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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
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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
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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
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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.
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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…
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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…
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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…
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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.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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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, nursing … home vulnerabilities and racial inequity .
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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
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psnet.ahrq.gov/issue/health-it-hazard-manager
August 01, 2012 - May 25, 2016
Resident Safety Practices in Nursing Home Settings.
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psnet.ahrq.gov/issue/dangerous-doses
April 27, 2005 - October 5, 2016
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative
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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
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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.
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Prin…
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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.
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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 nursing … home 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
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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 …
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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
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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. …
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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, nursing … homes, and other health facilities. … Health Plan Patient Safety Initiatives
July 10, 2024
How nursing … homes’ worst offenses are hidden from the public.