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1221. AORN guidance statement: creating a patient safety culture. | PSNet
      psnet.ahrq.gov/issue/aorn-guidance-statement-creating-patient-safety-culture
      March 14, 2018 - Organizational Policy/Guidelines AORN guidance statement: creating a patient safety culture. Citation Text: Nurses A of periOR. AORN guidance statement: creating a patient safety culture. AORN journal. 2006;83(4):936-42. Copy Citation Format: Google Scholar PubMed BibTeX …

1222. Exploring the role of patients in promoting safety: policy to practice. | PSNet
      psnet.ahrq.gov/issue/exploring-role-patients-promoting-safety-policy-practice
      March 13, 2024 - Commentary Exploring the role of patients in promoting safety: policy to practice. Citation Text: Holme A. Exploring the role of patients in promoting safety: policy to practice. Br J Nurs. 2009;18(22):1392-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

1223. 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

1224. 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.

1225. 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.

1226. Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants. | PSNet
      psnet.ahrq.gov/issue/multicomponent-pharmacist-intervention-did-not-reduce-clinically-important-medication-errors
      March 17, 2021 - March 17, 2021 The association of nursing home characteristics and quality with adverse … 2021 Adverse events in long-term care residents transitioning from hospital back to nursing … home.

1227. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44569/psn-pdf
      October 21, 2015 - Continuing education in patient safety: massive open online courses as a new training tool. October 21, 2015 Sarabia-Cobo CM, Torres-Manrique B, Ortego-Mate MC, et al. Continuing Education in Patient Safety: Massive Open Online Courses as a New Training Tool. J Contin Educ Nurs. 2015;46(10):439-447. doi:10.3928/00…

1228. Instruments for measuring patient safety competencies in nursing: a scoping review. | PSNet
      psnet.ahrq.gov/issue/instruments-measuring-patient-safety-competencies-nursing-scoping-review
      November 09, 2022 - Review Instruments for measuring patient safety competencies in nursing: a scoping review. Citation Text: Mortensen M, Naustdal KI, Uibu E, et al. Instruments for measuring patient safety competencies in nursing: a scoping review. BMJ Open Qual. 2022;11(2):e001751. doi:10.1136/bmjoq-2021…

1229. DOD Should Improve Its Process for Clinical Adverse Actions against Providers. | PSNet
      psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers
      May 16, 2018 - September 25, 2019 COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight

1230. I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. | PSNet
      psnet.ahrq.gov/issue/im-er-doctor-heres-what-i-found-when-i-asked-chatgpt-diagnose-my-patients
      November 06, 2012 - February 22, 2023 In U.S. nursing homes, where Covid-19 killed scores, even reports of

1231. UCSD, doc who overdosed in hospital bathroom face lawsuits. | PSNet
      psnet.ahrq.gov/issue/ucsd-doc-who-overdosed-hospital-bathroom-face-lawsuits
      March 27, 2024 - September 29, 2021 Nursing homes fined for COVID infection control lapses.

1232. American College of Radiology White Paper on MR Safety: 2004 Update and Revisions. | PSNet
      psnet.ahrq.gov/issue/american-college-radiology-white-paper-mr-safety-2004-update-and-revisions
      September 28, 2022 - Same Author(s) Factors associated with potentially harmful medication prescribing in nursing … homes: a scoping review.

1233. Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pandemic. | PSNet
      psnet.ahrq.gov/issue/covid-19-assessing-risk-public-protection-posed-doctor-result-concerns-about-their-practice
      July 15, 2015 - September 22, 2021 Coronavirus Commission for Safety and Quality in Nursing Homes.

1234. Heparin: improving treatment and reducing risk of harm. | PSNet
      psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm
      July 28, 2021 - July 1, 2011 Randomized trial of a warfarin communication protocol for nursing … homes: an SBAR-based approach.

1235. Medication Overload: America's Other Drug Problem. | PSNet
      psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem
      April 01, 2020 - Safety Strategy October 27, 2021 Improving medication appropriateness in nursing … homes via structured interprofessional medication-review supported by health information technology:

1236. Assessing patient safety culture: a review and synthesis of the measurement tools. | PSNet
      psnet.ahrq.gov/issue/assessing-patient-safety-culture-review-and-synthesis-measurement-tools
      July 10, 2008 - January 2, 2017 An exploration of safety climate in nursing homes.

1237. Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications. | PSNet
      psnet.ahrq.gov/issue/survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes-high-alert
      July 30, 2014 - Patient Safety March 27, 2024 Long-Term Trends of Psychotropic Drug Use in Nursing … Homes.

1238. Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. | PSNet
      psnet.ahrq.gov/issue/patient-safety-hhs-has-taken-steps-address-unsafe-injection-practices-more-action-needed
      September 05, 2012 - September 25, 2019 COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight

1239. 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

1240. 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