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  1. psnet.ahrq.gov/issue/therapeutic-errors-involving-adults-community-setting-nature-causes-and-outcomes
    May 24, 2009 - This study evaluated the prevalence of medication errors in community-dwelling elders and nursing home … Related Resources Organisational conditions for safety management practice in homecare and nursinghomes, pre-pandemic and in pandemic. … March 23, 2011 Medication administration errors in nursing homes using an automated medication
  2. psnet.ahrq.gov/issue/assessing-safety-culture-care-homes-multimethod-evaluation-adaptation-face-validity-and
    June 28, 2017 - August 10, 2018 Nursing home error and level of staff credentials. … February 1, 2012 Medication errors during patient transitions into nursing homes: characteristics … April 22, 2011 Nursing home administrators' opinions of the resident safety culture in … nursing homes. … January 14, 2011 Epidemiology of medication-related adverse events in nursing homes.
  3. psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
    July 20, 2011 - July 20, 2011 An exploration of safety climate in nursing homes. … May 3, 2017 Randomized trial of a warfarin communication protocol for nursing homes: … home setting. … Homes. … April 27, 2022 Medication discrepancy rates and sources upon nursing home intake: a prospective
  4. psnet.ahrq.gov/issue/adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries
    February 15, 2017 - homes. … A past AHRQ WebM&M interview discussed unique issues surrounding patient safety in the nursing home … May 27, 2020 AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative … November 30, 2016 Resident Safety Practices in Nursing Home Settings. … January 14, 2009 Trends in Nursing Home Deficiencies and Complaints.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33735/psn-pdf
    August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It August 1, 2012 Gurwitz JH. … Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012. … https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it Perspective … At any point in time, approximately 1.5 million Americans reside in the nearly 16,000 nursing homes … CMS Nursing Home Compendium 2010 Edition.
  6. psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
    November 18, 2015 - September 28, 2022 Nursing home patient safety culture perceptions among US and immigrant … January 24, 2018 Nursing home administrators' opinions of the resident safety culture … in nursing homes. … June 29, 2011 Assessing resident safety culture in nursing homes: using the nursing home … April 17, 2013 Hand hygiene deficiency citations in nursing homes.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60793/psn-pdf
    August 12, 2020 - Is there a link between nursing home reported quality and COVID-19 cases? … Is There a link between nursing home reported quality and COVID-19 cases? … association between nursing home-reported quality and COVID-19 cases and deaths. … that nursing homes with higher ratings were less likely to experience COVID-19 cases and deaths. … https://psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes https://
  8. psnet.ahrq.gov/issue/care-homes-use-medicines-study-prevalence-causes-and-potential-harm-medication-errors-care
    April 22, 2011 - revealed several underlying factors: polypharmacy , overworked staff, poor communication between nursinghome staff and physicians, lack of a culture of safety , and lack of reliable systems for medication … March 9, 2022 Improving medication appropriateness in nursing homes via structured interprofessional
  9. psnet.ahrq.gov/issue/medicare-penalizes-dozens-hospitals-it-also-gives-five-stars
    March 03, 2021 - February 19, 2020 Half the time, nursing homes scrutinized on safety by Medicare are … March 13, 2019 Medicare cuts payments to nursing homes whose patients keep ending up … December 12, 2018 Medicare takes aim at boomerang hospitalizations of nursing home patients … August 5, 2020 As coronavirus ravaged nursing homes, inspectors were not being tested … July 22, 2020 Nursing home workers warned government about safety violations before COVID
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72663/psn-pdf
    January 20, 2021 - Nursing home residents with dementia: association between place of death and patient safety culture. … Nursing Home Residents With Dementia: Association Between Place of Death and Patient Safety Culture. … Nursing home patient safety culture is associated with healthcare quality and patient outcomes.  … This large cross-sectional study of nursing homes in the United States found that speaking-up behavior … This association was strong in nursing homes located in states with higher nursing home nurse staffing
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72495/psn-pdf
