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psnet.ahrq.gov/node/44050/psn-pdf
September 27, 2017 - Unfinished nursing care, missed care, and implicitly
rationed care: state of the science review. … Unfinished nursing care, missed care, and implicitly rationed care: State of
the science review. … https://psnet.ahrq.gov/issue/unfinished-nursing-care-missed-care-and-implicitly-rationed-care-state- … science-review
This review found that missed nursing care is common and appears to be associated with … Predictors of missed nursing care include poor
safety culture and increased nursing workload.
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psnet.ahrq.gov/node/46170/psn-pdf
July 12, 2017 - Missed nursing care in pediatrics.
July 12, 2017
Lake ET, de Cordova PB, Barton S, et al. … Missed Nursing Care in Pediatrics. Hosp Pediatr. 2017;7(7):378-
384. doi:10.1542/hpeds.2016-0141. … https://psnet.ahrq.gov/issue/missed-nursing-care-pediatrics
Missed nursing care is common and has been … https://psnet.ahrq.gov/issue/missed-nursing-care-pediatrics
https://psnet.ahrq.gov/primer/missed-nursing-care … https://psnet.ahrq.gov/issue/patient-reported-missed-nursing-care-correlated-adverse-events
https://
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digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery/citation/nursing
January 01, 2023 - www.ncbi.nlm.nih.gov/pubmed/16958351
Principal Investigator
Horn, Susan
Project Name
Nursing
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psnet.ahrq.gov/node/45598/psn-pdf
November 23, 2016 - AHRQ Nursing Home Survey on Patient Safety Culture:
2016 User Comparative Database Report. … https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative- … database-report
The Agency for Healthcare Research and Quality developed the Nursing Home Survey on … Patient Safety
Culture to assess safety culture in the nursing home setting. … The report highlights two areas of safety culture in which nursing homes appear to do well: overall
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psnet.ahrq.gov/node/41964/psn-pdf
April 17, 2013 - Use of HIT for adverse event reporting in nursing homes:
barriers and facilitators. … Use of HIT for adverse event reporting in nursing homes: barriers and
facilitators. … https://psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators … Safety problems—particularly medication errors—are common in nursing homes and other long-term care … incidence-adverse-drug-events-two-large-academic-long-term-care-facilities
https://psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety
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psnet.ahrq.gov/node/41298/psn-pdf
November 27, 2012 - Patient safety culture and the association with safe
resident care in nursing homes. … Patient safety culture and the association with safe resident care in
nursing homes. … https://psnet.ahrq.gov/issue/patient-safety-culture-and-association-safe-resident-care-nursing-homes … Safety problems are endemic at
many nursing homes, and this study used the AHRQ Nursing Home Survey … fall-prevention-acute-care-hospitals-randomized-trial
https://psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety
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psnet.ahrq.gov/node/44399/psn-pdf
May 20, 2016 - Safety culture in long-term care: a cross-sectional
analysis of the Safety Attitudes Questionnaire in nursing … Safety culture in long-term care: a cross-
sectional analysis of the Safety Attitudes Questionnaire in nursing … Safety problems are common in nursing homes and other long-term care facilities, and prior work has … This is a necessary step for much needed research on nursing home safety. … https://psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety
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hcup-us.ahrq.gov/reports/statbriefs/sb141.jsp
September 01, 2012 - Column bar chart; Septicima, from nursing home, 37.9%; from community, 22.4%; Pneumonia, from nursing … to nursing home, 16.7%; discharged to community, 6.1%; Infection, discharged to nursing home, 19.2%; … , discharged to nursing home, 7.1%; discharged to community, 7.8%; Cancer, discharged to nursing home … Definitions
Nursing home and community
For this Brief, nursing home residents were defined … have a nursing home point of origin.
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psnet.ahrq.gov/node/43632/psn-pdf
December 19, 2014 - A qualitative study of barriers to incident
reporting among nurses working in nursing homes. … A qualitative study of barriers to incident reporting
among nurses working in nursing homes. … In this qualitative study, nursing staff in long-term care facilities described barriers to reporting … These findings highlight the need for multifaceted interventions to improve nursing home
safety. … https://psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators
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psnet.ahrq.gov/node/73191/psn-pdf
April 23, 2007 - The National Database of Nursing Quality Indicators(TM)
(NDNQI®).
