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psnet.ahrq.gov/issue/what-evidence-pharmacy-team-working-acute-or-emergency-medicine-department-improves-outcomes
August 10, 2022 - in older people with multimorbidity: a comparative analysis between patients living at home and in a nursing … home.
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psnet.ahrq.gov/issue/framework-effective-board-governance-health-system-quality
January 20, 2016 - View More
Related Resources
The National Imperative to Improve Nursing … Home Quality: Honoring Our Commitment to Residents, Families, and Staff.
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psnet.ahrq.gov/node/852699/psn-pdf
August 30, 2023 - https://www.ahrq.gov/nursing-home/about/index.html
https://psnet.ahrq.gov/primer/telehealth-and-patient-safety
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psnet.ahrq.gov/
March 25, 2025 - This website is up to date as of March 24, 2025. You will not be able to register for an account and will no longer be able to obtain Continuing Medical Education (CME), Maintenance of Certification (MOC), or Continuing Pharmacy Education (CPE) credits. We are not taking submissions for WebM&M cases, Innovations, Train…
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx
Spotlight
When the Indications for Drug
Administration Blur
Source and Credits
• This presentation is based on the June 2020 AHRQ
WebM&M Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: Julia Munsch,…
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psnet.ahrq.gov/issue/understanding-challenges-and-successes-implementing-hybrid-interventions-healthcare-settings
October 23, 2024 - Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing … home.
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - A Room Without Orders
January 1, 2016
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/room-without-orders
Case Objectives
Review a common process for planned direct hospital admissions.
Describe challenges of prioritizing day-to-day patient care activities wi…
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psnet.ahrq.gov/issue/associations-between-patient-safety-culture-and-workplace-safety-culture-hospital-settings
December 09, 2020 - Resources From the Same Author(s)
Linking patient safety culture to quality ratings in the nursing … home setting.
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psnet.ahrq.gov/issue/psychological-safety-during-test-new-work-processes-emergency-department
September 08, 2021 - Organizational readiness to change as a leverage point for improving safety: a national nursing … home survey.
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psnet.ahrq.gov/issue/patient-safety-perception-within-hospitals-examination-job-type-handoffs-and-information
December 18, 2014 - Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing … home.
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psnet.ahrq.gov/node/861277/psn-pdf
January 24, 2024 - Clinical deterioration as a nurse sensitive indicator in the
out-of-hospital context: a scoping review.
January 24, 2024
Mccullough K, Baker M, Bloxsome D, et al. Clinical deterioration as a nurse sensitive indicator in the out?of
?hospital context: a scoping review. J Clin Nurs. 2024;33(3):874-889. doi:10.1111/joc…
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psnet.ahrq.gov/issue/observational-study-how-patients-are-identified-medication-administrations-medical-and
June 24, 2020 - Study
An observational study of how patients are identified before medication administrations in medical and surgical wards.
Citation Text:
Härkänen M, Kervinen M, Ahonen J, et al. An observational study of how patients are identified before medication administrations in medical and surg…
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psnet.ahrq.gov/issue/hospitals-put-emphasis-collection-medication-data
September 14, 2011 - Copy Citation
Related Resources From the Same Author(s)
Nursing Home Survey
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psnet.ahrq.gov/issue/perioperative-patient-safety-correct-patient-correct-surgery-correct-side-multifaceted-cross
December 21, 2011 - September 21, 2011
Nursing home patient safety culture perceptions among licensed practical
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psnet.ahrq.gov/issue/documenting-diagnosis-exploring-impact-electronic-health-records-diagnostic-safety
August 16, 2023 - March 18, 2020
Resident Safety Practices in Nursing Home Settings.
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psnet.ahrq.gov/issue/2012-user-comparative-database-report-medical-office-survey-patient-safety-culture
November 30, 2016 - Copy Citation
Related Resources From the Same Author(s)
AHRQ Nursing Home … November 30, 2016
Nursing Home Survey on Patient Safety Culture: 2011 User Comparative
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psnet.ahrq.gov/issue/current-state-diagnostic-safety-implications-research-practice-and-policy
August 07, 2024 - May 22, 2024
Resident Safety Practices in Nursing Home Settings. … February 28, 2024
AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative
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psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
May 01, 2017 - May 1, 2017
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative … October 23, 2019
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative
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psnet.ahrq.gov/issue/developing-and-testing-health-care-safety-hotline-prototype-consumer-reporting-system-patient
October 26, 2016 - Related Resources From the Same Author(s)
Resident Safety Practices in Nursing … Home Settings. … November 1, 2016
AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative
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psnet.ahrq.gov/issue/direct-oral-anticoagulants-review-common-medication-errors
January 12, 2022 - June 29, 2022
Drug-related problems and polypharmacy in nursing home residents: a cross-sectional … multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing … home: a before-after study.