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  1. psnet.ahrq.gov/issue/gender-biases-and-diagnostic-delay-inflammatory-bowel-disease-multicenter-observational-study
    March 09, 2022 - December 15, 2021 Drug-related problems and polypharmacy in nursing home residents: a
  2. psnet.ahrq.gov/issue/prioritizing-patient-safety-interventions-small-and-rural-hospitals
    October 14, 2009 - September 29, 2021 Predictors of nursing home nurses' willingness to report medication
  3. psnet.ahrq.gov/issue/impact-and-culture-change-after-implementation-preprocedural-checklist-interventional
    May 05, 2021 - February 22, 2010 The association of nursing home characteristics and quality with adverse
  4. psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
    June 02, 2021 - SPOTLIGHT CASE Chest Pain in a Rural Hospital Citation Text: MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar Bi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49416/psn-pdf
    September 01, 2003 - Check the Bags September 1, 2003 Caldwell M, Dracup KA. Check the Bags. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/check-bags The Case A 50-year-old man with new atrial fibrillation was placed on a diltiazem drip in the emergency department for rate control. After arriving at the cardiac care unit (CCU…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49487/psn-pdf
    August 21, 2005 - Surprise Wire August 21, 2005 Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/surprise-wire The Case A 39-year-old man with a history of liver disease presented to the emergency department (ED) with gastrointestinal bleeding and altered mental status. Due to his clinic…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49623/psn-pdf
    March 01, 2011 - Are We Pushing Graduate Nurses Too Fast? March 1, 2011 Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast The Case A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical…
  8. psnet.ahrq.gov/web-mm/time-death
    January 03, 2017 - Time of Death? Citation Text: Taekman JM, Wright MC. Time of Death?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
  9. psnet.ahrq.gov/issue/medical-bias-pain-pills-covid-19-racial-discrimination-health-care-festers
    June 24, 2020 - pandemic has highlighted a range of weaknesses in the health care system including supply chain gaps, nursinghome vulnerabilities and racial inequity .
  10. psnet.ahrq.gov/issue/covid-19-pandemic-patient-safety-new-spring-telemedicine-or-boomerang-effect
    April 13, 2022 - March 8, 2023 Expanding frontiers of risk management: care safety in nursing home during
  11. psnet.ahrq.gov/issue/health-it-hazard-manager
    August 01, 2012 - May 25, 2016 Resident Safety Practices in Nursing Home Settings.
  12. psnet.ahrq.gov/issue/dangerous-doses
    April 27, 2005 - October 5, 2016 AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative
  13. psnet.ahrq.gov/issue/transforming-hospitals-designing-safety-and-quality
    May 01, 2015 - August 1, 2012 AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative
  14. psnet.ahrq.gov/issue/youre-going-release-him-when-he-was-hurting-himself
    May 11, 2022 - Newspaper/Magazine Article ‘You’re going to release him when he was hurting himself?’ Citation Text: ‘You’re going to release him when he was hurting himself?’ Dahlberg B. Kaiser Health News. September 29, 2020. Copy Citation Save Save to your library Prin…
  15. psnet.ahrq.gov/issue/risks-prescribing-cascade
    December 16, 2020 - Newspaper/Magazine Article The risks of the prescribing cascade. Citation Text: Brody JE. The risks of the prescribing cascade. New York Times. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…
  16. psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
    July 01, 2004 - 1-year mortality of 20%–24% ( 3,4 ), and for those that do survive 33% are totally dependent or in nursinghome care in the year following the fracture.( 4,5 ) A preponderance of retrospective and observational … Mortality, disability, and nursing home use for persons with and without hip fracture: a population-based
  17. psnet.ahrq.gov/issue/association-between-unmet-nonmedication-needs-after-hospital-discharge-and-readmission-or
    September 23, 2020 - Study Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study. Citation Text: Bose S, Groat D, Dinglas VD, et al. Association between unmet nonmedication needs after …
  18. psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
    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
  19. psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
    June 30, 2021 - EMERGING INNOVATIONS Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children Citation Text: Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children Evans S, Green A, Roberson A, et al. …
  20. psnet.ahrq.gov/perspective/conversation-charles-ornstein
    October 01, 2009 - familiar with forms that both the state and federal governments use when they're inspecting hospitals, nursinghomes, and other health facilities. … Health Plan Patient Safety Initiatives July 10, 2024 How nursinghomes’ worst offenses are hidden from the public.

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