-
psnet.ahrq.gov/issue/community-discharge-among-post-acute-nursing-home-residents-association-patient-safety
November 04, 2020 - Study
Community discharge among post-acute nursing home residents: an association … Community discharge among post-acute nursing home residents: an association with patient safety culture … Evidence from California skilled nursing facilities. … 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.
-
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.
-
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,
-
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.
-
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.
-
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
-
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
-
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
-
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.
-
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.
-
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.
-
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
-
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.
-
psnet.ahrq.gov/issue/patient-safety-culture-nursing-dimensional-concept-analysis
February 16, 2022 - Review
Patient safety culture in nursing: a dimensional concept analysis. … Patient safety culture in nursing: a dimensional concept analysis. … This review assessed the concept of safety culture in nursing practice and identified a theory of its … Patient safety culture in nursing: a dimensional concept analysis. … August 20, 2018
The nexus of nursing leadership and a culture of safer patient care.
-
psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
November 03, 2021 - Review
Missed nursing care in emergency departments: a scoping review. … Missed nursing care in emergency departments: a scoping review. … Missed nursing care (MNC) refers to needed nursing care that is delayed, partially completed, or not … This systematic review summarizes missed nursing care in emergency departments (ED). … Missed nursing care in emergency departments: a scoping review.
-
psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-systematic-review
January 30, 2019 - Review
The influence of bullying on nursing practice errors: a systematic review. … The Influence of Bullying on Nursing Practice Errors: A Systematic Review. … This systematic review examined the influence of bullying on nursing errors across multiple healthcare … The Influence of Bullying on Nursing Practice Errors: A Systematic Review. … June 5, 2019
Systems thinking and incivility in nursing practice: an integrative review
-
psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety
January 15, 2020 - Commentary
Nursing peer review: developing a framework for patient safety. … Nursing peer review: developing a framework for patient safety. … This article describes a process for implementing nursing peer review to support a safety culture and … Nursing peer review: developing a framework for patient safety. … January 4, 2012
Toward a theory of self-reconciliation following mistakes in nursing
-
psnet.ahrq.gov/issue/critical-need-nursing-education-address-diagnostic-process
June 08, 2022 - Commentary
The critical need for nursing education to address the diagnostic process … The critical need for nursing education to address the diagnostic process. … To reduce diagnostic errors, the National Academy of Medicine (NAM) recommends increasing nursing … The critical need for nursing education to address the diagnostic process. … September 10, 2014
Developing a reporting and tracking tool for nursing student errors
-
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.
-
psnet.ahrq.gov/issue/american-geriatrics-society-ags-policy-brief-covid-19-and-nursing-homes
October 12, 2022 - Policy/Guidelines
American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing … Citation Text:
American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes. … homes, public health planning, workforce issues, and payment and tax relief for nursing homes. … Homes
February 24, 2022
Nursing strategies to safeguard COVID-19 patients … December 8, 2021
Coronavirus Commission for Safety and Quality in Nursing Homes.