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221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47105/psn-pdf
     August 10, 2018 - A systems approach to identify factors influencing adverse drug events in nursing homes. … A Systems Approach to Identify Factors Influencing Adverse Drug Events in Nursing Homes. … - homes Prior research has shown that nursing home residents are frequently exposed to inappropriate … In this study involving nursing home residents, researchers found an ADE rate of 6.13 per 100 residents … https://psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing-homes

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40599/psn-pdf
     November 23, 2011 - Organizational climate determinants of resident safety culture in nursing homes. … Organizational climate determinants of resident safety culture in nursing homes. … https://psnet.ahrq.gov/issue/organizational-climate-determinants-resident-safety-culture-nursing-homes … home settings. … psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40239/psn-pdf
     February 23, 2011 - Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. … Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. … https://psnet.ahrq.gov/issue/randomized-trial-warfarin-communication-protocol-nursing-homes-sbar-based … home setting. … home patient.

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35698/psn-pdf
     July 13, 2010 - Patterns of medical and nursing staff communication in nursing homes: implications and insights from … Patterns of medical and nursing staff communication in nursing homes: implications and insights from … https://psnet.ahrq.gov/issue/patterns-medical-and-nursing-staff-communication-nursing-homes- implications-and-insights … The authors compare communication among nursing home staff in two facilities and discuss how communication … https://psnet.ahrq.gov/issue/patterns-medical-and-nursing-staff-communication-nursing-homes-implications-and-insights

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36636/psn-pdf
     January 14, 2011 - Nursing home administrators' opinions of the resident safety culture in nursing homes. … Nursing home administrators' opinions of the resident safety culture in nursing homes. … https://psnet.ahrq.gov/issue/nursing-home-administrators-opinions-resident-safety-culture-nursing-homes … The researchers surveyed nursing home administrators and found that safety cultures were less developed … https://psnet.ahrq.gov/issue/nursing-home-administrators-opinions-resident-safety-culture-nursing-homes

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73676/psn-pdf
     September 08, 2021 - Organizational readiness to change as a leverage point for improving safety: a national nursing home … The safety climate in nursing homes influences patient safety. … The authors suggest that nursing home leadership explore readiness for change in order to help nursing … homes improve their safety climate. … https://psnet.ahrq.gov/issue/patient-safety-culture-and-association-safe-resident-care-nursing-homes

227. American Geriatrics Society (AGS) Policy Brief: COVID-19 and assisted living facilities. | PSNet
     psnet.ahrq.gov/issue/american-geriatrics-society-ags-policy-brief-covid-19-and-assisted-living-facilities
     February 24, 2022 - Homes February 24, 2022 Addressing systemic racism in nursing homes: a time … homes to family caregivers and visitors during the coronavirus disease 2019 pandemic. … September 30, 2020 Expanding frontiers of risk management: care safety in nursing home … homes during the COVID-19 pandemic. … July 15, 2020 American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes

228. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
     September 01, 2011 - nursing homes Describe what is being done or can be done to make nursing homes safer * * Case … * Challenges of Nursing Home Care Nursing home residents are often frail Predominantly elderly … * Challenges of Nursing Home Care (2) Many nursing homes do not have adequate resources to manage … Changes in nursing home staff staffing levels, 1997 to 2007. … home care To ensure resident quality and safety in nursing homes, it is essential that a culture exists

229. Nurses' perceptions of safety culture in long-term care settings. | PSNet
     psnet.ahrq.gov/issue/nurses-perceptions-safety-culture-long-term-care-settings
     April 06, 2011 - Improving safety in nursing homes depends on developing a culture of safety , but this survey of managers … October 14, 2020 Assessing resident safety culture in nursing homes: using the nursing … December 15, 2021 Predictors of nursing home nurses' willingness to report medication … May 13, 2020 Nursing home error and level of staff credentials. … January 18, 2012 Achieving quality improvement in the nursing home: influence of nursing

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46282/psn-pdf
     October 13, 2018 - Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation … Effects of an Intervention to Reduce Hospitalizations From Nursing Homes: A Randomized Implementation … https://psnet.ahrq.gov/issue/effects-intervention-reduce-hospitalizations-nursing-homes-randomized- … implementation-trial Reducing acute care hospitalizations from nursing homes is a patient safety priority … home care.