April 23, 2007
Montalvo I. …
https://psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir
The quality … of nursing care can impact patient outcomes and safety culture. … (NDNQI) reports on
structural, process, and outcome indicators to evaluate nursing care. … /primer/nursing-and-patient-safety
https://psnet.ahrq.gov/issue/nursing-home-staff-turnover-and-perceived-patient-safety-culture-results-national-survey
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/NurseOnlyVisit.pdf
December 18, 2021 - Nurse Only Visit
Nurse Only Visit
N
ur
se
/P
ro
vi
de
r
P
at
ie
nt
Arrive and check
in at reception
View patient on
EHR schedule as
“arrived”
Greet and escort
patient to exam
room; log into
computer
Select patient from
schedule to open
encounter
Record chief
complai…
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psnet.ahrq.gov/node/43688/psn-pdf
November 30, 2016 - AHRQ Nursing Home Survey on Patient Safety Culture:
2014 User Comparative Database Report. … https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2014-user-comparative- … database-report
The AHRQ Nursing Home Survey on Patient Safety Culture, a validated tool for measuring … This comprehensive national survey of registered nurses, nursing aides, and
support staff garnered a … https://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/42482/psn-pdf
January 15, 2014 - 'Care left undone' during nursing shifts: associations with
workload and perceived quality of care. … 'Care left undone' during nursing shifts: associations with workload
and perceived quality of care. … https://psnet.ahrq.gov/issue/care-left-undone-during-nursing-shifts-associations-workload-and-perceived … Missed nursing care—a
type of error of omission in which required care elements are not completed—is … The authors argue that the frequency of missed care episodes should be used to measure nursing
quality
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psnet.ahrq.gov/node/43341/psn-pdf
July 23, 2014 - Effectiveness of different nursing handover styles for
ensuring continuity of information in hospitalised … Effectiveness of different nursing handover styles for ensuring
continuity of information in hospitalised … This systematic review sought to determine effective interventions
to enhance nursing handoffs. … The
authors recommend that nursing handoffs be structured, include face-to-face communication, involve … A past AHRQ WebM&M commentary
describes the consequences of an incomplete nursing handoff.
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psnet.ahrq.gov/node/46363/psn-pdf
December 13, 2017 - Exploring how nursing schools handle student errors and
near misses. … CE: Original Research: Exploring How Nursing Schools Handle
Student Errors and Near Misses. … https://psnet.ahrq.gov/issue/exploring-how-nursing-schools-handle-student-errors-and-near-misses
This … survey of nearly 500 nursing schools found that policies and structured tools for reporting nursing … The authors believe that these results demonstrate the need to improve safety
culture during nursing
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psnet.ahrq.gov/node/40459/psn-pdf
May 18, 2011 - Nursing home safety: does financial performance matter? … Nursing home safety: does financial performance matter? J Health Care
Finance. 2011;37(3):51-61. … https://psnet.ahrq.gov/issue/nursing-home-safety-does-financial-performance-matter
This study discovered … Interestingly, nursing homes in the top two financial categories also had noted
deficiencies, whereas … /issue/centers-medicare-and-medicaid-services-cms-nursing-home-compare
https://psnet.ahrq.gov/issue/trends-nursing-home-deficiencies-and-complaints
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psnet.ahrq.gov/node/47718/psn-pdf
March 20, 2019 - Impact of patient safety culture on missed nursing care
and adverse patient events. … Impact of Patient Safety Culture on Missed Nursing Care and
Adverse Patient Events. … This cross-sectional study examined associations between safety culture, missed nursing care, and … They recommend enhancing safety culture to reduce missed nursing
care and improve safety. … https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/primer/missed-nursing-care
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psnet.ahrq.gov/node/44145/psn-pdf
September 27, 2017 - Nurse staffing levels and patient-reported missed nursing
care. … Nurse Staffing Levels and Patient-Reported Missed Nursing Care. … https://psnet.ahrq.gov/issue/nurse-staffing-levels-and-patient-reported-missed-nursing-care
Missed nursing … In this study,
researchers interviewed 729 inpatients from 2 hospitals to measure missed nursing care … and found that
nurse staffing hours and skill mix were associated with timeliness of nursing care.
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psnet.ahrq.gov/node/42993/psn-pdf
March 19, 2014 - Baccalaureate nursing students' accounts of medical
mistakes occurring in the clinical setting: implications … Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting:
implications … https://psnet.ahrq.gov/issue/baccalaureate-nursing-students-accounts-medical-mistakes-occurring-clinical … -
setting
According to this qualitative study, only half of nursing trainees had received training … These results
underscore the need to include error disclosure training in nursing education.
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psnet.ahrq.gov/node/44057/psn-pdf
June 03, 2015 - Measuring nursing error: psychometrics of MISSCARE
and practice and professional issues items. … Measuring nursing error: psychometrics of MISSCARE and practice and
professional issues items. … https://psnet.ahrq.gov/issue/measuring-nursing-error-psychometrics-misscare-and-practice-and-
professional-issues-items … Missed nursing care is recognized as an emerging patient safety issue. … study evaluated the validity
and reliability of a standardized survey instrument used to detect missed nursing