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psnet.ahrq.gov/issue/outcomes-are-worse-us-patients-undergoing-surgery-weekends-compared-weekdays
August 02, 2015 - August 4, 2015
Potentially avoidable hospitalizations among historically marginalized nursing … home residents.
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psnet.ahrq.gov/issue/medication-safety-program-reduces-adverse-drug-events-community-hospital
April 24, 2018 - December 6, 2023
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Related Resources
Predictors of nursing … home nurses' willingness to report medication near-misses.
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psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases
October 23, 2018 - February 17, 2011
Potentially avoidable hospitalizations among historically marginalized nursing … home residents.
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psnet.ahrq.gov/issue/nonpunitive-medication-error-reporting-3-year-findings-one-hospitals-primum-non-nocere
September 23, 2020 - February 10, 2021
Predictors of nursing home nurses' willingness to report medication
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psnet.ahrq.gov/issue/institute-safe-medication-practices-and-poison-control-centers-collaborating-prevent
April 22, 2017 - September 23, 2020
Predictors of nursing home nurses' willingness to report medication
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psnet.ahrq.gov/issue/burden-hospitalizations-related-adverse-drug-events-usa-retrospective-analysis-large
April 15, 2020 - Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing … home residents.
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psnet.ahrq.gov/issue/medication-errors-use-allopurinol-and-colchicine-retrospective-study-national-anonymous
December 21, 2014 - February 3, 2011
Patterns in nursing home medication errors: disproportionality analysis
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psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
July 10, 2008 - October 2, 2024
Potentially avoidable hospitalizations among historically marginalized nursing … home residents.
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psnet.ahrq.gov/issue/peer-support-anesthesia-turning-war-stories-wellness
July 13, 2010 - June 27, 2018
Communication disparities between nursing home team members.
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psnet.ahrq.gov/issue/affective-influences-clinical-reasoning-and-diagnosis-insights-social-psychology-and-new
January 25, 2023 - May 11, 2016
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative
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psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
December 24, 2008 - May 1, 2017
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative
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psnet.ahrq.gov/issue/effectiveness-integrated-health-information-technologies-across-phases-medication-management
October 19, 2022 - November 16, 2022
The association of nursing home characteristics and quality with adverse
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psnet.ahrq.gov/issue/achieving-rapid-door-balloon-times-how-top-hospitals-improve-complex-clinical-systems
November 07, 2012 - A national implementation project to prevent catheter-associated urinary tract infection in nursing … home residents.
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psnet.ahrq.gov/issue/hospital-readmission-after-noncardiac-surgery-role-major-complications
July 20, 2016 - August 4, 2015
Potentially avoidable hospitalizations among historically marginalized nursing … home residents.
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psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety-culture-improve
June 08, 2011 - December 24, 2008
Resident Safety Practices in Nursing Home Settings.
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psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - Refused Medication Error
February 1, 2017
Foley M. Refused Medication Error. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/refused-medication-error
The Case
A 59-year-old man was admitted to the hospital with acute renal failure and mental status changes. He was
alert to self and place only. The patient h…
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psnet.ahrq.gov/node/49684/psn-pdf
May 01, 2013 - Right Regimen, Wrong Cancer: Patient Catches Medical
Error
May 1, 2013
Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet].
2013.
https://psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
Case Objectives
Appreciate that chemotherapy a…
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psnet.ahrq.gov/issue/canadian-patient-safety-dictionary
September 13, 2017 - Glossary
Canadian Patient Safety Dictionary.
Citation Text:
Canadian Patient Safety Dictionary. Royal College of Physicians and Surgeons of Canada
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psnet.ahrq.gov/issue/quality-and-safety-education
September 06, 2017 - Special or Theme Issue
Quality and Safety Education.
Citation Text:
Quality and Safety Education. Dolansky MA, Singh MK, eds. Qual Manag Health Care. 2009;18(3):149-227.
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psnet.ahrq.gov/issue/implementation-electronic-system-medication-reconciliation
December 02, 2020 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing … home: a before-after study.