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461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35698/psn-pdf
     July 13, 2010 - Patterns of medical and nursing staff communication in nursing homes: implications and insights from … Patterns of medical and nursing staff communication in nursing homes: implications and insights from … https://psnet.ahrq.gov/issue/patterns-medical-and-nursing-staff-communication-nursing-homes- implications-and-insights … https://psnet.ahrq.gov/issue/patterns-medical-and-nursing-staff-communication-nursing-homes-implications-and-insights … https://psnet.ahrq.gov/issue/patterns-medical-and-nursing-staff-communication-nursing-homes-implications-and-insights

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43626/psn-pdf
     November 05, 2014 - Effects of skilled nursing facility structure and process factors on medication errors during nursing … Effects of skilled nursing facility structure and process factors on medication errors during nursing … this study, dose omissions were the most common medication errors occurring during transitions to nursing … A prior AHRQ WebM&M interview and its accompanying perspective discuss safety in nursing homes. … readmissions-and-adverse-events-after-discharge https://psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49633/psn-pdf
     September 01, 2011 - Describe patient safety monitoring systems used in nursing homes. … Adverse Events in Nursing Homes Our current understanding of adverse events in nursing homes is primarily … event rates may be seen in the nursing home setting. … First, nursing home residents are often frail. … In another nursing home, the medical director and nursing leadership team monitor the rate of unplanned

464. Nurses' perceptions of how rapid response teams affect the nurse, team, and system. | PSNet
     psnet.ahrq.gov/issue/nurses-perceptions-how-rapid-response-teams-affect-nurse-team-and-system
     May 20, 2019 - May 20, 2019 A study of error reporting by nurses: the significant impact of nursing

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47602/psn-pdf
     January 27, 2019 - Association of nurse workload with missed nursing care in the neonatal intensive care unit. … Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Unit. … Excessive nursing workload is a known safety issue. … https://psnet.ahrq.gov/primer/missed-nursing-care https://psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety … https://psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42472/psn-pdf
     August 07, 2013 - Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association … Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association … Patients in nursing homes are generally elderly, chronically ill, and take multiple medications, which … The state of North Carolina maintains a mandatory medication error reporting system for all nursing … psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45272/psn-pdf
     October 12, 2016 - Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. … Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. … qualitative-study Missed nursing care is a significant patient safety concern. … task—as a safety gap in inpatient nursing. … https://psnet.ahrq.gov/primer/missed-nursing-care https://psnet.ahrq.gov/primer/nursing-and-patient-safety

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44658/psn-pdf
     November 18, 2015 - The relationship between registered nurses and nursing home quality: an integrative review (2008–2014 … The Relationship Between Registered Nurses and Nursing Home Quality: An Integrative Review (2008-2014 … https://psnet.ahrq.gov/issue/relationship-between-registered-nurses-and-nursing-home-quality-integrative … - review-2008-2014 Adverse events in the nursing home setting are a common, and often preventable, … https://psnet.ahrq.gov/primer/nursing-and-patient-safety

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43037/psn-pdf
     October 31, 2014 - Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. … https://psnet.ahrq.gov/issue/adverse-events-skilled-nursing-facilities-national-incidence-among-medicare … These results mirror previous studies documenting an overall poor level of safety culture in nursing … A past AHRQ WebM&M interview discussed unique issues surrounding patient safety in the nursing home … measuring-administrators-and-direct-care-workers-perceptions-safety-culture-assisted-living https://psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41339/psn-pdf
     January 03, 2017 - Relationship between nursing home safety culture and Joint Commission accreditation. … Relationship between nursing home safety culture and Joint Commission accreditation. … https://psnet.ahrq.gov/issue/relationship-between-nursing-home-safety-culture-and-joint-commission- … This study used the AHRQ Nursing Home Survey on Patient Safety Culture to examine the relationship between … https://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture https://psnet.ahrq.gov/issue

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36636/psn-pdf
     January 14, 2011 - Nursing home administrators' opinions of the resident safety culture in nursing homes. … Nursing home administrators' opinions of the resident safety culture in nursing homes. … https://psnet.ahrq.gov/issue/nursing-home-administrators-opinions-resident-safety-culture-nursing-homes … The researchers surveyed nursing home administrators and found that safety cultures were less developed … https://psnet.ahrq.gov/issue/nursing-home-administrators-opinions-resident-safety-culture-nursing-homes