    November 25, 2020 - Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. … Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. … https://psnet.ahrq.gov/issue/adverse-events-italian-nursing-homes-during-covid-19-epidemic-national- … Adverse events were more likely to occur in nursing homes with higher bed capacities, increased use … These findings can inform nursing homes creating mitigation plans.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837890/psn-pdf
    August 24, 2022 - Accuracy of pressure ulcer events in US nursing home ratings. … Accuracy of pressure ulcer events in US nursing home ratings. … https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings All nursing homes … /issue/centers-medicare-and-medicaid-services-cms-nursing-home-compare https://psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes … https://psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
  13. psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
    September 16, 2020 - May 26, 2021 View More Related Resources COVID-19 in Nursing Homes … September 1, 2021 Addressing systemic racism in nursing homes: a time for action. … April 14, 2021 Nursing homes fined for COVID infection control lapses. … December 9, 2020 Adverse events in Italian nursing homes during the COVID-19 epidemic … October 28, 2020 Expanding frontiers of risk management: care safety in nursing home
  14. psnet.ahrq.gov/issue/medication-administration-errors-assisted-living-scope-characteristics-and-importance-staff
    July 29, 2015 - July 29, 2015 Addressing systemic racism in nursing homes: a time for action. … Home Quality: Honoring Our Commitment to Residents, Families, and Staff. … April 20, 2022 Half the time, nursing homes scrutinized on safety by Medicare are still … March 23, 2011 Medication administration errors in nursing homes using an automated medication … February 18, 2011 Repeat medication errors in nursing homes: contributing factors and
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47617/psn-pdf
    December 12, 2018 - Medicare cuts payments to nursing homes whose patients keep ending up in hospital. … https://psnet.ahrq.gov/issue/medicare-cuts-payments-nursing-homes-whose-patients-keep-ending-hospital … home residents through the implementation of financial bonuses or penalties. … https://psnet.ahrq.gov/issue/medicare-cuts-payments-nursing-homes-whose-patients-keep-ending-hospital … impact-hospital-acquired-conditions-medicare-program-payments https://psnet.ahrq.gov/issue/medicare-takes-aim-boomerang-hospitalizations-nursing-home-patients
  16. psnet.ahrq.gov/issue/optimizing-medication-management-during-covid-19-pandemic-implementation-guide-post-acute-and
    August 16, 2023 - homes, 2013-2017. … Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. … October 12, 2022 Healthcare-related infections within nursing homes (NHS): a qualitative … February 24, 2021 Expanding frontiers of risk management: care safety in nursing homehomes.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43037/psn-pdf
    October 31, 2014 - homes. … homes to evaluate patient safety practices. … A past AHRQ WebM&M interview discussed unique issues surrounding patient safety in the nursing home … measuring-administrators-and-direct-care-workers-perceptions-safety-culture-assisted-living https://psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety … https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/relationship-between-nursing-home-safety-culture-and-joint-commission-accreditation
  18. psnet.ahrq.gov/issue/innovative-approaches-analysing-aged-care-falls-incident-data-international-classification
    January 18, 2023 - May 1, 2024 Patient safety in nursing homes from an ecological perspective: an integrated … January 25, 2023 The National Imperative to Improve Nursing Home Quality: Honoring Our … April 20, 2022 In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots … home. … homes.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837026/psn-pdf
    May 04, 2022 - Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study. … Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study. … Older adults living in nursing homes are at increased risk of polypharmacy and its associated adverse … The medication records of 222 older adult residents of one Spanish nursing home were screened for potential … https://psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-use-older-adults-living-nursing-homes
  20. psnet.ahrq.gov/issue/using-health-information-technology-residential-aged-care-homes-integrative-review-identify
    July 06, 2022 - Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursinghomes to family caregivers and visitors during the coronavirus disease 2019 pandemic. … homes: a scoping review. … December 9, 2020 Omissions of care in nursing homes: a uniform definition for research … August 12, 2020 Omissions of care in nursing home settings: a narrative review.

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