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1581. Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies. | PSNet
      psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-interventions-reducing-avoidable-hospital-readmission
      April 25, 2018 - Health Plan Patient Safety Initiatives July 10, 2024 Patient safety in nursing … homes from an ecological perspective: an integrated review.

1582. Adaptation and implementation of the WHO Safe Childbirth Checklist around the world. | PSNet
      psnet.ahrq.gov/issue/adaptation-and-implementation-who-safe-childbirth-checklist-around-world
      March 17, 2021 - September 21, 2022 Factors differentiating nursing homes with strong resident safety

1583. Examining the Copy and Paste Function in the Use of Electronic Health Records. | PSNet
      psnet.ahrq.gov/issue/examining-copy-and-paste-function-use-electronic-health-records
      October 21, 2015 - July 13, 2022 Quality standards for safe medication in nursing homes: development through

1584. Patient and family engagement as a potential approach for improving patient safety: a systematic review. | PSNet
      psnet.ahrq.gov/issue/patient-and-family-engagement-potential-approach-improving-patient-safety-systematic-review
      February 17, 2021 - October 13, 2021 Patient safety in nursing homes from an ecological perspective: an integrated

1585. Unseen Perils of Urinary Catheters | PSNet
      psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
      January 31, 2024 - In a survey of RNs working at 7 nursing homes, 52% did not know that routine irrigation of IUCs is contraindicated … relationship of indwelling urinary catheters to death, length of hospital stay, functional decline, and nursing … home admission in hospitalized older medical patients. … Knowledge of evidence-based urinary catheter care practice recommendations among healthcare workers in nursing … homes.

1586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49694/psn-pdf
      October 01, 2013 - pharmacists; they have occurred in hospitals, emergency rooms, physicians' offices, pharmacies, and nursing … homes.(2-4) Examples of wrong patient errors include medications, radiology tests, and laboratory tests … Medication error reporting in nursing homes: identifying targets for patient safety improvement.

1587. A Tale of Two Falls | PSNet
      psnet.ahrq.gov/web-mm/tale-two-falls
      March 27, 2024 - inpatient setting, a systematic review of nine studies including adults in acute care hospitals and nursing … homes found that restraints are not effective in reducing falls or injuries. 14   The patient in Case … Bedrails and falls in nursing homes: a systematic review. … WebM&M Cases Failure to Ensure Patient Safety Leads to Patient Falls in Nursing … Homes.

1588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857259/psn-pdf
      November 30, 2023 - response to workforce recommendations made by The Coronavirus Commission For Safety And Quality In Nursing … Homes.  … Nurse staffing and coronavirus infections in California nursing homes.

1589. Medication Mix-Up Leads to Patient Death | PSNet
      psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
      July 08, 2022 - response to workforce recommendations made by The Coronavirus Commission For Safety And Quality In Nursing … Homes.  … Nurse staffing and coronavirus infections in California nursing homes.

1590. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
      August 01, 2009 - Nursing Staff in Hospitals and Nursing Homes: Is It Adequate?

1591. Nurse sensemaking for responding to patient and family safety concerns. | PSNet
      psnet.ahrq.gov/issue/nurse-sensemaking-responding-patient-and-family-safety-concerns
      November 02, 2022 - Study Nurse sensemaking for responding to patient and family safety concerns. Citation Text: Groves PS, Bunch JL, Cannava KE, et al. Nurse sensemaking for responding to patient and family safety concerns. Nurs Res. 2021;70(2):106-113. doi:10.1097/nnr.0000000000000487. Copy Citation …

1592. Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. | PSNet
      psnet.ahrq.gov/issue/use-situ-simulation-investigate-latent-safety-threats-prior-opening-new-emergency-department
      January 20, 2021 - Study Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Citation Text: Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Safety Sci. 2015;77:19-…

1593. The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. | PSNet
      psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
      October 14, 2015 - Study The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Citation Text: The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470. Copy Citation …

1594. Effects of interorganisational information technology networks on patient safety: a realist synthesis. | PSNet
      psnet.ahrq.gov/issue/effects-interorganisational-information-technology-networks-patient-safety-realist-synthesis
      December 02, 2020 - Review Effects of interorganisational information technology networks on patient safety: a realist synthesis. Citation Text: Keen J, Abdulwahid MA, King N, et al. Effects of interorganisational information technology networks on patient safety: a realist synthesis. BMJ Open. 2020;10(10):…

1595. Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories. | PSNet
      psnet.ahrq.gov/issue/learning-environments-reliability-enhancing-work-practices-employee-engagement-and-safety
      August 12, 2020 - Study Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories. Citation Text: Gilmartin HM, Hess E, Mueller C, et al. Learning environments, reliability enhancing work practices, employee engagement, …

1596. Coworker abuse in healthcare: voices of mistreated workers. | PSNet
      psnet.ahrq.gov/issue/coworker-abuse-healthcare-voices-mistreated-workers
      March 22, 2023 - Study Coworker abuse in healthcare: voices of mistreated workers. Citation Text: Evans WR, Mullen DM, Burke-Smalley L. Coworker abuse in healthcare: voices of mistreated workers. J Health Organ Manag. 2023;37(2):236-249. doi:10.1108/jhom-05-2022-0131. Copy Citation Format: …

1597. Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study. | PSNet
      psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian
      May 11, 2022 - Study Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study. Citation Text: Redley B, Raggatt M. Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mix…

1598. Evaluating incident learning systems and safety culture in two radiation oncology departments. | PSNet
      psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments
      June 30, 2021 - June 30, 2021 Integrating principles of safety culture and just culture into nursing … homes: lessons from the pandemic.

1599. Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment. | PSNet
      psnet.ahrq.gov/issue/performance-3-sets-criteria-potentially-inappropriate-prescribing-older-people-identify
      December 21, 2022 - November 2, 2022 Factors associated with potentially harmful medication prescribing in nursing … homes: a scoping review.

1600. The use of artificial intelligence to optimize medication alerts generated by clinical decision support systems: a scoping review. | PSNet
      psnet.ahrq.gov/issue/use-artificial-intelligence-optimize-medication-alerts-generated-clinical-decision-support
      May 26, 2021 - June 2, 2019 Medication administration errors in nursing homes using an automated medication