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1161. 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.

1162. 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.

1163. 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

1164. 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

1165. Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health | PSNet
      psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
      March 27, 2024 - the hospital during the year after implementation was readmitted and there were no bounce backs to nursing … homes. … Area Agency on Aging, United Way agencies, mental health agencies, religious groups, colleges, and nursing … homes.

1166. How to induce an error management climate: experimental evidence from newly formed teams. | PSNet
      psnet.ahrq.gov/issue/how-induce-error-management-climate-experimental-evidence-newly-formed-teams
      August 24, 2022 - Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing … homes to family caregivers and visitors during the coronavirus disease 2019 pandemic.

1167. COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. | PSNet
      psnet.ahrq.gov/issue/covid-19-crisis-safe-reopening-simulation-centres-and-new-normal-food-thought
      September 30, 2020 - Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing … homes to family caregivers and visitors during the coronavirus disease 2019 pandemic.

1168. Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic. | PSNet
      psnet.ahrq.gov/issue/deficiencies-emergency-preparedness-veterans-health-administration-telemental-health-care-va
      August 02, 2023 - June 17, 2020 Infection Control Deficiencies Were Widespread and Persistent in Nursing … Homes Prior to COVID-19 Pandemic.

1169. Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. | PSNet
      psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety-incidents-effects
      August 19, 2020 - A qualitative study of barriers to incident reporting among nurses working in nursing homes.

1170. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. | PSNet
      psnet.ahrq.gov/issue/organization-wide-adoption-computerized-provider-order-entry-systems-study-based-diffusion
      December 14, 2022 - Improving Patient Safety March 29, 2023 Improving medication appropriateness in nursing … homes via structured interprofessional medication-review supported by health information technology:

1171. The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292 patient records. | PSNet
      psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-older-acutely-admitted-patients-longitudinal
      June 08, 2022 - September 22, 2021 Safety climate associated with adverse events in nursing homes: a

1172. The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. | PSNet
      psnet.ahrq.gov/issue/first-us-study-nurses-evidence-based-practice-competencies-indicates-major-deficits-threaten
      July 14, 2021 - Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing … homes.

1173. 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.

1174. 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.

1175. 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

1176. 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

1177. 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.

1178. 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.

1179. 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

1180. 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