frontiers-risk-management-care-safety-nursing-home-during-covid-19-pandemic
February 15, 2023 - Commentary
Expanding frontiers of risk management: care safety in nursing home during … Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. … This article presents a COVID-19 infection prevention and control plan for nursing homes , emphasizing … Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. … February 12, 2020
Drug-related problems and polypharmacy in nursing home residents: a