472. The nurse's medication day. | PSNet
     psnet.ahrq.gov/issue/nurses-medication-day
     September 24, 2016 - January 6, 2017 Pharmacist-led program to improve transitions from acute care to skilled nursing … May 18, 2019 View More Related Resources Three missed critical nursing

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47066/psn-pdf
     July 11, 2018 - The association between nurse staffing and omissions in nursing care: a systematic review. … The association between nurse staffing and omissions in nursing care: A systematic review. … https://psnet.ahrq.gov/issue/association-between-nurse-staffing-and-omissions-nursing-care-systematic … Two of the authors summarized the science of missed nursing care in a recent PSNet perspective. … https://psnet.ahrq.gov/primer/missed-nursing-care https://psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41426/psn-pdf
     June 06, 2012 - Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient … Nursing Mortality and Morbidity and Journal Club Cycles. … https://psnet.ahrq.gov/issue/nursing-mortality-and-morbidity-and-journal-club-cycles-paving-way-nursing … https://psnet.ahrq.gov/issue/nursing-mortality-and-morbidity-and-journal-club-cycles-paving-way-nursing-autonomy-patient … https://psnet.ahrq.gov/issue/nursing-mortality-and-morbidity-and-journal-club-cycles-paving-way-nursing-autonomy-patient

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33735/psn-pdf
     August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It August 1, 2012 Gurwitz JH. … Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012. … CMS Nursing Home Compendium 2010 Edition. … Improving medication safety in the nursing home setting: the case of warfarin. … The safety of warfarin therapy in the nursing home setting. Am J Med. 2007;120:539-544.

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47552/psn-pdf
     November 28, 2018 - Effect of changes in hospital nursing resources on improvements in patient safety and quality of care … Effect of Changes in Hospital Nursing Resources on Improvements in Patient Safety and Quality of Care … https://psnet.ahrq.gov/issue/effect-changes-hospital-nursing-resources-improvements-patient-safety-and … - quality-care-panel Prior research suggests that improved nursing resources may be associated with … A PSNet perspective discussed the impact of nursing resources on patient safety.

477. Nurses' safety motivation: examining predictors of nurses' willingness to report medication errors. | PSNet
     psnet.ahrq.gov/issue/nurses-safety-motivation-examining-predictors-nurses-willingness-report-medication-errors
     October 10, 2015 - Related Resources From the Same Author(s) Detecting medication order discrepancies in nursing … January 27, 2016 Predictors of nursing home nurses' willingness to report medication … A literature review of the individual and systems factors that contribute to medication errors in nursing

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45327/psn-pdf
     September 27, 2016 - A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care … A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care … https://psnet.ahrq.gov/issue/concept-analysis-undergraduate-nursing-students-speaking-patient-safety- … https://psnet.ahrq.gov/issue/narrativizing-nursing-students-experiences-medical-errors-during-clinicals … https://psnet.ahrq.gov/issue/errors-omission-missed-nursing-care https://psnet.ahrq.gov/issue/spotlight-strategies-increasing-safety-reporting-nursing-education

479. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
     September 01, 2011 - Annual Review of Nursing Research. New York, NY: Springer Publishing Co.; 2006;24. … * Challenges of Nursing Home Care Nursing home residents are often frail Predominantly elderly … * Challenges of Nursing Home Care (2) Many nursing homes do not have adequate resources to manage … is declining Nursing home residents frequently transition between settings Transfers from nursing … Changes in nursing home staff staffing levels, 1997 to 2007.

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43915/psn-pdf
     September 27, 2017 - The quality of hospital work environments and missed nursing care is linked to heart failure readmissions … https://psnet.ahrq.gov/issue/quality-hospital-work-environments-and-missed-nursing-care-linked-heart- … One proposed mechanism to explain this relationship is missed nursing care. … A recent AHRQ WebM&M perspective discusses the nursing workforce and patient safety. … /preparing-health-reform-federal-government-and-nursing-workforce