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  1. AHRQ Impact Case Studies: Patient Safety. | PSNet

    psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety
    October 23, 2019 - Network of Patient Safety Databases Chartbook, 2019 February 5, 2020 AHRQ Nursing … Home Survey on Patient Safety Culture: 2019 User Comparative Database Report. … September 29, 2017 Nursing Home Antimicrobial Stewardship Guide.

  2. Pediatric Diagnostic Safety: State of the Science and Future Directions. | PSNet

    psnet.ahrq.gov/issue/pediatric-diagnostic-safety-state-science-and-future-directions
    August 16, 2023 - August 9, 2023 AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative

  3. Pediatric rapid response teams in the academic medical center. | PSNet

    psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-medical-center
    November 21, 2016 - March 21, 2012 Evaluation of the association between Nursing Home Survey on Patient Safety

  4. What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors. | PSNet

    psnet.ahrq.gov/issue/what-measure-safe-hospital-medication-errors-missed-risk-management-clinical-staff-and
    September 27, 2017 - November 9, 2022 Predictors of nursing home nurses' willingness to report medication

  5. Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic review and narrative synthesis. | PSNet

    psnet.ahrq.gov/issue/essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-systematic-review
    September 28, 2022 - Review Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic review and narrative synthesis. Citation Text: Rossi S, Hayter M, Zuco A, et al. Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic re…

  6. Surviving a bad diagnosis. | PSNet

    psnet.ahrq.gov/issue/surviving-bad-diagnosis
    January 19, 2022 - October 16, 2019 Trends in Nursing Home Deficiencies and Complaints. … March 2, 2022 AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative

  7. A Pill Organizing Plight | PSNet

    psnet.ahrq.gov/web-mm/pill-organizing-plight
    June 19, 2018 - Physician intervention for medication reduction in a nursing home: the polypharmacy outcomes project. … View More Related Resources Improving medication appropriateness in nursing … homes via structured interprofessional medication-review supported by health information technology:

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866353/psn-pdf
    July 24, 2024 - A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. July 24, 2024 Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care program for veterans with two plan…

  9. Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. | PSNet

    psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes
    July 31, 2008 - Study Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. Citation Text: Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication administration process: implications for work processes…

  10. ASPEN survey of parenteral nutrition access issues: how the system fails the patients. | PSNet

    psnet.ahrq.gov/issue/aspen-survey-parenteral-nutrition-access-issues-how-system-fails-patients
    October 02, 2013 - Study ASPEN survey of parenteral nutrition access issues: how the system fails the patients. Citation Text: Mirtallo JM, Allen P, Book WM, et al. ASPEN survey of parenteral nutrition access issues: how the system fails the patient. Nutr Clin Pract. 2024;39(5):1164-1181. doi:10.1002/ncp.1…

  11. Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. | PSNet

    psnet.ahrq.gov/issue/interventions-prevent-falls-older-adults-updated-evidence-report-and-systematic-review-us
    November 14, 2018 - Review Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. Citation Text: Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated evidence report and syst…

  12. Exploring organizational context and structure as predictors of medication errors and patient falls. | PSNet

    psnet.ahrq.gov/issue/exploring-organizational-context-and-structure-predictors-medication-errors-and-patient-falls
    January 22, 2020 - Diagnostic Safety and Quality April 26, 2023 The National Imperative to Improve Nursing … Home Quality: Honoring Our Commitment to Residents, Families, and Staff.

  13. Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, | PSNet

    psnet.ahrq.gov/issue/unintended-consequences-health-care-reform-impact-changes-payor-mix-patient-safety-indicators
    March 16, 2022 - June 3, 2020 Assessment of nursing home reporting of major injury falls for quality measurement … on Nursing Home Compare.

  14. Updated Results for the AHRQ Surveys on Patient Safety Culture Workplace Safety Supplemental Item Set for Hospitals. | PSNet

    psnet.ahrq.gov/issue/updated-results-ahrq-surveys-patient-safety-culture-workplace-safety-supplemental-item-set
    December 11, 2024 - June 5, 2024 Linking patient safety culture to quality ratings in the nursing home setting … View More Related Resources Surveys on Patient Safety Culture Nursing … Home Survey: User Database Report.

  15. Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review. | PSNet

    psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
    September 29, 2021 - Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing … home.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49598/psn-pdf
    February 01, 2010 - Medication Reconciliation Pitfalls February 1, 2010 Weber RJ. Medication Reconciliation Pitfalls. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls The Case A 90-year-old woman who lived alone suffered a mechanical fall with subsequent hip fracture and was brought to the eme…

  17. Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. | PSNet

    psnet.ahrq.gov/issue/using-stakeholder-intervention-refinement-teams-develop-approaches-real-time-integration
    January 21, 2019 - Commentary Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. Citation Text: Arbaje AI, Greyson S, Keita Fakeye M, et al. Using stakeholder i…

  18. Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. | PSNet

    psnet.ahrq.gov/issue/risk-medication-errors-and-nurses-quality-sleep-national-cross-sectional-web-survey-study
    February 09, 2022 - Study Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Citation Text: Di Simone E, Fabbian F, Giannetta N, et al. Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Eur Rev Med Pharmacol…

  19. The incidence of adverse events among home care patients. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-among-home-care-patients
    December 04, 2015 - Study The incidence of adverse events among home care patients. Citation Text: Sears NA, Baker R, Barnsley J, et al. The incidence of adverse events among home care patients. Int J Qual Health Care. 2013;25(1):16-28. doi:10.1093/intqhc/mzs075. Copy Citation Format: DOI Go…

  20. Patient Safety in Home Dialysis | PSNet

    psnet.ahrq.gov/perspective/patient-safety-home-dialysis
    April 28, 2021 - Patient Safety in Home Dialysis April 28, 2021  Also Read the Conversation View more articles from the same authors. Citation Text: Morfín JA, Fitall E, Hall KK, et al. Patient Safety in Home Dialysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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