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1141. New evidence on stemming low-value prescribing. | PSNet
      psnet.ahrq.gov/issue/new-evidence-stemming-low-value-prescribing
      May 13, 2020 - May 13, 2020 Severe staffing and personal protective equipment shortages faced by nursing … homes during the COVID-19 pandemic.

1142. Association for Professionals in Infection Control and Epidemiology. | PSNet
      psnet.ahrq.gov/issue/association-professionals-infection-control-and-epidemiology
      November 06, 2013 - July 22, 2013 Safety climate associated with adverse events in nursing homes: a national

1143. Limiting resident physicians' work hours to save lives. | PSNet
      psnet.ahrq.gov/issue/limiting-resident-physicians-work-hours-save-lives
      May 04, 2011 - May 4, 2011 As coronavirus ravaged nursing homes, inspectors were not being tested.

1144. Patient safety laboratories: states pave the way for a national effort. | PSNet
      psnet.ahrq.gov/issue/patient-safety-laboratories-states-pave-way-national-effort
      April 03, 2005 - August 5, 2015 Popular blood thinner causing deaths, injuries in nursing homes.

1145. The Color of Care. | PSNet
      psnet.ahrq.gov/issue/color-care
      June 28, 2023 - August 5, 2020 As coronavirus ravaged nursing homes, inspectors were not being tested

1146. Mix-up (wrong route of administration) of bladder irrigation with intravenous (IV) infusions. | PSNet
      psnet.ahrq.gov/issue/mix-wrong-route-administration-bladder-irrigation-intravenous-iv-infusions
      March 27, 2005 - December 12, 2012 Safety climate associated with adverse events in nursing homes: a national

1147. At surgery clinic, rush to save Joan Rivers's life. | PSNet
      psnet.ahrq.gov/issue/surgery-clinic-rush-save-joan-riverss-life
      November 14, 2012 - May 23, 2018 How nursing homes’ worst offenses are hidden from the public.

1148. Advancing Successful Care Transitions to Improve Outcomes. | PSNet
      psnet.ahrq.gov/issue/project-boost-mentored-implementation-program
      February 18, 2011 - Primers Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing … Homes February 24, 2022 Patient Safety Innovations

1149. Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. | PSNet
      psnet.ahrq.gov/issue/medicare-part-d-beneficiaries-serious-risk-opioid-misuse-or-overdose-closer-look
      August 09, 2017 - August 9, 2017 Trends in Nursing Home Deficiencies and Complaints. … January 9, 2024 Long-Term Trends of Psychotropic Drug Use in Nursing Homes. … February 1, 2023 Infection Control Deficiencies Were Widespread and Persistent in Nursing … Homes Prior to COVID-19 Pandemic. … January 14, 2009 Trends in Nursing Home Deficiencies and Complaints.

1150. Patient Safety Huddle. | PSNet
      psnet.ahrq.gov/issue/patient-safety-huddle
      March 27, 2005 - December 12, 2012 Safety climate associated with adverse events in nursing homes: a national … February 12, 2020 Factors differentiating nursing homes with strong resident safety climate … June 14, 2024 - December 14, 2025 National Nursing Home COVID Action Network.

1151. New round of Medicare readmission penalties hits 2,583 hospitals. | PSNet
      psnet.ahrq.gov/issue/new-round-medicare-readmission-penalties-hits-2583-hospitals
      March 13, 2019 - February 19, 2020 Half the time, nursing homes scrutinized on safety by Medicare are … July 19, 2017 Medicare cuts payments to nursing homes whose patients keep ending up in … December 12, 2018 Medicare takes aim at boomerang hospitalizations of nursing home patients

1152. More than 750 hospitals face Medicare crackdown on patient injuries. | PSNet
      psnet.ahrq.gov/issue/more-750-hospitals-face-medicare-crackdown-patient-injuries
      June 27, 2018 - Resources From the Same Author(s) Medicare takes aim at boomerang hospitalizations of nursing … home patients. … June 27, 2018 Half the time, nursing homes scrutinized on safety by Medicare are still … March 13, 2019 Medicare cuts payments to nursing homes whose patients keep ending up

1153. Strategies for detecting adverse drug events among older persons in the ambulatory setting. | PSNet
      psnet.ahrq.gov/issue/strategies-detecting-adverse-drug-events-among-older-persons-ambulatory-setting
      February 09, 2011 - February 9, 2011 The safety of warfarin therapy in the nursing home setting. … July 20, 2011 Randomized trial of a warfarin communication protocol for nursing homes … February 23, 2011 Dementia and risk of adverse warfarin-related events in the nursing … home setting. … homes.

1154. A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. | PSNet
      psnet.ahrq.gov/issue/systematic-review-performance-characteristics-clinical-event-monitor-signals-used-detect
      March 28, 2012 - the Same Author(s) Identifying modifiable barriers to medication error reporting in the nursing … home setting. … April 24, 2018 Assessing resident safety culture in nursing homes: using the nursing … home survey on resident safety. … November 16, 2022 Epidemiology of medication-related adverse events in nursing homes.

1155. Creating safe spaces in organizations to talk about safety. | PSNet
      psnet.ahrq.gov/issue/creating-safe-spaces-organizations-talk-about-safety
      March 18, 2019 - June 2, 2021 Nursing home residents with dementia: association between place of death … January 13, 2021 Nursing home staff turnover and perceived patient safety culture: results … September 2, 2020 Safety climate associated with adverse events in nursing homes: a national

1156. Rating hospitals by the stars: the feds' latest plan to measure quality is the most controversial. | PSNet
      psnet.ahrq.gov/issue/rating-hospitals-stars-feds-latest-plan-measure-quality-most-controversial
      May 11, 2016 - October 26, 2011 Half the time, nursing homes scrutinized on safety by Medicare are still … March 13, 2019 Medicare cuts payments to nursing homes whose patients keep ending up … December 12, 2018 Medicare takes aim at boomerang hospitalizations of nursing home patients

1157. Medication errors and drug-dispensing systems in a hospital pharmacy. | PSNet
      psnet.ahrq.gov/issue/medication-errors-and-drug-dispensing-systems-hospital-pharmacy
      November 18, 2016 - Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing … homes and non–Veterans Affairs nursing homes. … A national implementation project to prevent catheter-associated urinary tract infection in nursing … home residents.

1158. Federal speech rulings may embolden health care workers to call out safety issues. | PSNet
      psnet.ahrq.gov/issue/federal-speech-rulings-may-embolden-health-care-workers-call-out-safety-issues
      July 24, 2013 - August 12, 2020 Half the time, nursing homes scrutinized on safety by Medicare are still … March 23, 2022 How nursing homes’ worst offenses are hidden from the public. … December 22, 2021 Phony diagnoses hide high rates of drugging at nursing homes.

1159. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39031/psn-pdf
      March 23, 2011 - staff revealed several underlying factors: polypharmacy, overworked staff, poor communication between nursing … home staff and physicians, lack of a culture of safety, and lack of reliable systems for medication

1160. High fidelity simulation-based training in neonatal nursing. | PSNet
      psnet.ahrq.gov/issue/high-fidelity-simulation-based-training-neonatal-nursing
      April 11, 2011 - 19, 2023 Effect of promoting high-quality staff interactions on fall prevention in nursing … homes: a cluster-randomized trial. … December 22, 2018 Patterns of medical and nursing staff communication in nursing homes