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2421. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36810/psn-pdf
      November 19, 2014 - systems-approach-quality-improvement-long-term-care-safe-medication- practices-workbook This manual provides nursing … home staff with a step-by-step guide for medication management to reduce medication errors in long-term

2422. Occupational stress and cognitive failure of nurses and associations with on self-reported adverse events: a national cross-sectional survey. | PSNet
      psnet.ahrq.gov/issue/occupational-stress-and-cognitive-failure-nurses-and-associations-self-reported-adverse
      June 09, 2021 - Study Emerging Classic Occupational stress and cognitive failure of nurses and associations with on self-reported adverse events: a national cross-sectional survey. Citation Text: Kakemam E, Kalhor R, Khakdel Z, et al. Occupational stress and cognitive failure o…

2423. The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations. | PSNet
      psnet.ahrq.gov/issue/use-lives-saved-measures-nurse-staffing-and-patient-safety-research-statistical
      May 21, 2009 - Study The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations. Citation Text: Diya L, Van den Heede K, Sermeus W, et al. The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations. Nurs R…

2424. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. | PSNet
      psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses
      March 24, 2021 - Study Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. Citation Text: Hutchinson A, Brotto V, Chapman A, et al. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. J Clin Nurs. 2020;2…

2425. Code Status vs. Care Status | PSNet
      psnet.ahrq.gov/web-mm/code-status-vs-care-status
      September 30, 2020 - The patient shared with the team that he had been in nursing home settings/institutions in the 1970s

2426. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. | PSNet
      psnet.ahrq.gov/issue/speaking-factors-and-issues-nurses-advocating-patients-when-patients-are-jeopardy
      April 28, 2021 - Commentary Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. Citation Text: Rainer J. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. J Nurs Care Qual. 2015;30(1):53-62. doi:10.1097/NCQ.000000…

2427. The missing link: dedicated patient safety education within top-ranked US nursing school curricula. | PSNet
      psnet.ahrq.gov/issue/missing-link-dedicated-patient-safety-education-within-top-ranked-us-nursing-school-curricula
      November 15, 2018 - Study The missing link: dedicated patient safety education within top-ranked US nursing school curricula. Citation Text: Howard JN. The missing link: dedicated patient safety education within top-ranked US nursing school curricula. J Patient Saf. 2010;6(3):165-71. Copy Citation F…

2428. Evaluating safety and competency at the bedside. | PSNet
      psnet.ahrq.gov/issue/evaluating-safety-and-competency-bedside
      November 16, 2022 - Commentary Evaluating safety and competency at the bedside. Citation Text: Kaplan T, Pilcher J. Evaluating safety and competency at the bedside. J Nurses Staff Dev. 2011;27(4):187-90. doi:10.1097/NND.0b013e3182236634. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

2429. Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method study. | PSNet
      psnet.ahrq.gov/issue/nurses-second-victims-their-patients-suicidal-attempts-mixed-method-study
      October 20, 2021 - Study Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method study. Citation Text: Amit Aharon A, Fariba M, Shoshana F, et al. Nurses as ‘second victims’ to their patients’ suicidal attempts: a mixed‐method study. J Clin Nurs. 2021;30(21-22):3290-3300. doi:10.111…

2430. Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. | PSNet
      psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-educational-interventions-designed-improve-medication
      June 24, 2020 - Review Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. Citation Text: Härkänen M, Voutilainen A, Turunen E, et al. Systematic review and meta-analysis of educational interventions desig…

2431. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49779/psn-pdf
      January 01, 2017 - dementia was admitted to an acute care hospital for treatment of a hip fracture after a fall at a nursing … home.

2432. Where's the Feeding Tube? | PSNet
      psnet.ahrq.gov/web-mm/wheres-feeding-tube
      September 01, 2003 - In 1994, the prevalence of tube feeding in nursing home residents ranged from 7.5% in Maine to 40.1%

2433. Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review. | PSNet
      psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication
      September 23, 2020 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing … home: a before-after study.

2434. The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. | PSNet
      psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
      January 12, 2022 - Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing … home ratings.

2435. Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity. | PSNet
      psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-drug-events-elderly-patients-multimorbidity
      December 02, 2020 - 2021 Adverse events in long-term care residents transitioning from hospital back to nursing … home.

2436. Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. | PSNet
      psnet.ahrq.gov/issue/referrals-infection-control-breaches-public-health-authorities-ambulatory-care-settings
      December 09, 2020 - July 6, 2022 Is there a link between nursing home reported quality and COVID-19 cases

2437. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
      May 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Fatal Error in Neonate: Does ‘Just Culture’ Provide an Answer? * * Source and Credits This presentation is based on the May 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Sidney W.A. Dekker, Ph…

2438. Identification of serious and reportable events in home care: a Delphi survey to develop consensus. | PSNet
      psnet.ahrq.gov/issue/identification-serious-and-reportable-events-home-care-delphi-survey-develop-consensus
      November 27, 2013 - Study Identification of serious and reportable events in home care: a Delphi survey to develop consensus. Citation Text: Doran DM, Baker R, Szabo C, et al. Identification of serious and reportable events in home care: a Delphi survey to develop consensus. Int J Health Care Qual. 2014;26(…

2439. Home medical device safety tops ECRI'S list of healthcare technology. | PSNet
      psnet.ahrq.gov/issue/home-medical-device-safety-tops-ecris-list-healthcare-technology
      February 08, 2023 - Newspaper/Magazine Article Home medical device safety tops ECRI'S list of healthcare technology. Citation Text: Home medical device safety tops ECRI'S list of healthcare technology. Wicklund E. HealthLeaders. January 19, 2023. Copy Citation Save Save to your lib…

2440. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38936/psn-pdf
      September 09, 2009 - outcomes This study evaluated the prevalence of medication errors in community-dwelling elders and nursing … home residents in Victoria, Australia.