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2561. In Conversation With… Sharon K. Inouye, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
      December 01, 2012 - The CAM is part of the new MDS 3.0, the minimum dataset measured in every nursing home across the country … In nursing homes, at least, we're going to have standardized measures of delirium across the board, and

2562. Insights into the climate of safety towards the prevention of falls among hospital staff. | PSNet
      psnet.ahrq.gov/issue/insights-climate-safety-towards-prevention-falls-among-hospital-staff
      February 14, 2017 - Study Insights into the climate of safety towards the prevention of falls among hospital staff. Citation Text: Black AA, Brauer SG, Bell RAR, et al. Insights into the climate of safety towards the prevention of falls among hospital staff. J Clin Nurs. 2011;20(19-20):2924-30. doi:10.111…

2563. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47279/psn-pdf
      July 23, 2018 - No Place Like Home: Advancing the Safety of Care in the Home. July 23, 2018 Boston, MA: Institute for Healthcare Improvement; 2018. https://psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home The home care setting harbors unique challenges to patient safety. This report builds on a previous evidence ass…

2564. Do clinicians know which of their patients have central venous catheters?: A multicenter observational study. | PSNet
      psnet.ahrq.gov/issue/do-clinicians-know-which-their-patients-have-central-venous-catheters-multicenter
      June 08, 2016 - A national implementation project to prevent catheter-associated urinary tract infection in nursing … home residents.

2565. Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/computerized-dose-range-checking-using-hard-and-soft-stop-alerts-reduces-prescribing-errors
      June 16, 2010 - March 19, 2008 Improving nursing home safety through adoption of a practical resilient

2566. Healthcare failure mode and effect analysis in the chemotherapy preparation process. | PSNet
      psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
      March 09, 2022 - January 27, 2021 Drug-related problems and polypharmacy in nursing home residents: a

2567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40849/psn-pdf
      January 12, 2012 - Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. January 12, 2012 Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc Nurse. 2012;30(1):28-37. doi:10.1097/NH…

2568. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39384/psn-pdf
      March 24, 2010 - Keeping safety a priority in home care and hospice: one agency's journey. March 24, 2010 Mullin LV. Keeping safety a priority in home care and hospice: one agency's journey. Home Healthc Nurse. 2010;28(2):63-70. doi:10.1097/NHH.0b013e3181cb5939. https://psnet.ahrq.gov/issue/keeping-safety-priority-home-care-and-ho…

2569. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73520/psn-pdf
      July 21, 2021 - Geriatric medication reconciliation in the home setting. July 21, 2021 Taylor K. American Nurse J. 2021;16(7):14-17. https://psnet.ahrq.gov/issue/geriatric-medication-reconciliation-home-setting Medication reconciliation reduces the potential for problems in complicated medication regimens. This article share…

2570. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44708/psn-pdf
      January 27, 2016 - Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients. January 27, 2016 Tiihonen M, Nykänen I, Ahonen R, et al. Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients. Pharmacoepidemio…

2571. The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. | PSNet
      psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and-financial-loss
      July 18, 2018 - August 19, 2020 Keeping Nursing Home Residents and Staff Safe in the Era of COVID-19.

2572. Lessons learned from a systems approach to engaging patients and families in patient safety transformation. | PSNet
      psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation
      February 12, 2020 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing … home: a before-after study.

2573. Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. | PSNet
      psnet.ahrq.gov/issue/evolving-factors-hospital-safety-systematic-review-and-meta-analysis-hospital-adverse-events
      February 02, 2022 - Organizational readiness to change as a leverage point for improving safety: a national nursing … home survey.

2574. Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study. | PSNet
      psnet.ahrq.gov/issue/psychosocial-working-conditions-determinants-concerns-have-made-important-medical-errors-and
      July 13, 2022 - Organizational readiness to change as a leverage point for improving safety: a national nursing … home survey.

2575. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. | PSNet
      psnet.ahrq.gov/issue/scaling-diagnostic-pause-icu-ward-transition-exploration-barriers-and-facilitators
      July 19, 2019 - May 27, 2011 Patterns in nursing home medication errors: disproportionality analysis

2576. A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings. | PSNet
      psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-support-deprescribing-interventions-across-veterans
      April 24, 2018 - September 27, 2023 Do not PIMP my nursing home ride!

2577. How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. | PSNet
      psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
      November 18, 2011 - Special or Theme Issue How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. Citation Text: How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. Cambridge, MA: Institute for Healthcare Improvement; Jun…

2578. Patient safety: is it just another bandwagon? | PSNet
      psnet.ahrq.gov/issue/patient-safety-it-just-another-bandwagon
      June 12, 2013 - Commentary Patient safety: is it just another bandwagon? Citation Text: Storch JL. Patient safety: is it just another bandwagon? Nurs Leadersh (Tor Ont). 2005;18(2):39-55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

2579. Implementing AORN recommended practices for prevention of retained surgical items. | PSNet
      psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-prevention-retained-surgical-items
      January 05, 2017 - Commentary Implementing AORN recommended practices for prevention of retained surgical items. Citation Text: Goldberg JL, Feldman DL. Implementing AORN recommended practices for prevention of retained surgical items. AORN J. 2012;95(2):205-16; quiz 217-9. doi:10.1016/j.aorn.2011.11.010…

2580. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60926/psn-pdf
      September 16, 2020 - Sent home to die. September 16, 2020 Waldman A, Kaplan J. Sent home to die. ProPublica. 2020. https://psnet.ahrq.gov/issue/sent-home-die Hospitals have been deeply challenged to provide effective care during the COVID crisis. This article discusses how rationing and ineffective protection for families and patients…