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45389/psn-pdf
     September 27, 2016 - Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic … Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic … https://psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-use-older-adults-living- nursing-homes … Adverse drug events in older patients are common, and those living in nursing homes may be at particularly … This systematic review found that almost half of nursing home residents are exposed to potentially inappropriate

232. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. | PSNet
     psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall
     December 08, 2021 - home. … December 8, 2021 Linking patient safety culture to quality ratings in the nursing home … March 10, 2021 Nursing home patient safety culture perceptions among licensed practical … February 1, 2023 Expanding frontiers of risk management: care safety in nursing home … January 25, 2023 Omissions of care in nursing homes: a uniform definition for research

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46310/psn-pdf
     October 29, 2017 - Do safety culture scores in nursing homes depend on job role and ownership? … Do Safety Culture Scores in Nursing Homes Depend on Job Role and Ownership? … https://psnet.ahrq.gov/issue/do-safety-culture-scores-nursing-homes-depend-job-role-and-ownership- results-national-survey … This study demonstrated that staff responses to AHRQ's Nursing Home Survey on Safety Culture were higher … https://psnet.ahrq.gov/issue/do-safety-culture-scores-nursing-homes-depend-job-role-and-ownership-results-national-survey

234. Medication administration in aged care facilities: a mixed-methods systematic review. | PSNet
     psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review
     March 05, 2025 - homes). … homes: a qualitative study. … March 5, 2025 Designing an intervention to improve medication safety for nursing home … residents based on experiential knowledge related to patient safety culture at the nursing home front … April 24, 2024 Patient safety in nursing homes from an ecological perspective: an integrated

235. Reporting medication errors: residents with diabetes. | PSNet
     psnet.ahrq.gov/issue/reporting-medication-errors-residents-diabetes
     August 23, 2017 - Patients in nursing homes are particularly vulnerable to medication errors . … Exploring the unique factors that affect medication safety in nursing home residents with diabetes … June 10, 2020 Predictors of nursing home nurses' willingness to report medication near-misses … A qualitative study of barriers to incident reporting among nurses working in nursing homes. … homes.

236. AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report. | PSNet
     psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2019-user-comparative-database-report
     April 17, 2019 - Book/Report AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative … Citation Text: AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report … This report summarizes survey data from nearly 10,500 staff working in 191 nursing homes. … February 28, 2025 Nursing Home Survey on Patient Safety Culture. … November 23, 2016 Resident Safety Practices in Nursing Home Settings.

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61083/psn-pdf
     October 28, 2020 - How did you engage the nursing home leadership at those facilities? … KH: Let’s talk about the culture in these nursing homes. … CC: Staffing has been at an all-time low at nursing homes. … KH: So what can we do for the nursing homes? … We need more registered nurses in nursing homes.

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37228/psn-pdf
     December 15, 2011 - homes. … psnet.ahrq.gov/issue/comparison-two-distribution-methods-response-rates-patient-safety- questionnaire-nursing-homes … This AHRQ-funded study found that nursing home employees were more likely to have a positive opinion … psnet.ahrq.gov/issue/comparison-two-distribution-methods-response-rates-patient-safety-questionnaire-nursing-homes … psnet.ahrq.gov/issue/comparison-two-distribution-methods-response-rates-patient-safety-questionnaire-nursing-homes

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72710/psn-pdf
     February 03, 2021 - homes: a prospective cohort study. … homes: A prospective cohort study. … This cohort study examined nursing home residents exposed to medication errors and found that poison … control consultations can assist nursing home staff in qualifying risk assessment and potentially reduce … poison-information-centre-can-provide-important-assessment-and-guidance-regarding-medication https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45598/psn-pdf
     November 23, 2016 - AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. … Patient Safety Culture to assess safety culture in the nursing home setting. … homes. … The report highlights two areas of safety culture in which nursing homes appear to do well: overall … Areas identified as needing improvement across most nursing homes included staffing issues and ensuring